Abstract
The Covid-19 pandemic necessitated the closure of clinical spaces for medical student training worldwide, prompting medical schools to seek alternative methods to sustain academic activities. At the University of Costa Rica, technological tools were integrated into all courses, including Forensic Medicine. Leveraging an existing agreement between the Forensic Medicine departments of the University of Costa Rica and the University of Panama, the didactic strategy employed in Costa Rica, which utilized technological platforms and standardized patients, was shared with Panamanian educators and students through an extension course. This study aims to evaluate the impact of these technologies on this educational experience. A four-week, fully virtual course was conducted using Zoom and Moodle platforms, with bi-weekly, two-hour synchronous sessions. The course enrolled 64 students from the University of Panama, with assessment based on class participation, short tests, and a final exam. Results indicated a strong correlation between attendance at simulation sessions and final grades, with higher participation leading to better performance, independent of gender. As the course progressed, students demonstrated improved understanding of forensic medicine concepts, reflected in their final grades. The study concludes that this didactic strategy was effective during the Covid-19 crisis, providing essential support from the University of Costa Rica to Panamanian counterparts. Continued replication of such courses and the inclusion of real-time simulation practices aligned with specific learning objectives are recommended.
References
Ahmed, V. y Opoku, A. (2022). Technology supported learning and pedagogy in times of crisis: the case of COVID-19 pandemic [La tecnología apoyó el aprendizaje y la pedagogía en tiempos de crisis: el caso de la pandemia de COVID-19]. Education and Information Technologies, 27, 365-405. https://doi.org/10.1007/s10639-021-10706-w
Al-Worafi, Y. M., Al-Moraya, I. S., Alnefaie, M. S. M. y Alqahtani, H. A. M. (2023). Simulation for Clinical Toxicology and Forensic Medicine [Simulación para Toxicología Clínica y Medicina Forense]. En Y. M. Al-Worafi (Ed.), Comprehensive Healthcare Simulation: Pharmacy Education, Practice and Research. Comprehensive Healthcare Simulation (pp.107-111). Springer, Cham. https://doi.org/10.1007/978-3-031-33761-1_16
Azimov, A. A., Usmonov, U. D., Shakirov, S. A. y Tulakov, E. O. (2023). Simulation training as a new approach in teaching the subject “Forensic medicine” [La formación por simulación como nuevo enfoque en la docencia de la asignatura “Medicina Forense”]. Virtual Technologies in Medicine, (1), 52-53. https://doi.org/10.46594/2687-0037_2023_1_1593
Babu, M. V., Arumugam, M. K. y Debnath, D.J. (2021). Simulated Patient Environment: A Training Tool for Healthcare Professionals in COVID-19 Era [Entorno de paciente simulado: una herramienta de formación para profesionales sanitarios en la era COVID-19]. Advances in Medical Education and Practice, 12, 579-585. https://doi.org/10.2147/AMEP.S297536
Barbaro, A. (2019). Women in Forensics: An international overview. [Mujeres en la ciencia forense: una visión internacional]. Forensic Science International: Synergy, 1, 137-139. https://doi.org/10.1016/j.fsisyn.2019.06.047
Bienstock, J. y Heuer, A. (2022). A review on the evolution of simulation-based training to help build a safer future [Una revisión de la evolución de la formación basada en simulación para ayudar a construir un futuro más seguro]. Medicine (Baltimore), 101(25), 1-6. https://doi.org/10.1097/MD.0000000000029503
Bientzle, M., Kölle, A., Lechner, C. y Kimmerle J. (2021). Challenges and opportunities of cooperation across medical schools [Desafíos y oportunidades de cooperación entre escuelas de medicina]. Medical Teacher, 43(11), 1341-1341. https://doi.org/10.1080/0142159X.2021.1908527
