https://doi.org/10.22364/htqe.2023.38 | 490-503 | PDF

Simulated Hospital for Medical Students as an Essential Step Towards Guality in Clinical Work and Patient Safety​

Madara Blumberga1, Nora Jansone-Ratinika2, Evita Grigoroviča1, Raimonds Strods2, Andreta Slavinska1, Māris Brants2
1 Rīga Stradiņš University Medical Education Technology Centre, Latvia
2 Rīga Stradiņš University Centre for Educational Growth, Latvia

Abstract. Simulation-based education provides a transition from theory-based learning to the application of knowledge, skills, and attitudes in complex situations in conditions close to real healthcare facilities. In healthcare, a simulation-based learning approach provides the opportunity to learn skills in a safe environment and gain confidence in the students’ abilities before working in a real clinical setting. In the academic year 2022/2023, for 2 weeks, the Rīga Stradiņš University (RSU) Medical Education Technology Centre (METC) in cooperation with the Department of Nursing and Midwifery implemented the concept of a simulated hospital to provide 114 international 3rd year students of the study programme “Medicine” with pre-clinical practice in a simulated environment in the fields of internal diseases and surgery. A simulated hospital is a concept in which the hospital environment is reproduced in the premises of the METC, encompassing 2 hospital wards, 6 patient rooms, 2 nursing stations, 2 medication rooms, a laboratory, and examination locations, as well as using 8 patient manikin and 38 simulated patients. Students provided a self-assessment of 64 skills (technical and non-technical) before and after pre-clinical practice using a scale from 1–5. Data were collected electronically and analyzed using IBM SPSS and compared statistically before and after the teaching intervention. Students demonstrated improvement in self-assessment of performance of all 64 skills. Students indicate that they not only learned new knowledge and skills, but also strengthened existing knowledge and skills. Students answer that they feel better prepared to work in a real clinical environment. One of the conclusions is that pre-clinical practice should be an integral part of the study process before working in a real clinical environment. that pre-clinical practice should be an integral part of the study process before working in a real clinical environment.

Keywords: Clinical Skills, Higher Education, Medical Education, Self-assessment, Simulation-based Education, Simulated Hospital, Skills Monitoring

To access the complete set of analyzed data from the simulated hospital, please contact the authors of the article.


In: Human, Technologies and Quality of Education, 2023. Proceedings of Scientific Papers = Cilvēks, tehnoloģijas un izglītības kvalitāte, 2023. Rakstu krājums
Riga, University of Latvia, 2023. 796 p. Ed. L. Daniela
https://doi.org/10.22364/htqe.2023
ISBN 978-9934-36-116-6