Presentation by Dr. Deborah Rooney for the University of Michigan's Clinical Simulation Center Brown Bag talk series.

1. Simulation –based Education in
Turkey: Insights from a recent trip
CSCBrownBagSeries
January5,2016
Deborah Rooney PhD
MEDICAL SCHOOL
UNIVERSITY
OF
MICHIGAN

2. Today’s talk
• Highlights from visit to Mersin University and
AHEKON conference (November, 2015)
• Brief review of projects
• Discussion about next steps in collaborative
efforts

3. How’d this begin?
Growing relationship with Ibrahim Başhan, MD
o Family Medicine Physician and
Director of Simulation Center
o Department of Medical Education,
Mersin University, Turkey
o Began during 3-month visiting
scholar’s program June, 2014
o Interested growing SBE for graduate
learners

4. Where in the World is Turkey?

5. Where did I go in Turkey?
Antakya

6. Mersin

7. • University built 1992
• 11 Departments (e.g. Education,
Pharmacy, Communication, Fine Arts,
Architecture, Medicine)
• 25,000 students
• 2005 Mersin Technology Development
Zone (Technoscope)
Mersin Űniversitesi

8. Medical faculty (College) also built 1992
Osmaniye State Hospital, 750 beds
~750 medical students (basic medical
education 6 year program)
Mersin Űniversitesi Faculty of
Medicine

9. Est. 2008
6 faculty (Microbiology, Public health,
Anesthesiology, Otolaryngology, DME (x2)
AIMS:
• Improve training quality of medical education
• Promote/ organize Train theTrainers Course
• Providing support to the Medical Faculty Dean
(e.g. curriculum regulation & assessment)
Department of Medical
Education

10. Space (320 m2, 3400 sf)
Meeting rooms seat 14-20 (x14)
Conference room, seat 200 (x1)
Resources
SimMan (x1)
Noelle (x1)
Variety of task trainers (x153)
Staffing
Simulation technician (ft)
Software specialist (pt)
Clinical Simulation Center:
Resources

11. Clinical Simulation Center:
Resources

12. Annual Coverage
500 undergraduate medical
students (M3-6)
220 ‘graduate medical
students’ (R1-R3)
Est. 60-70 hours/month*
Clinical Simulation Center:
Learners
*Medical education programs

13. Undergraduate Training
Organized via rotation departments
Clinical skills and communication skills training
Train the Trainers
Annual, 4 day course
75 trainers ‘certified’ to date
Graduate Training
Bootcamp/Orientation (4 day)
Mid-year (4 day)
“Cardiac Mngmt” (20 lners/mo)
Continuing Professional Development
Clinical Simulation Center:
Programs

14. Mersin: personal
experience

15. Mersin: personal
experience

16. Mersin: personal
experience

17. Mersin: Aynalıgöl cave

18. Antakya
Mersin: Antakya day trip

19. Hatay Mosaic Museum

20. Antakya day trip

21. A few
observations

22. • Annual Turkish Family Medicine
Conference
• 2000 Attendees
• Antalya, Resort town
AHEKON

23. AHEKON: Precourse

24. AHEKON: Experience

25. AHEKON: Experience

26. But what’s been
produced?

27. Manuscript 1: Using simulation-based
education to improve residents’ clinical
decision-making skills in developing
countries
• Literature review of SBE (n=83) to identify practical
methods to promote the implementation of simular
curricula in developing countries
• Ten curricula, targeted for their;
• course administration
• content development
• learner assessment
• program evaluation

28. Manuscript 1:
Summary table
• 6 clinical
disciplines
• Highlights
specific,
practical
resources

29. Manuscript 2: The Use of Simulation in
Continued Professional Development:
Perspectives and Comparisons of Turkish
and US Family Physicians
• Survey-based needs assessmentà US &Turkey FM Ass.
• Survey: Demographics, reasons for CPD, preferred
resources and learning modalities
• Participants, n=273
Turkey n=208
US n=68

30. Findings: Turkish and United States family
medicine physicians’ preferred CPD topics
0
10
20
30
40
50
60
70
80
Other
Conflict
Management
Administra=on
Skills
Informa=on
Applica=ons
Scien=fic
Research
Methods
Communica=on
Skills
Technical
Skills
Medical
Law
Simula=on
%
Agreement
Preferred
CPD
Topics
Turkey
(n=208)
US
(n=68)

31. Findings: Family medicine physician use of
resources used during Continuing Professional
Development (CPD) [scored 1=none, 5=mostly]
Resource
Turkey
Mean (SD)
(n = 208)
US
Mean (SD)
(n = 68) P-value
Published periodical (magazine) 2.4 (1.1) 2.3 (0.8) 0.52
Textbooks 2.5 (1.2) 3.5 (0.9) 0.01
Online magazines/Books 3.6 (0.9) 2.5 (0.9) 0.01
Clinical simulation 2.6 (1.1) 4.0 (1.1) 0.01
Web/Computer-based simulation 2.3 (1.1) 3.8 (1.3) 0.01
Meetings/Courses/Seminars 3.4 (1.0) 2.4 (0.9) 0.01
Specialist opinion 3.3 (0.7) 2.9 (0.9) 0.01

32. Opportunities for
Collaboration

33. Opportunities for Collaboration
• AHEKON 2016
• Panhellenic Course, Fall 2016 (with
Nikos Kerameris, Greece)
• Mersin, Acibadem University (CASE)…
• UM Global REACH initiative (?)
• Others?

34.
Deborah
Rooney,
PhD
dmrooney@med.umich.edu
Thank you
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