Transformative Education
for Health Professionals

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High Fidelity Simulation (HFS) Use in Asia

Md Khairulamin Sungkai, Dr Chaoyan Dong, Dr Neel Sharma

Technology enhanced simulation has been cemented in health professions education for some time. Its benefits include the ability to undertake procedural and case based scenarios in a safe learning environment with the added benefit of feedback from seniors and peers. The evidence for its use however does have limitations including disagreements in terms of long term outcomes and the added expense. In fact, researchers have argued that when comparing low and high fidelity formats long term outcomes can demonstrate no notable difference. 

Full project description: 

In view of the continuing rise of technology enhanced simulation, we felt it necessary to explore its perception in Asia where funding is more limited and cultural differences may play a role in its adoption.

We invited faculty who had adopted HFS to provide their opinions from across 12 countries:

  • Saudi Arabia
  • Brunei
  • China
  • Hong Kong
  • India
  • Indonesia
  • Japan
  • Malaysia
  • Philippines
  • Singapore
  • South Korea
  • Thailand

Participants commented that their use of HFS occurred following faculty development programmes with its use primarily based on cardiac, respiratory and resuscitation based approaches. The primary challenges faced in adopting HFS comprised a lack of manpower as well as a lack of potential understanding of the value of HFS. Time was also a factor with added demands on faculty in view of their clinical work load. Additional concerns were the lack of understanding on how to develop simulation scenarios and an allied curriculum. And concerns allied to expense. To move simulation forward, participants advised for the need to enhance collaboration locally and internationally with a need for more training based developments and a better understanding of its use. Additional requirements included funding and added faculty to ease clinician work load.

These findings have helped to demonstrate the current concerns of HFS use across Asia. Whilst many are likely to be in tune with Western issues these elements cannot be ignored when attempting to drive this form of pedagogy forward. 

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