Simulation-Based Education

One of the great projects that has recently come from collaboration within Education Subcommittees is a series of themed papers on the planning, implementation, and benefits of Simulation-Based Education (SBE). SBE aims to create a supportive, trustful, and creative learning environment and improve patient safety by allowing students to apply theoretical classroom knowledge as practical skills in real-life situations without the risk of real-life consequences.

SBE subcommittee chair Dr. Helena Prior Filipe, with co-chair Dr. Mathys Labushange, led a group of practicing ophthalmologists and educators in defining the need for SBE as a practical strategy for ophthalmic education in clinical settings, highlighting a methodology to improve curriculum design through iterative application and evaluation, explaining practical steps to implement and maintain SBE as an education program, and making recommendations for institutions on how to support a program with varying technological and human resources.

Doctors Helena Prior Filipe, Arturo Grau, Pablo Musa, Ann Sofia Skou Thomsen, John Clements, Andreas Di Luciano, Van Lansingh, Danny Siu-Chun Ng, and Mathys Labuschagne worked together to create the four part series, Good Practices in Simulation-Based Education in Ophthalmology, which was published in the Pan-American Journal of Ophthalmology, Vol. 5, No. 1, October 2023.

In addition, four infographics based on the published series of articles have been published via the University of the Free State in South Africa.

Simulation-Based Education Subcommittee

Chair: Dr. Helena Prior Filipe
Co-Chair: Dr. Mathys Labushange

Members:
Dr. John Clements 
Dr. Andreas Di Luciano 
Dr. John Ferris 
Dr. Arturo Grau Diez 
Dr. Daniel Hutter 
Dr. Dan Kiage 
Dr. Van Lansingh 
Dr. Andy McNaught 
Dr. Danny Ng 
Dr. Filomena Ribeiro 
Dr. Ajit Sachdeeva 
Dr. George Saleh 
Dr. Ann Sofia Skou Thomsen  
Dr. David Sousa 
Dr. Gordana Sunavic 
Dr. Clement Tham 
Dr. Jorge Valdez-Garcia

Part I, Initiating and maintaining simulation-based training

Part 1 discusses the need for a practical experience that exists between book learning and interaction with patients. SBE focuses on developmental steps that can exist between learning a skill and performing it in a live environment. This educational step can be adjusted to the asset constraints of any particular institute, though the setup of such a program should be learner focused and provide plenty of time to debrief, review, and give and receive feedback. SBE for ophthalmology programs is especially important given the common need for surgical procedures within the discipline.

Infographic

Part II, Faculty development for SBE in ophthalmology

Part 2 of the series focuses on the educator within a SBE program and how developing and iterating on such a program benefits staff by bettering their skills in educating, resulting in progressively higher quality implementation of SBE as a specialized learning strategy. The authors discuss Kern’s six-step model (described below) as a dynamic and iterative process for evaluating and creating meaningful faculty development programs.

Infographic

Part III, Curriculum development for SBE in ophthalmology training programs

In Part 3 of Good Practices in Simulation-Based Education in Ophthalmology, our SBE education subcommittee collaborators further describe a learner-based approach for program development. They chose the five-phase ADDIE approach (analyze, design, develop, implement, and evaluate) as a complimentary curriculum design model to Kern’s six-step method for continuing education for staff. Part 3 describes how a SBE program can take a learner from concept to practice in a stepped approach with plenty of time for assessment and evaluation. The next step of the program at any point is determined by learning outcomes.

Infographic

Part IV, Recommendations for incorporating SBE in ophthalmology training programs

The final Part 4 examines best practices for integrating SBE into existing ophthalmology training programs as well as cautions against some plausible pitfalls if implemented poorly. The recommendations also cover issues such as accreditation standards and developing strong cross-national partnerships to help balance local needs and education with benefactor organizations or institutes.

Infographic