Online Program

Educating and Exposing Medical Students and Residents to Global Health through Low Fidelity Simulation

Monday, November 2, 2015 : 8:30 a.m. - 8:50 a.m.

Aaron Hultgren, MD, MPH, MAT, Department of Emergency Medicine, New York University School of Medicine, New York, NY
Carlo Canepa, MD, Department of Emergency Medicine, NYU-Bellevue Hospital Center, New York, NY
Michael Turchiano, MD, Emergency Medicine Department, NYU- Bellevue Hospital Center, New York, NY
Vibha Gupta, MD, Emergency Medicine, NYU School of Medicine, New York, NY
Low fidelity simulation represents a modality to introduce global health medicine to medical students and physician trainees.  High fidelity simulation is an educational modality that has successfully been incorporated into undergraduate, graduate, and post-graduate medical education in high resource settings; however, it requires infrastructure to support high-fidelity mannequins and accompanying technology.  The use of low-fidelity simulation provides the opportunity to explore practicing in a low resource setting using basic mannequins and materials.  A low-fidelity simulation was developed for medical students and resident physicians to expose learners to a first referral hospital setting with limited resources.  Participants were asked to stabilize patients from a road traffic accident using local materials that might be found in a first referral hospital to reinforce concepts such as health resource limitations, personal protection and hygiene, and challenges of practicing in practice settings outside of ones training.   The simulation involved 56 participants with physician trainees (n=42) and medical students (n=14).  The low fidelity simulation provided a safe learning environment for the participants to gain exposure to international emergency medicine in a limited resource setting and experience how limited health resources can affect health delivery.  The participants were observed during the activity as well as each group of participants received feedback and discussed the application of stabilization techniques, occupational health and hygiene, challenges in health care delivery, and resource limitations in limited resource settings.  Participants’ reflections on the simulation were positive as it provided the opportunity to learn about the practice of emergency medicine and challenges of practicing in a limited resource setting.  Low fidelity simulation provides opportunities for emergency medicine education and training of students and health professionals in both low resource and high resource settings. In addition, simulation can introduce medical students and residents to challenges in developing emergency health systems and global health concepts.

Learning Areas:

Occupational health and safety
Other professions or practice related to public health
Public health or related education

Learning Objectives:
Discuss the use of simulation education to provide exposure and education to global health for medical students and resident physicians, Describe ways of incoporating global health topics in simulations that can be used for medical education in low and high resource settings

Keyword(s): International Health, Physicians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted emergency medicine and trauma trainings in West Africa for pre-hospital, regional and district level health providers incorporating the use of low fidelity simulation. Currently serve as associate director of undergraduate medical education in the Emergency Medicine Department at NYU School of Medicine. Designed and implemented emergency medicine simulations for community health workers, medical students and residents in both the United States and in Ghana. Affiliated Faculty NYU Global Insitute of Public Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.