CHSE Educational Principles and Design 3 — Questions and Answers
Question 1: Which instructional design model is specifically recognized by SSH (Society for Simulation in Healthcare) as a framework for simulation-based curriculum development?
- ADDIE (Correct answer)
- Dick and Carey
- Rapid prototyping
- Kemp Design Model
Correct answer: ADDIE
ADDIE (Analyze, Design, Develop, Implement, Evaluate) is widely recognized in simulation-based healthcare education as a structured curriculum design model.
Question 2: Mastery learning in simulation-based medical education requires that learners:
- Complete a fixed number of simulation hours regardless of performance
- Proceed through content at the same pace as peers
- Demonstrate proficiency at each level before advancing (Correct answer)
- Receive identical instruction regardless of prior knowledge
Correct answer: Demonstrate proficiency at each level before advancing
Mastery learning requires learners to demonstrate competency at each step before advancing, ensuring no foundational gaps.
Question 3: A simulation educator is planning a scenario for third-year medical students managing acute MI. Which learning theory framework best guides building on their existing pathophysiology knowledge?
- Behaviorism — reinforcing new stimulus-response patterns
- Constructivism — connecting new experiences to existing schemas (Correct answer)
- Humanism — prioritizing learner emotional comfort
- Connectivism — networking digital information sources
Correct answer: Constructivism — connecting new experiences to existing schemas
Constructivism supports building new knowledge by connecting simulation experiences to learners' existing mental schemas.
Question 4: In designing simulation objectives, the SMART acronym guides educators to ensure objectives are specific, measurable, achievable, relevant, and:
- Repeatable
- Research-based
- Time-bound (Correct answer)
- Reflective
Correct answer: Time-bound
The 'T' in SMART objectives stands for time-bound, ensuring there is a defined timeframe for achieving the objective.
Question 5: Which concept describes the unintended lessons learned during simulation that arise from the structure and context of the learning environment rather than explicit curriculum?
- Null curriculum
- Hidden curriculum (Correct answer)
- Spiral curriculum
- Concurrent curriculum
Correct answer: Hidden curriculum
The hidden curriculum refers to implicit lessons learned from the simulation context, culture, and environment not explicitly taught.
Question 6: A simulation educator is selecting a high-fidelity manikin versus a standardized patient for a communication skills scenario. The primary advantage of a standardized patient in this context is:
- Lower cost per session
- Greater physiological realism
- Authentic verbal and nonverbal communication cues (Correct answer)
- Ability to simulate life-threatening vital sign changes
Correct answer: Authentic verbal and nonverbal communication cues
Standardized patients provide authentic verbal and nonverbal communication that manikins cannot replicate, ideal for communication training.
Question 7: When designing a simulation for interprofessional education (IPE), which learning objective domain is most central to IPE competency development?
- Psychomotor — technical skill execution
- Cognitive — knowledge of pharmacology
- Affective — attitudes and values about team roles (Correct answer)
- Metacognitive — self-regulation of learning
Correct answer: Affective — attitudes and values about team roles
IPE competencies centrally involve the affective domain, shaping attitudes, values, and respect for other professional roles.
Which instructional design model is specifically recognized by SSH (Society for Simulation in Healthcare) as a framework for simulation-based curriculum development?