• Fitzgerald KM
• Denning T
• Vaughan BR
• Fleischmann MJ
• Jolly BC

• Affiliation / RMIT University. School of Health and Biomedical Sciences
• Affiliation / University of Melbourne. Melbourne Medical School. Department of Medical Education
• Affiliation / University of New England. School of Rural Medicine
• Affiliation / University of Newcastle. School of Medicine and Public Health
• Affiliation / Victoria University. College of Health & Biomedicine
• Affiliation(G) / Australia / New South Wales / Armidale
• Affiliation(G) / Australia / New South Wales / Callaghan
• Affiliation(G) / Australia / Victoria / Melbourne
• Computer-Assisted Instruction
• Open Access Document
• Osteopathic Medicine
• Osteopathic Medicine / education / Australia
• Self-Directed Learning as Topic
• Simulation Training

Background: Clinical education forms a substantial component of health professional education. Increased cohorts in Australian osteopathic education have led to consideration of alternatives to traditional placements to ensure adequate clinical exposure and learning opportunities. Simulated learning offers a new avenue for sustainable clinical education. The aim of the study was to explore whether directed observation of simulated scenarios, as part replacement of clinical hours, could provide an equivalent learning experience as measured by performance in an objective structured clinical examination (OSCE).

Methods: The year 3 osteopathy cohort were invited to participate in replacement of 50% of their clinical placement hours with online facilitated, video-based simulation exercises (intervention). Competency was assessed by an OSCE at the end of the teaching period. Inferential statistics were used to explore any differences between the control and intervention groups as a post-test control design.

Results: The funding model allowed ten learners to participate in the intervention, with sixty-six in the control group. Only one OSCE item was significantly different between groups, that being technique selection (p = 0.038, d = 0.72) in favour of the intervention group, although this may be a type 1 error. Grade point average was moderately positively correlated with the manual therapy technique station total score (r = 0.35, p < 0.01) and a trivial relationship with the treatment reasoning station total score (r = 0.17, p = 0.132).

Conclusions: The current study provides support for further investigation into part replacement of clinical placements with directed observation of simulated scenarios in osteopathy.

Author keywords: Osteopathic medicine — Simulated learning — Directed observer

Author affiliations: KMF, MJF: College of Health & Biomedicine, Victoria University, Melbourne, Australia; TD: School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia; BRV: Department of Medical Education, University of Melbourne, Melbourne, Australia; BCJ: School of Medicine and Public Health, University of Newcastle, Callaghan, NSW Australia; BCJ: Adjunct Professor, School of Rural Medicine, University of New England, Armidale, NSW Australia

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record