The gastroenterologist Jorge Sandoval is a resident in Costa Rica whose records in the Practicum Script simulator surpass a coincidence of 70% in hypotheses and 80% in scenarios. In his opinion, "certainty is not always present” in healthcare practice, “so the presentation of real clinical cases is quite useful." In fact, he believes that "uncertainty is constantly present in patient management and the criteria defining a therapeutic approach is based on experience and reasoned clinical suspicion."
Madrid, July 24, 2018. As a resident used to measurement of progress and evaluation of acquired competences, the portfolio has been Dr. Jorge Sandoval’s best ally to complete the last course of Practicum Script in the specialty of Gastroenterology. The young doctor is a graduate of the University of Costa Rica, is currently staffed as a resident at the Costa Rican Social Security Fund, and has several articles pending publication in endoscopy journals. He speaks with conviction: "In an academic sense, it seems to me that the simulator presents updated and reasoned options on how to approach a clinical case, which are consistent with scenarios that we face at a hospital on a daily basis."
In this sense, he believes that "Practicum Script changes the clinicians’ way of thinking and guides them to expand their diagnostic arsenal with informed and analytical criteria." Providing tools of this nature "allows one to put into practice acquired skills and improves patient care." His professional scope is divided into a double function of worker and student at an institution in which the work is supervised by a specialist. "The modality,” he says, “consists of an initial assessment of the patient, with an eventual plan and therapeutic proposal discussed later with the attending physician, who may or may not agree and correct or offer guidelines to be followed in that particular case." In these situations, Practicum Script favors training free of consequences.
"In Costa Rica, the absence of statistics regarding errors is remarkable. However, we know that they are possible at any consultation, and even more when an environment promoting human failure is created, for example, with work overload, which is evidenced in the observation of gastroenterologists with more than 20 patients scheduled to be seen in 3 hours, endoscopy units with more than 10 colonoscopies scheduled to be performed in 4 hours, management commitments, and a long list of hardships." In relation to time, Practicum Script is useful as it allows us to exercise the capacity of automatic and unconscious recognition of clinical patterns, shortening the time to formulate hypotheses and then intensifying the reflection on the exercise itself. For Dr. Sandoval, "the tool is precious in the setting of hospital rounds."
Global spirit
Like every millennial, another advantage that the resident considers very opportune is the possibility to access the course using any type of device, especially using the app downloaded on his smartphone. "This allows us to complete the modules based on our time availability." It results, ultimately, in user autonomy. Dr. Sandoval specifically averaged 25 minutes in solving each case, thanking the possibility of requesting reviews and continuity in the same line of reasoning. "The resource is offered in an excellent way for anyone who decides to take on the challenge and complete the training," he says.
On the other hand, "the opening to international horizons outlines a future focused on the growth of the medical community." Gathering knowledge and especially learning how to think are global tasks and the interesting thing, in his opinion, is to share. To this end, Dr. Sandoval does not hesitate to turn over and export his knowledge. "At the moment, I have a review article about heterotopic gastric mucosa approved by a Mexican journal of digestive endoscopy, as well as a poster with a review of 100 cases of submucosal dissection in Costa Rica to be presented at the Pan-American Congress in Brazil. I am also working on an article about rectal endometriosis for publication in an endoscopy journal.”
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