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A stepwise model for simulation-based curriculum development for clinical skills, a modification of the six-step approach

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Abstract

Background

Despite the rapid growth in the use of simulation in health professions education, courses vary considerably in quality. Many do not integrate efficiently into an overall school/program curriculum or conform to academic accreditation requirements. Moreover, some of the guidelines for simulation design are specialty specific.

Study design

We designed a model that integrates best practices for effective simulation-based training and a modification of Kern et al.’s 6-step approach for curriculum development. We invited international simulation and health professions education experts to complete a questionnaire evaluating the model. We reviewed comments and suggested modifications from respondents and reached consensus on a revised version of the model.

Results

We recruited 17 simulation and education experts. They expressed a consensus on the seven proposed curricular steps: problem identification and general needs assessment, targeted needs assessment, goals and objectives, educational strategies, individual assessment/feedback, program evaluation, and implementation. We received several suggestions for descriptors that applied the steps to simulation, leading to some revisions in the model.

Conclusion

We have developed a model that integrates principles of curriculum development and simulation design that is applicable across specialties. Its use could lead to high-quality simulation courses that integrate efficiently into an overall curriculum.

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Acknowledgments

The authors would like to thank the international simulation and health professions experts who evaluated this template for their meticulous review and valuable comments. Thanks are due to the following ASSET experts: Richard Angelo, Howard Champion, Anthony Gallagher, Jeffrey S. Levy, Guy J. Maddern, Robert A. Pedowitz, Judith Riess, Marshall Smith, Hooman Soltanian, Dimitrios Stefanidis, Gregory J. Wiet and Sterling Williams and the Medical Education experts: Zubair Amin and Hossam Hamdy. This work was funded by the College of Medicine Research Centre, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.

Disclosures

The authors Drs. Nehal Khamis, Richard Satava, Sami Al-Nassar and David Kern have no conflicts of interest or financial ties to disclose.

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Correspondence to Nehal N. Khamis.

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Khamis, N.N., Satava, R.M., Alnassar, S.A. et al. A stepwise model for simulation-based curriculum development for clinical skills, a modification of the six-step approach. Surg Endosc 30, 279–287 (2016). https://doi.org/10.1007/s00464-015-4206-x

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