MEdsim Magazine Becomes Medical Training Magazine


A big announcement today from MEdSim Magazine, that they are changing their name and expanding their focus to “Medical Training: Improving Performance, Improving Outcomes”. In the 1st edition of the 2016 series, Publisher Andy Smith shares this editorial letter regarding the reasons behind the change, which I encourage you to read in its entirety as it reflects some of the major problems our community faces, and a few ideas on how we can move forward.

One of the reasons Medical Training Magazine is such an important resource is because their parent company, Halldale Media, is the leader in aviation and military training resources — and have a powerful mission to expand those industry’s success stories into healthcare. This does, however, mean that has returned to be the sole independent news source specifically dedicated to medical simulation news and information. Sign up for our free medical simulation newsletter to stay informed with the latest healthcare simulation news.

You can start a subscription, and read the latest content at the
Medical Training Magazine on the Halldale Media Website.

From MEdSim to Medical Training Magazine:

From its inception MEdSim has always been about education and more specifically training than simulation per se.

To quote three healthcare leaders: – “its not the simulation, it’s the curriculum.” – ‘‘don’t talk to me about simulation talk to me about how you will help me improve my outcomes.” – “medicine has changed beyond measure in the last 50 years, yet the way we teach and train has hardly altered.”

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By referring to simulation alone we put ourselves in a narrow, small box with a limited if evangelical following. For this reason we will be renaming the magazine from MEdSim to Medical Training from the next issue, using the byline Improving Performance, Improving Outcomes.

In an industry of perhaps 6 million people in the US alone, the leading Simulation societies have memberships of about 3000 and 1500 people. Those numbers are creditable but are they sufficient to impact an industry of this size and complexity?

It is doubtful that they can achieve the change patients demand, hospitals need and we, as the healthcare simulation and training industry, require if we are to achieve our twin and compatible aims of helping solve healthcare’s significant problems while building a decent business.

Whilst we at Halldale/MEdSim/MTM have been evangelizing on behalf of simulation in multiple industries for the past 30 years we recognize that it is indeed ‘not about the simulation.’ Though we all need to continue to evangelize because we know that the use of simulation in a well structured training curriculum dramatically improves personal, team and business performance! In the case of healthcare better training means better patient care.

The decision to make this name change to Medical Training was made over the summer and it was not made lightly, changing a brand is never easy and there will be some who prefer the old title, though we feel that many more will respond to the new one.

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What Is a 21st-Century Doctor? Rethinking the Significance of the Medical Degree

medical students and simulation

The folks at SimulationIQ of Education Management Solutions recently shared this article published by the Journal of the Association of American Medical Colleges entitled “What Is a 21st-Century Doctor? Rethinking the Significance of the Medical Degree” by Olle ten Cate, PhD.

The interesting questions asked by the author include:

  • What is the core knowledge that medical doctors should possess?
  • What signifies the medical degree within the continuum of medical training?
  • Is the trajectory to highly specialized medical practice too long?
  • To what extent is medical practice still the prerogative of medical doctors?
  • How must international medical graduates be recognized?
  • Is the medical profession becoming an occupation?
  • Is It Time to Rethink the Medical Degree?

The undergraduate medical degree, leading to a license to practice, has traditionally been the defining professional milestone of the physician. Developments in health care and medical education and training, however, have changed the significance of the medical degree in the continuum of education toward clinical practice. The author discusses six questions that should lead us to rethink the current status and significance of the medical degree and, consequently, that of the physician. These questions include the quest for core knowledge and competence of the doctor, the place of the degree in the education continuum, the increasing length of training, the sharing of health care tasks with other professionals, and the nature of professional identity in a multitasking world. The author concludes by examining ways to redefine what it means to be a “medical doctor.”

A Brief History of the Medical Degree
Ask anyone in the street to pick one profession on earth that stands out for its well-defined status, and the medical doctor will soon be mentioned. Societies have had professionals caring for the health of citizens as long as mankind has existed.7 Over time, healing became the prerogative of certified professionals. As early as in 2000 BC Babylonian society,8 documented rights and obligations began to signify the social contract between a medical professional community with distinct knowledge and skills and the society’s collective citizens. Medical doctors, initially modeled after Asclepius and Hippocrates, became university-educated professionals, and in the 19th century, theoretical university study combined with practical experience as an apprentice became a certification requirement for the medical doctor.7,9 In virtually all countries, certification is now grounded in national legislation. The degree of medical doctor, awarded by a university, and the right to practice the medical profession, granted by registration as a medical practitioner, mark a rite of passage into the professional community. The medical degree seems solidly rooted in society.

However, the professional world of health care has dramatically changed in the 20th century. Abraham Flexner, reporting a century ago about the state of U.S. and European medical education,10 did not yet mention internships or any hospital training after graduation. This reflected the prevailing practice of relying on undergraduate medical education as sufficient preparation for lifelong medical practice.9 At that time, Dutch medical diplomas were signed not only by university authorities but also by the city mayor, certifying service to the local community for many years. Additional postgraduate specialty training was an exception, only later becoming the norm for medical graduates. In the 21st century the medical degree, while still significant in its legal status, has become an intermediate station in a long educational trajectory, rather than an end point. In addition, its status has become much less clear, and we might wonder whether we are approaching the end of the MD status as we have known it for many decades. Six questions should make us rethink this status.

You can read the full AAMC article here and be sure to check out the SimulationIQ article list for more great content!


Military Healthcare Simulation

The Air Force Medical Modeling and Simulation Training team was on-hand in the Military Expo at IMSH this year to let attendees know about their mission: to build a distributed human patient simulation network, create simulation centers of excellence, and exploit technological innovation.  I spoke with LtCol (ret) Shae Peters from AFMMAST who helped explain the benefits of simulation for professional healthcare providers.

Much like rural hospitals which can sometimes have difficulty training healthcare professionals due to infrequency of patient events, AFMMAST has found ways to incorporate simulation to expand the training potential of Air Force Medical professionals.  What is especially important to note is how AFMMAST utilized simulation to help expand training efforts even with a shrinking budget across global regions .

For more information about AFMMAST, check out the AFMMAST website as well as the video below!

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