Blanco, J. M., Domínguez, C., Olarte, J. J., Jaime, A. y Sánchez, A. (2013). Un modelo de colaboración docente interuniversitaria entre estudiantes y profesores. Actas de las XIX Jenui Castellón, 285-292. https://upcommons.upc.edu/handle/2099/15377
Bracewell, T. E. y Jones, C. (2022). The use of simulated crime scenes in teaching undergraduate forensic sciences: Implementing an active learning approach to forensics [El uso de escenarios de crímenes simulados en la enseñanza de ciencias forenses de pregrado: implementación de un enfoque de aprendizaje activo en ciencias forenses]. Science & Justice, 62(6), 758-767. https://doi.org/10.1016/j.scijus.2022.08.003
Brown, K. M., Swoboda, S. M., Gilbert, G. E., Horvath, C. y Sullivan, N. (2022). Integrating Virtual Simulation into Nursing Education: A Roadmap [Integración de la simulación virtual en la educación de enfermería: una hoja de ruta]. Clinical Simulation in Nursing, 72, 21-29. https://doi.org/10.1016/j.ecns.2021.08.002
Dawson, R. M., Lawrence, K., Gibbs, S., Davis, V., Mele, C. y Murillo, C. (2021). “I Felt The Connection”: A Qualitative Exploration of Standardized Patients’ Experiences in a Delivering Bad News Scenario [“Sentí la conexión”: una exploración cualitativa de las experiencias de pacientes estandarizados en un escenario de entrega de malas noticias]. Clinical Simulation in Nursing, 55, 52-58. https://doi.org/10.1016/j.ecns.2021.04.012
Claydon, L. S. (2015). Rigour in quantitative research [Rigor en la investigación cuantitativa]. Nursing Standard, 29(47), 43-48. https://doi.org/10.7748/ns.29.47.43.e8820
Elshama, S. S. (2020). How to apply Simulation-Based Learning in Medical Education? [¿Cómo aplicar el aprendizaje basado en simulación en la educación médica?]. Iberoamerican Journal of Medicine, 2, 79-86. https://doi.org/10.5281/zenodo.3685233
Fernández-Lizana, M. I. (2020). Ventajas de R como herramienta para el Análisis y Visualización de datos en Ciencias Sociales. Revista Científica de la UCSA, 7(2), 97-111. https://doi.org/10.18004/ucsa/2409-8752/2020.007.02.097
Flössel, U., Clas, S., Willemer, M., Sommer, M., Poweleit, G., Schulze, R., Heide, S. y Erfurt, C. (2020). Using simulation mannequins and actors in training for external post-mortem examinations -experiences from use in medical students and police officers [Uso de maniquíes y actores de simulación en el entrenamiento para exámenes externos post mortem: experiencias de uso en estudiantes de medicina y oficiales de policía]. Journal of Forensic and Legal Medicine, 77, 1-6. https://doi.org/10.1016/j.jflm.2020.102102
Hilburg, R., Patel, N., Ambruso, S., Biewald, M. A. y Farouk, S. S. (2020). Medical Education During the Coronavirus Disease-2019 Pandemic: Learning From a Distance [Educación médica durante la pandemia de la enfermedad del coronavirus-2019: aprender a distancia]. Advances in Chronic Kidney Disease, 27(5), 412-417. https://doi.org/10.1053/j.ackd.2020.05.017
Jones, R. M. (2021). Online teaching of forensic medicine and pathology during the COVID-19 pandemic: A course evaluation [Enseñanza en línea de medicina y patología forense durante la pandemia de Covid-19: una evaluación del curso.]. Journal of Forensic and Legal Medicine, 83, 1-8. https://doi.org/10.1016/j.jflm.2021.102229
Kol, E., Ince, S., Işik, R. D., Ilaslan, E. y Mamakli, S. (2021). The effect of using standardized patients in the Simulated Hospital Environment on first-year nursing students psychomotor skills learning [El efecto del uso de pacientes estandarizados en el entorno hospitalario simulado en el aprendizaje de habilidades psicomotoras de estudiantes de primer año de enfermería]. Nurse Education Today, 107, 1-8. https://doi.org/10.1016/j.nedt.2021.105147
Kucukkelepce, G. E., Dinc, L. y Elcin, M. (2021). Views of nursing students on using standardized patient and in-class case analysis in ethics education [Opiniones de estudiantes de enfermería sobre el uso de análisis estandarizados de pacientes y de casos en clase en la educación ética]. Nurse Education Today, 107, 1-8. https://doi.org/10.1016/j.nedt.2021.105155
