Accepted Type
Oral
Code
OE1-3-3
Was this work accepted for CCME 2020?
yes
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Research Associate
Affiliation
Considered for Poster
no
Title
"She's a manikin; she won't mind": A sociomaterial look at patient centredness in manikin-based simulation
Length of Presentation
Background/Purpose
Medical educators increasingly prioritize Patient Centred Care (PCC), and have identified simulation as a promising area for preclinical PCC practice. However, due to the traditional separation of "hard" and "soft" skills in medical curricula, patient centredness is often associated with simulated patients and overlooked in clinical skill sessions with manikins. Manikins are often assumed to be "human enough" for skill practice but their influence on teaching and learning PCC can be overlooked. We therefore sought to understand (1) how manikins shape teaching and learning in undergraduate medical simulation, and (2) implications for PCC.
Methods
Informed by a broader body of data, this presentation offers a sociomaterial analysis of a third-year pre-clerkship simulation that combined six clinical skills within one overarching case. Two sets of student and instructor pairs were each assigned to a male-presenting medium fidelity manikin overlaid with an IV arm, phlebotomy trainer, and injection pad. Our ethnographic methods included video observations (n=240 minutes), curriculum analysis (n=8), and interviews (n=11).
Results
Human-manikin interactions both affirmed and undermined PCC. Affirming actions included
teachers voicing patient concerns and directing students to seek consent; and students offering the patient procedural choices. Undermining elements included lack of student-patient communication; leaning on the manikin; centering teacher approval and expertise; and caricaturing the patient as stereotypically feminine.
Conclusion
Patient centredness is both affirmed and undermined in manikin-based simulation. The
material form of the manikin complicates PC teaching and learning. Intentionally planning for this complexity may ensure more consistent adherence to patient centred principles.
Keyword 1
Simulation
Keyword 2
manikins
Keyword 3
sociomaterial
Level of Training
Undergraduate
Abstract Themes
Teaching and learning
Teaching and Learning
- Clinical Skills
- Professionalism
- Simulation
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Paula Cameron
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
