Monday 14 September 2015

Healers of Tomorrow Gathering: The benefits of simulation in aboriginal health education



“Doing this with my hands versus watching a video or being told how to do this was the best!”  
– A participant at the Healers of Tomorrow Gathering, Corner Brook, NL, August 2015

This simple statement from an aboriginal high school student actually offers a pretty profound insight into medical education.

The student was one of the participants at a week-long mini-med school held at MUN’s Grenfell Campus last month. The idea behind the Gathering was this: instead of bringing outside doctors into aboriginal communities for temporary placements – which is the current setup, and which can lead to lack of long-term patient-doctor relationships in remote communities– train local residents in medicine so they can bring the skills back home, combine them with their knowledge of their own traditional medicine, and practice in their own communities.

And so, thanks to the Aboriginal Health Initiative, 12 students from across the province participated in a week of activities and discussions designed to spark interest in health care careers, like nursing, pharmacy and medicine.

The week included two days of hands-on simulation activities, where participants learned – and then tried out – medical techniques like intubation, suturing, and IV insertion on mannequins and inanimate models.

While simulation is a standard part of most medical education, it was especially important here. In aboriginal culture, knowledge is often passed down by showing the next generation how to do something, and then letting them do it – an idea kind of like simulation. Lecture-based formats, the kind we’ve grown accustomed to in our Western education system, don’t necessarily resonate.

So while the youth quoted above might have simply been making a casual, enthusiastic statement, they were actually on to something deeper: Sometimes, doing things with one’s hands [rather than watching or being told how to do it] is “the best.” This cheerful statement unintentionally makes a sound point: if you want to create a system that works, you have to start by educating the system’s participants in a method that works for them.

Barry Trenchard, a Medical Technologist at the Clinical Learning and Simulation Centre who ran the simulation portion of the camp, described the students as “inquisitive, intrigued and excited to participate and learn,” and watched confidence levels rise as the students mastered activities by doing.

The camp will be run every two years, with the simulation portion as a regular feature.  Read more on this year’s version of the Camp in this Western Star article.