Incorporating Real-time Simulated Patient and Instructor Feedback to Enhance Simulation Learning Experience for Occupational Therapy Students: A Mixed Methods Study

Health care simulation experiences should provide clear feedback that students can understand and incorporate into future practice. Based on the literature, more research is needed regarding how health professional students use various types of feedback to establish rapport with clients, increase critical thinking skills, and work collaboratively. Various types of feedback may be useful in regular simulation-based education, but there is limited research on how students integrate various feedback to enhance skill development. This study aimed to examine how occupational therapy (OT) students incorporate real-time Simulated Patient (SP) feedback, numerical feedback, and instructor-written feedback to enhance their learning from the simulation experience. This mixed methods study collected learner assessment numerical data and qualitative data (SP feedback and instructor written feedback) in first-year OT students' simulation learning sessions. The students answered six debrief questions reflecting on the simulation process, explaining how they plan to incorporate the feedback in future OT practice. Quantitative results of student performance data were reported. Seven themes emerged from the thematic analysis of the debrief reflections. These themes provided information on students' perceptions of the experience and illustrated how they plan to use the feedback. The findings of this study provide instructors strategies that can be used to enhance student learning when designing simulations. This study found that numerical and written feedback from the instructor was more meaningful when combined with real-time SP feedback. Future studies should include a comparison of cohorts as well as interprofessional education. Comments The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript. Keywords simulation, OT, simulated patient, reflection, group learning, experiential learning