Simulation in neurology.
Simulation is a frontier for disseminating knowledge in almost all the fields of medicine and it is attracting growing interest because it offers a means of developing new teaching and training models, as well as of verifying what has been learned in a critical setting that simulates clinical practice. The role of simulation in neurology, until now limited by the obvious physical limitations of the dummies used to train students and learners, is now increasing since, today, it allows anamnestic data to be related to the instrumental evidence necessary for diagnosis and therapeutic decision-making, i.e., to the findings of neurophysiological investigations (EEG, carotid and vertebral echography and transcranial Doppler, for example) and neuroradiological investigations (CT, MRI imaging), as well as vital parameter monitoring (ECG, saturimetry, blood pressure, respiratory frequency, etc.). Simulation, by providing learners with opportunities to discuss, with experts, different profiles of biological parameters (both during the simulation itself and in the subsequent debriefing session), is becoming an increasingly important tool for training those involved in evaluation of critical neurological patients (stroke, Guillan Barrè syndrome, myasthenia, status epilepticus, headache, vertigo, confusional status, etc.) and complex cases. In this SIMMED (Italian Society for Simulation in Medicine) position paper, the applications (present and, possibly, future) of simulation in neurology are reported.
Department of Emergency Neurology, CESMO Mondino Simulation Centre, C. Mondino National Neurological Institute, Pavia, Italy. giuseppe.micieli@mondino.it.
Giuseppe
G
Micieli
Department of Emergency Neurology, CESMO Mondino Simulation Centre, C. Mondino National Neurological Institute, Pavia, Italy.
Anna
A
Cavallini
Department of Emergency Neurology, CESMO Mondino Simulation Centre, C. Mondino National Neurological Institute, Pavia, Italy.|Scientific Direction and Emergency Department, IRCCS Foundation Maggiore Hospital Policlinico, Milan, Italy.
Paola
P
Santalucia
Department of Emergency Neurology, CESMO Mondino Simulation Centre, C. Mondino National Neurological Institute, Pavia, Italy.|Department of Experimental and Clinical Medicine, University of Florence, AOU Careggi, Fondazione Don Carlo Gnocchi IRCCS, Florence, Italy.
Gianfranco
G
Gensini
D004502:Education, Medical, Continuing; D006801:Humans; D009422:Nervous System Diseases / Q000628:therapy; D009462:Neurology / Q000193:education* / Q000379:methods*; D016544:Patient Simulation
Field training; Neurocritical care; Neurology; Simulation