Educational and Professional Science
Manipulation skill improvement from systematic use of a training aid during technique class
A supplier of manipulation technique teaching aids, Ortho-Neuro has asked CMCC to pilot test a modern version of a device, the Dynadjust, in our AC2204 technique class. CMCC instructors have agreed to use the device, which is electronically instrumented to record speed, force and depth of displacement from a manipulation effort applied to it. Studies have been conducted which look at the training effect with an earlier model (Triano et al, 2002; Triano et al, 2003). They employed the use of analysis for progress in skill development, examining the ad-hoc, home use of the device by students.
In this study, a similar effect will be measured on the CMCC Biomechanics and Elastography Laboratory instrumented table. Drs. Triano, Ross and Gleberzon are proposing to take advantage of the pilot project to capture comparable data to that in the earlier studies. However, in this instance, the students will be using the device systematically in class. We anticipate that systematic use, versus previous ad hoc use per the publications, will result in an even larger and more useful training effect. The techniques we propose to use to independently measure the student's performance have been previously studied at CMCC, for example in student projects led by Ed Cambridge comparing kinetic analysis of SMT procedures, Dr. Vernon’s ongoing work looking at sham procedures, and a student project examining manipulation speed completed in the spring of 2009. These procedures involve the pairing of student volunteers followed by asking each member of the pair to perform a cervical, thoracic or lumbar HVLA procedure on each other while the loads are being measured with an AMTI force plate imbedded in the research treatment table in the Biomechanics and Elastography Laboratory.
Human Simulation Program
This grant will be used to support the mannequin-based simulation learning environment set up by CMCC with the help of the KIP grant. The purpose of this learning environment is to practice appropriate doctor behaviour protocols for unusual, complex, and challenging cases. Simulation of medical emergencies and office predicaments may be important not only for undergraduate students, but also for current field practitioners. Among the cases provided will be those rare and unusual events which are unlikely to occur in a practitioner's office, but in which the doctor’s behaviour is critical. The award from CCPA is expected to foster evolution of the mannequin-based simulation program into the post-graduate environment.