Kumar, G. N. P., Urs, A. N. R., Undi, M. y Bakkannavar, S. M. (2022). Online viva voce as a formative assessment method in forensic medicine during COVID-19 pandemic [El examen oral en línea como método de evaluación formativa en medicina forense durante la pandemia de Covid-19]. Journal of Education and Health Promotion, 11(1), 1-6. https://doi.org/10.4103/jehp.jehp_446_21
Leighton, K., Ravert, P., Mudra, V. y Macintosh, C. (2015). Updating the Simulation Effectiveness Tool: Item modifications and reevaluation of psychometric properties [Actualización de la herramienta de efectividad de la simulación: modificaciones de ítems y reevaluación de propiedades psicométricas]. Nursing Education Perspectives, 36(5), 317-323. https://doi.org/10.5480/15-1671
Mota, K., Concha, C. y Muñoz, N. (2020). Educación virtual como agente transformador de los procesos de aprendizaje. Política e Gestão Educacional, 24(3), 1216-1225. https://doi.org/10.22633/rpge.v24i3.14358
Miguel-Dávila, J. A., López-Berzosa, D. y Martín-Sánchez, M. (2012). ¿Una participación activa del alumno pronostica una buena nota en el examen?. Working Papers on Operations Management, 3(2), 71-83. http://dx.doi.org/10.4995/wpom.v3i2.1097
Olvera-Cortés, H., Argueta-Muñoz, F. D., Hershberger-del Arenal, R., Hernández-Gutiérrez, L. S. y Gutiérrez-Barreto, S. E. (2022). Evidencias de validez de la versión en español del Simulation Effectiveness Tool - Modified (SET-M) aplicado en telesimulación. Educación Médica, 23(2), 1-5. https://doi.org/10.1016/j.edumed.2022.100730
Rashid, M. A., Nicholson, J. G. y Gill, D. (2020). International solidarity: medical school collaborations during the COVID-19 pandemic [Solidaridad internacional: colaboraciones de escuelas de medicina durante la pandemia de COVID-19]. The Clinical Teacher, 17(5), 547-548. https://doi.org/10.1111/tct.13239
Rozzi, H., Bohrn, M. y Kepner, A. (2009). Use of Simulation Technology in Forensic Medical Education [Uso de tecnología de simulación en la educación médica forense]. American Emergency Medicine, 16(1), S276. https://doi.org/10.1111/j.1553-2712.2009.00392_5.x
Segura-Aparicio, J. C., Salazar-Sánchez, L. y López-Dávila, A. J. (2023). Medical Education in Costa Rica. From Flexner to COVID-19: Integrative Answers for Old and New Challenges [Educación Médica en Costa Rica. De Flexner a COVID-19: respuestas integradoras para viejos y nuevos desafíos]. Medical Science Educator, 33, 1389-1397. https://doi.org/10.1007/s40670-023-01886-w
Shankar, P. R, Dwivedi, N. R. (2016). Standardized Patient's Views About their Role in the Teaching-Learning Process of Undergraduate Basic Science Medical Students [Perspectivas estandarizadas de los pacientes sobre su papel en el proceso de enseñanza-aprendizaje de estudiantes de pregrado en ciencias básicas de medicina]. Journal of Clinical & Diagnostic Research, 10(6), JC01-05. https://doi.org/10.7860/JCDR/2016/18827.7944
Thompson, T. J. U., Collings, A. J., Earwaker, H., Horsman, G., Nakhaeizadeh, S. y Parekh, U. (2020). Forensic undergraduate education during and after the COVID-19 imposed lockdown: Strategies and reflections from India and the UK [Educación Forense de pregrado durante y después del confinamiento impuesto por el Covid-19: estrategias y reflexiones desde la India y el Reino Unido]. Forensic Science International, 316, 1-5. https://doi.org/10.1016/j.forsciint.2020.110500
Villavicencio, A., Pedraza, C., Quinto, M., Castillo, A., Sosa, A .M., Gómez, J. A., Ojeda, M., De Jesús, V., Enríquez, R. y Suzuri, L. J. (2022). Teaching Forensic Entomology, Forensic Anthropology, and Haematology & Serology during the COVID-19 pandemic: Practical activities for distance learning. [Enseñanza de Entomología Forense, Antropología Forense y Hematología y Serología durante la pandemia de Covid-19: actividades prácticas para el aprendizaje a distancia]. Science & Justice, 62(6), 721-734. https://doi.org/10.1016/j.scijus.2022.04.009
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