A Review of Simulation Pedagogy Past and Present; and The Experiences at One Center During the COVID-19 Pandemic

  • Madhumita Sen Faculty of Medicine, AIMST University, Kedah, Malaysia https://orcid.org/0000-0001-8239-221X
  • Dharmaraj Tanimale Faculty of Medicine, AIMST University, Kedah, Malaysia
  • K R Sethuraman Faculty of Medicine, AIMST University, Kedah, Malaysia
  • Y D Singh Faculty of Medicine, AIMST University, Kedah, Malaysia


Background: Simulation based education is defined as a series of structured activities that represent real or potential situations in real world practice. During the Covid-19 pandemic, teaching methods for MBBS students which have been developed for decades, but remained at the fringes of medical training, like teaching with simulators, suddenly came into the fore. Hence, this remains the right time to update ourselves with knowledge about simulator use in education, as we can foresee that this teaching modality will continue to play a large role in medicine pedagogy in the years to come. Methods: Published papers on the subject were reviewed from Pub Med, Scopus, Google Scholar, ResearchGate (range 2008 to 2023) sources. Feedback was obtained from both teachers and students using a simple questionnaire. While teachers gave a singularly positive feed of their simulation-based teaching experience during the pandemic years, student feedback was a little mixed. Almost all students felt that the simulation-based learning instructions were extremely helpful, but the degree of relevance they felt to their clinical years varied. Conclusion: Simulation based teaching has come a long way, especially over the past few decades. Present day tactics use computer screen-based scenarios with step-by-step history taking, clinical examination modules (integrated with hi-fidelity mannequins) and management methods which can lead to cure, complications or death. Students can learn through missteps and can correct their responses. As the healthcare industry rapidly evolves technologically, it will increasingly become dependent on simulation as a teaching method in all levels of medical training in the interests of patient safety and student proficiency.

Keywords: COVID-19, medical teaching, pandemic, simulated clinical teaching, simulation for assessment, simulation pedagogy


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Abdullah Mahdy, Z., Maaya, M., Atan, I. K., Abd Samat, A. H., Isa, M. H., & Mohd Saiboon, I. (2020). Simulation in healthcare in the realm of Education 4.0. Sains Malaysiana, 49(08), 1987–1993. https://doi.org/10.17576/jsm-2020-4908-21
Bienstock, J., & Heuer, A. (2022). A review on the evolution of simulation-based training to help build a safer future. Medicine, 101(25). https://doi.org/10.1097/md.0000000000029503
Cooper, J. B., & Taqueti, V. R. (2008). A brief history of the development of Mannequin Simulators for clinical education and training. Postgraduate Medical Journal, 84(997), 563–570. https://doi.org/10.1136/qshc.2004.00988
Dhar, P., Rocks, T., Samarasinghe, R. M., Stephenson, G., & Smith, C. (2021). Augmented reality in medical education: Students’ experiences and learning outcomes. Medical Education Online, 26(1). https://doi.org/10.1080/10872981.2021.1953953
Jones, F., Passos-Neto, C. E., & Braghiroli, O. F. M. (2015). Simulation in Medical Education: Brief history and methodology. Principles and Practice of Clinical Research, 1(2), 56–63.
Lay-Khim, G., & Yee, B.-L. (2019). Experience towards simulated patient-based simulation session: An Integrative Literature Review. Education in Medicine Journal, 11(3), 5–21. https://doi.org/10.21315/eimj2019.11.3.2
Levine, A. I., Schwartz, A. D., Bryson, E. O., & DeMaria Jr, S. (2012). Role of simulation in US physician licensure and certification. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 79(1), 140–153. https://doi.org/10.1002/msj.21291
Mohd Saiboon, I. (2019). Influence of simulation in Malaysian Healthcare Education and Research (ISIM-here): A two- decade experience. Medicine & Health, 14(1), 53–67. https://doi.org/10.17576/mh.2019.1401.05
Owen, Harry. (2012). Early Use of Simulation in Medical Education. Simulation in healthcare : journal of the Society for Simulation in Healthcare. 7(2),102-116. https://doi.org10.1097/SIH.0b013e3182415a91
Saiboon, I. M., Jaafar, M. J., Harunarashid, H., & Jamal, S. M. (2011). The effectiveness of simulation based medical education in teaching concepts of major incident response. Procedia - Social and Behavioral Sciences, 18, 372–378. https://doi.org/10.1016/j.sbspro.2011.05.053
Samadbeik, M., Yaaghobi, D., Bastani, P., Abhari, S., Rezaee, R., & Garavand, A. (2018). The applications of virtual reality technology in medical groups teaching. Journal of advances in medical education & professionalism, 6(3), 123.
Sethuraman, K. R. (2021). Challenges in effective curricular delivery, while navigating the uncertainties of the pandemic year 2020-'21 – an autoethnographic report. . Asian Journal of Medicine and Health Sciences 4(1) ): 3-13. https://www.ajmhsrcmp.org/images/journal/Vol4_Issue1_June21/02_SethuramanKR_AJMHS_2021_Vol4_Issue1_ReviewArticle_EffectiveCurricularDelivery.pdf (Accessed on 9-4-2023)
Singh, Y. D., Helmy, K. M., Jaiganesh, S., Chandran, R. R., & Sethuraman, K. R. (2021). ADAPTING LONGITUDINAL CLINICAL CLERKSHIP IN INTERNAL MEDICINE TO SIMULATION MODE LEARNING. Asian Journal of Medicine and Health Sciences, 4(1): 164-172 https://www.ajmhsrcmp.org/images/journal/Vol4_Issue1_June21/18_SinghYD_AJMHS_2021_Vol4_Issue1_ShortCommunication_SimulationModelLearning.pdf (accessed on 9-4-2023)
Ventre, K. M., & Schwid, H. A. (2013). Computer and web based simulators. The Comprehensive Textbook of Healthcare Simulation, 191–208. https://doi.org/10.1007/978-1-4614-5993-4_14
Wang, E. E., Quinones, J., Fitch, M. T., Dooley-Hash, S., Griswold-Theodorson, S., Medzon, R., Korley, F., Laack, T., Robinett, A., & Clay, L. (2008). Developing technical expertise in emergency medicine-the role of simulation in Procedural Skill Acquisition. Academic Emergency Medicine, 15(11), 1046–1057. https://doi.org/10.1111/j.1553-2712.2008.00218.x
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Sen, M., Tanimale, D., Sethuraman, K., & Singh, Y. (2023). A Review of Simulation Pedagogy Past and Present; and The Experiences at One Center During the COVID-19 Pandemic. International Journal of Advancement in Life Sciences Research, 6(3), 1-9. https://doi.org/https://doi.org/10.31632/ijalsr.2023.v06i03.001