Lauri Kokkinen, Carles Muntaner, Anne Kouvonen, Aki Koskinen, Pekka Varje, Ari Väänänen
Welfare state retrenchment and increasing mental health inequality by educational credentials in Finland: a multicohort study
BMJ open
simulationbased learning valuable integrated part simulation curricula simulation modalities include highfidelity simulation hfs clinical skills sk standardized patients sp hybrid combined simulation hfs sk usually taught facetoface require specialized equipment response covid19 pandemic lockdowns efforts develop distributed screenbased highfidelity simulation accelerated provide enhanced remote learning authors set develop costeffective high fidelity userfriendly software assist medical students developing cardiac auscultation skills clinical reasoning physical manikins expensive costs range 23000250000 following applications heart auscultation trainer hat lung auscultation trainer lat distributed screenbased highfidelity simulator dsbhfs comprise comprehensive medical education software package developed implemented university south dakota sanford school medicine usd ssom hat application specifically evaluated project hat lat developed macintosh windows linux operating systems applications feature onscreen human torso users auscultate heart lung sounds users select 52 heart 15 lung conditions builtin lessons testing mode sonograms dsbhfs network applications distributed internet learners view patient avatar perform basic physical exam review vital signs order treatments instructor change avatar parameters accordance administered treatments information exchange instructor learners occur via cloudbased connection effectiveness simplicity crossplatform usability hat assessed via survey dsbhfs developed tested piloted december 2022 dsbhfs next phase development 11question survey distributed medical students 814 response rate half respondents used hat least per week respondents agreed installation relatively easy graphic user interface easy use builtin lessons somewhat useful heshe would recommend hat students narrative feedback collected improve future iterations hat data collected regarding lat dsbhfs simulator suite applications found effectively implemented costsaving addition remote software package available medical students usd ssom hat perceived firsttime users easy use effective learning tool usergenerated feedback implemented improve applications limitations project include lack quantitative data