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Choose your own story: combining interactive voting technology and high-fidelity patient simulations in the lecture theatre, for large group preclinical medical education
  1. Clare Guilding
  1. Correspondence to Dr Clare Guilding, School of Medical Education, Newcastle University Medical School, Framlington Place, Newcastle Upon Tyne NE2 4HH, UK; clare.guilding{at}

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A major challenge faced by undergraduate medical students is application and integration of their basic science knowledge into clinical practice.1 Such integration forms a crucial component in the effective evaluation and management of patients.2 However, medical schools often struggle to provide sufficient early clinical experience to facilitate this process, particularly in the first, predominantly preclinical, years.3 High-fidelity patient simulation provides a unique opportunity for students to apply learned principles in a safe, controlled learning environment, and can encourage a deeper level of understanding through active and experiential learning.4 Yet, medical student use of simulation in the UK is primarily conducted in small groups in the later, largely clinical, years. A limited number of institutions use lecture theatre-based simulations with the class principally observing.5 This paper describes the development of interactive lecture theatre-based simulations which enable large cohorts of preclinical medical students to apply their scientific knowledge to clinical scenarios.

SimMan is a high-fidelity patient simulator who can be programmed to display a wide range of physiological and pathophysiological signs and respond appropriately to treatment, be it physical, for example, cardiopulmonary resuscitation, or therapeutic, for example, administration of drugs. This project aimed to incorporate SimMan into preclinical pharmacology teaching, to build a deeper level of understanding of the subject and place the patient at the heart of the learning experience. However, with over 200 students in each year group, a number of challenges arose. First, the classic …

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