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It is good to learn without causing any harm: simulators fill this gap providing knowledge and [informing about] possible consequences

DR. GRACIELA CÁMARA

Cardiologist at two public hospitals in Córdoba (Argentina)

Medical surgeon graduated from the National University of Córdoba in 1996 and specialist in Cardiology since 2003 by the Medical Council of the Province of Córdoba, Dr. Graciela Cámara works in two public hospitals. Her practice is developed between the Maternal and Neonatal Hospital, where she takes care of complicated pregnancies and puerperium care in an Obstetric ICU, and the National Hospital of Clinics, where she performs tasks in the Medical Clinic and the Cardiology room, including teaching activities for residents. In her opinion, with Practicum Script maybe the resident learns new things and the specialist forgotten things.

Madrid, May 7, 2019. Cardiovascular health is one of the main WHO objectives for 2025. What are the numbers in Argentina and in your region?

The objective of the 25by25 is to reduce premature mortality due to cardiovascular diseases by 25% until 2025. Cardiovascular diseases continue to be the leading cause of death in western countries. The objective is to reduce the mortality from 5 million to 3.5 million in men and 2.8 to 2.2 million in women. Key targets are alcohol reduction, insufficient physical activity, salt or sodium intake, tobacco consumption, hypertension, diabetes, and obesity. In our country, snuff consumption has decreased from 29% to 25%, and hypertension has been stable with reduced intake of sodium (after removal of salt shakers from tables). Overweight and obesity have increased significantly (it already affected 57% of the population in 2013), and diabetes and lack of physical activity are also tending to grow, especially in adolescents.

How can a tool like Practicum Script help you face this reality?

As professionals, it helps our training to detect early serious diseases, try to establish an early and timely diagnosis, and even emphasize prevention.

We often refer to the community of Practicum Script users as a club of clinical thinkers. What advantages do you notice in betting on improving clinical reasoning and correcting cognitive failures?

Sometimes after obtaining a degree, one moves away from the continuity of the studies, and more from the type of clinical reasoning, so it is an excellent opportunity to review or acquire knowledge and reduce failure associated with diagnosis or treatment.

Given your teaching experience, what value do you give to the possibility of learning from errors without any consequences, thanks to controlled simulation environments? Do residents and specialists benefit equally from this virtual athenaeum?

It is good to learn without causing any harm, which is why simulators fill in this gap, providing knowledge and [informing about] possible consequences. Both residents and specialists learn equally; perhaps residents [learn] new things and specialists [recall] forgotten ones.

From the 30 cases that you have worked on over the course, have you seen some direct connection between the simulation and your clinical practice? Tell us about one of them.

I work at two public hospitals that lack the necessary equipment for diagnosis or treatment, so it is good to be able to practice in a virtual space where you have everything you need, especially in the areas of arrhythmias, valvulopathies, or cardiomyopathies, in which all diagnostic methods (resonance) are available.

Would you recommend the course to a colleague? Which resource has been most useful? Would you change anything?

Yes, I have recommended it. I found it very interesting and appealing, I did [the course] with enthusiasm. The only change that I would make would be to allow the program to recognize different ways of expressing the same thing. Sometimes it considers the option as incorrect only because the terms are not recognized.

Testimonies

For me, the program is very interesting, since it allows me to sharpen my interrogation and direct it more towards a specific pathology and to have more knowledge of laboratory and cabinet exams. I think it is very important that we keep our medical sagacity throughout our practice and that in the few minutes it takes to answer any of the cases that Practicum Script presents, you acquire more knowledge.

Dr. Miguel Olivares Alcocer

Pediatrician in Guanajuato (Mexico)

I would like to express my gratitude to the Practicum Institute of Health Sciences Research for the opportunity given to Latin American physicians  to access and take different courses of our specialty for the benefit of our dear patients, in my case in Mexico. It has encouraged me to improve myself and keep abreast of the advances in Pediatrics and put into practice the knowledge acquired in the hospital where I work. Thanks friends and congratulations to this valuable team of Practicum Script Education.

Dr. Heriberto Fuentes García

Pediatrician in Sonora (Mexico)

I am grateful for this study tool that, through Nestlé and with this method, allows us to review different issues with cases that confront us in decision-making and serve us in the daily consultation.

Dr. Josué Refugio de León Padilla

Pediatrician in Jalisco (Mexico)

It is an excellent educational support platform for the pediatrician, offers very specific clinical challenges with alternatives for diagnosis and differential diagnoses, with the support of experts, a bibliography and a forum to share opinions. It's easy to navigate and it's fun, a tool that's worth using and making the most of it.

Dr. Guillermo Yanowsky-Reyes

Surgery Pediatrician in Guadalajara (Mexico)
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