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Designing authentic simulations in ROSE and EBUS for undergraduate laboratory medicine students
  1. Alina Miranda1,2,
  2. Alison Kelly3,
  3. Vincent Williams1,
  4. Michelle Kelly4
  1. 1School of Pharmacy and Biomedical Science, Curtin University, Perth, Western Australia, Australia
  2. 2Anatomical Pathology, PathWest Laboratory of Medicine, Nedlands, Western Australia, Australia
  3. 3Formerly Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
  4. 4School of Nursing, Midwifery & Paramedicine, Curtin University, Perth, Western Australia, Australia
  1. Correspondence to Dr Alina Miranda, School of Pharmacy and Biomedical Science, Curtin University, Perth, WA 6102, Australia; Alina.Miranda{at}


Introduction Simulation-based education (SBE) has successfully been implemented in several healthcare professions, more so in the fields of medicine and nursing. Laboratory medicine courses prepare medical scientists for employment in pathology laboratories typically via a staged training regime. Laboratory techniques related to the diagnostic disciplines are introduced to students in a graduated fashion over time for the development of professional skills and technical competencies. For students specialising in diagnostic cytology, there are continual changes to the scope of practice of scientists in industry that require advanced training at undergraduate level to meet expectations of contemporary laboratory testing.

Methods The National Health Education and Training in Simulation (NHET-Sim) framework was applied to create and deliver bespoke simulations for laboratory medicine students. This paper outlines the steps taken, including working with actors and industry partners, to create simulations which contextualise the pressures and team interactions during diagnostic procedures.

Findings Supported by a range of expertise and personnel, five laboratory medicine simulations were developed and delivered to final year students. Details of the steps taken and range of scenarios are included for sharing and discussion.

Discussion SBE can contribute positively to student confidence in communication at interdisciplinary and interprofessional levels in ways that can be essential to successful patient management. Understanding that cytology has now evolved to become part of a multidisciplinary approach to patient-centred care will improve the overall patient outcome and experience to personalised medicine.

Conclusion This paper demonstrates how a high-fidelity SBE scenario can test students’ decision-making around technical, clinical and diagnostic competencies in a complex investigation that they would likely experience in industry.

  • clinical decision making
  • clinical skills practice
  • competency-based
  • constructivist / learner centred
  • deliberate practice

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  • Contributors AM conceived and led the study, conducted the project, analysed, drafted and completed the final manuscript. AK facilitated design of the project and contributed to drafting of paper. VW contributed to final manuscript and assisted with project. MK supported design development, assisted with analysis, provided leadership and insights, reviewed and contributed to the final paper.

  • Funding This work was supported by a Curtin University Teaching Academic Scholarship Seed grant.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available. Patient information, particularly age and gender, is not from actual patients. Any resemblance to real persons living or deceased is coincidental. Data generated from this study will be published in an additional article. All data are deidentified participant data.

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