Scientific Online Resource System

Scripta Scientifica Salutis Publicae

Assessment of the effectiveness of medical simulators in the practical training of medical students: Preliminary results in MU-Varna

Yanita Chernogorova, Deyan Grancharov, Zhivko Bliznakov


INTRODUCTION: Nowadays, simulators have become part of most medical universities’ educational strategy. In recent years, Medical University of Varna has been equipped with the most modern medical simulators, aiming to meet the practical training needs of all specialties taught at the university.

AIM: The aim of this study is to perform an initial assessment of the effectiveness in the use of simulators, as well as simulation-based training provided at the Medical University of Varna.


MATERIALS AND METHODS: We developed a set of criteria to evaluate the effectiveness of the simulation training including: simulators accessibility, complexity and safety, as well as training environment and trainers’ preparedness. Based on these criteria, a questionnaire was developed and a survey conducted to study the students’ opinion on the training quality with two medical simulators: dental and anesthesiology.


RESULTS AND CONCLUSION: Two groups of medical students - 73 students in dental medicine and 186 students in anesthesiology and intensive care, were enrolled in the study. The results showed a strong relationship between the students’ specialty and simulation training in all evaluation criteria except one. The results revealed that medical simulators play an essential role in the practical training of medical students, and may substantially improve their future medical performance. Medical University of Varna effectively integrates simulation medicine into its educational program.


medical simulators; practical training; simulation-based education; assessment of effectiveness

Full Text


Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004; 13 Suppl 1: I2-I10. doi: 10.1136/qhc.13.suppl_1.i2.

Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B, et al. Training and simulation for patient safety. Qual Saf Health Care. 2010; 19 Suppl 2: i34-43. doi: 10.1136/qshc.2009.038562.

So HY, Chen PP, Wong GK, Chan TT. Simulation in medical education. J R Coll Physicians Edinb. 2019; 49(1):52-7. doi: 10.4997/JRCPE.2019.112.

Beal MD, Kinnear J, Anderson CR, Martin TD, Wamboldt R, Hooper L. The effectiveness of medical simulation in teaching medical students critical care medicine: A systematic review and meta-analysis. Simul Healthc. 2017; 12(2):104-16. doi: 10.1097/SIH.0000000000000189.

Kim J, Park JH, Shin S. Effectiveness of simulation-based nursing education depending on fidelity: a meta-analysis. BMC Med Educ. 2016; 16:152. doi: 10.1186/s12909-016-0672-7.

Alanazi A, Nicholson N, Thomas S. The use of simulation training to improve knowledge, skills, and confidence among healthcare students: A systematic review. Internet J Allied Health Sci Pract. 2017; 15(3).

Knudson M, Khaw L, Bullard M, Dicker R, Cohen M, Staudenmayer K, et al. Trauma training in simulation: Translating skills from SIM time to real time. Journal Trauma. 2008; 64(2):255-63; discussion 263. doi: 10.1097/TA.0b013e31816275b0.

Ismail M, Jaafar M, Harunarashid H (2011). The effectiveness of simulation based medical education in teaching concepts of major incident response. Procedia Soc Behav Sci. 2011; 18: 372-8. doi: 10.1016/j.sbspro.2011.05.053.

Agha S, Alhamrani AY, Khan MA. Satisfaction of medical students with simulation based learning. Saudi Med J. 2015; 36(6):731-6. doi: 10.15537/smj.2015.6.11501.

Qayumi, K, Pachev G, Zheng B, Ziv A, Koval V, Badiei S, et al. Status of simulation in health care education: an international survey. Adv Med Educ Pract. 2014; 5:457-67. doi: 10.2147/AMEP.S65451. e.

Bewley WL, O'Neil HF. Evaluation of medical simulations. Mil Med. 2013; 178(10 Suppl): 64-75. doi: 10.7205/MILMED-D-13-00255.

Lioce L, Meakim CH, Fey MK, Chmil JV, Mariani B, Alinier G (2015). Standards of best practice: Simulation Standard IX: Simulation design. Clin Simul Nurs. 2015; 11(6): 309-15. doi:10.1016/j.ecns.2015.03.005.



About The Authors

Yanita Chernogorova
Medical University of Varna

Simulation Center

Deyan Grancharov
Medical University of Varna

Simulation Center

Zhivko Bliznakov
Medical University of Varna

Simulation Center

Font Size