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      Valoración por los docentes de telesimulación en el grado de Odontología durante la COVID-19 Translated title: Assessment by telesimulation teachers in the Dentistry degree during COVID-19

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          Abstract

          Introducción. Debido a la pandemia por COVID-19, en la educación se implementaron diversas estrategias innovadoras de aprendizaje. El objetivo es conocer la experiencia de los docentes de la carrera de Odontología de la Universidad Autónoma de Chile, sede de Temuco, que utilizaron telesimulación como metodología de enseñanza en el contexto de pandemia. Sujetos y métodos. Se realizó una investigación cualitativa mediante un estudio intrínseco de casos. La muestra de 12 participantes fue no probabilística, intencionada de casos por criterios y por conveniencia. La recolección de datos fue a través de grupos focales. El análisis se realizó por reducción progresiva de la información. El estudio fue autorizado por el comité de ética de la Universidad Autónoma de Chile, sede de Temuco. Resultados. Se develaron 181 unidades de significado relevantes para el estudio agrupadas en cuatro categorías: ‘Significado de haber vivido la experiencia de telesimulación', ‘Factores que facilitan la telesimulación como estrategia metodológica', ‘Factores que dificultan la telesimulación como estrategia metodológica' y ‘Sugerencias para la implementación de la telesimulación en el futuro'. Finalmente, emergen dos dominios cualitativos: ‘Componentes asociados a factores que inciden en la telesimulación' y ‘Aportes de los docentes como resultado de haber vivido la experiencia'. Conclusiones. Docentes destacan, según su experiencia, que la telesimulación fue demandante y agotadora por los tiempos de dedicación para su desarrollo. Reconocieron el desconocimiento de la didáctica y los problemas de conectividad de los estudiantes.

          Translated abstract

          Introduction. Due to the COVID-19 pandemic, various innovative learning strategies were implemented in education. The objective is to know the experience of the teachers of the Dentistry Career of the Autonomous University of Chile, Temuco campus, who used telesimulation as a teaching methodology in the context of a pandemic. Subjects and methods. A qualitative investigation was carried out through an intrinsic case study. The sample of 12 participants, was non-probabilistic, intentional of cases by criteria and for convenience. Data collection was through focus groups. The analysis was carried out by progressive reduction of the information. Study authorized by the Ethics Committee of the Autonomous University of Chile, Temuco headquarters. Results. One hundred eighty-one units of meaning relevant to the study were revealed, grouped into 4 categories: ‘Meaning of having lived the experience of Telesimulation', ‘Factors that facilitate telesimulation as a methodological strategy', ‘Factors that hinder telesimulation as a methodological strategy' and ‘Suggestions for the implementation of remote simulation in the future'. Finally, two qualitative domains emerge: Components associated with factors that affect telesimulation and Contributions from teachers as a result of having lived the experience. Conclusions. Teachers highlight based on their experience. That telesimulation it was demanding and exhausting, due to the dedication times for its development. They recognized lack of knowledge of the didactics and connectivity problems of the students.

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          El muestreo en investigación cualitativa: principios básicos y algunas controversias

          En este trabajo se presentan los fundamentos de la elección de los participantes en una investigación cualitativa, en contraste con los que rigen al muestreo probabilístico en la investigación epidemiológica. Se proponen los conceptos de generalizabilidad nomotética e ideográfica, y los de transferibilidad y reflexividad, para una mejor comprensión de las diferencias. Se mencionan los fundamentos de los principales tipos de muestreo que suelen utilizarse en investigación cualitativa, el significado del concepto de saturación y algunos de sus cuestionamientos. Por último, se plantean algunas reflexiones en torno a las controversias suscitadas en los últimos años sobre las diversas perspectivas paradigmáticas desde las cuales se puede efectuar hoy día la investigación cualitativa, sus posibilidades de combinación con la investigación epidemiológica, y algunas implicaciones para el estudio de los problemas de salud.
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            Epistemological and methodological bases of naturalistic inquiry

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              The sim must go on: adapting resident education to the COVID-19 pandemic using telesimulation

              The COVID-19 pandemic and social distancing rules necessitated the suspension of all in-person learning activities at our institution. Consequently, distance learning became essential. We adapted a high-fidelity immersive case-based simulation scenario for telesimulation by using the virtual meeting platform Zoom® to meet our curricular needs. The use of telesimulation to teach a complex case-based scenario is novel. Two cohorts of anesthesiology residents participated 2 weeks apart. All learners were located at home. Four faculty members conducted the telesimulation from different locations within our simulation center in the roles of director, simulation operator, confederate anesthesiologist, and confederate surgeon. The anesthesiologist performed tasks as directed by learners. The scenario was divided into four scenes to permit reflection on interventions/actions by the participants based on the clinical events as the scenario progressed, to facilitate intermittent debriefing and learner engagement. All residents were given a medical knowledge pretest before the telesimulation and a posttest and learner satisfaction survey at the conclusion. The scenario was authentic and immersive, represented an actual case, and provided the opportunity to practice lessons that could be applied in the clinical setting. Participants rated telesimulation a reasonable substitution for in-person learning and expressed gratitude for continuation of their simulation-based education in this format during the pandemic. Participants in the second cohort reported feeling more engaged (p = 0.008) and stimulated to think critically (p = 0.003). Audio quality was the most frequently noted limitation. Fifty-three residents completed both pre- and posttests. The two cohorts did not differ in knowledge pretest scores (62% vs 60%, p = 0.80) or posttest scores (78% vs. 77%, p = 0.87). Overall, knowledge scores improved with the telesimulation intervention (pretest mean = 61% [SD = 14%]; posttest mean = 78% [SD = 12%]; t (41) = − 7.89, p < 0.001). Thus, using a Zoom format, we demonstrated the feasibility of adapting a complex case for telesimulation and effective knowledge gain. Furthermore, we improved our process in real time based on participant feedback. Participants were satisfied with their learning experience, suggesting that this format may be used in other distance learning situations.
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                Author and article information

                Journal
                fem
                FEM: Revista de la Fundación Educación Médica
                FEM (Ed. impresa)
                Fundación Educación Médica y Viguera Editores, S.L. (Barcelona, Barcelona, Spain )
                2014-9832
                2014-9840
                2023
                : 26
                : 3
                : 107-112
                Affiliations
                [1] Valdivia Araucanía orgnameUniversidad Autónoma de Chile orgdiv1Facultad de Ciencias de la Salud Chile
                [2] Valdivia Araucanía orgnameUniversidad de La Frontera orgdiv1Facultad de Medicina orgdiv2Oficina de Educación en Ciencias de la Salud Chile
                [3] Valdivia Los Ríos orgnameUniversidad Austral de Chile orgdiv1Facultad de Medicina orgdiv2Oficina de Educación en Ciencias de la Salud Chile
                Article
                S2014-98322023000300004 S2014-9832(23)02600300004
                10.33588/fem.fem.263.1280
                b99c92a8-9ec2-4152-9ebe-f846c7ec93c1

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 14 March 2023
                : 05 May 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 22, Pages: 6
                Product

                SciELO Spain

                Categories
                Originales

                COVID-19,Docentes de odontología,Educación a distancia,Educación superior,Grado de Odontología,Simulación remota,Dentistry degree,Dentistry teachers,Higher education,Long distance education,Remote simulation

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