Investigating the Extent Realistic Moulage Impacts on Immersion and Performance Among Undergraduate Paramedicine Students in a Simulation-based Trauma Scenario: A Pilot Study

  title={Investigating the Extent Realistic Moulage Impacts on Immersion and Performance Among Undergraduate Paramedicine Students in a Simulation-based Trauma Scenario: A Pilot Study},
  author={Brennen W. Mills and Alecka Miles and Tina Phan and Peggy Dykstra and Sara Hansen and Andrew S. Walsh and David Reid and Claire Langdon},
  journal={Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare},
Introduction Many healthcare education commentators suggest that moulage can be used in simulation to enhance scenario realism. However, few studies investigate to what extent using moulage in simulation impacts learners. We undertook a mixed-methods pilot study investigating how moulage influences student immersion and performance in simulation. Methods Fifty undergraduate paramedicine students were randomized into two groups completing a trauma-based scenario with or without patient moulage… 

How does moulage contribute to medical students’ perceived engagement in simulation? A mixed-methods pilot study

Although the slower performance in the HighAuth group did not have impact on simulated treatment outcomes, highly authentic moulage may be a stronger predictor of performance.

Virtual Reality Triage Training Can Provide Comparable Simulation Efficacy for Paramedicine Students Compared to Live Simulation-Based Scenarios

  • B. MillsPeggy Dykstra Danielle M. Bartlett
  • Medicine
    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • 2019
The VR simulation provided near identical simulation efficacy for paramedicine students compared to the live simulation, and may represent an exciting new direction for authentic and cost-effective education and training for medical professionals.

So Much Moulage, So Little Time: A Guide to Performing Moulage for Mass Casualty Scenarios

This work executed two simultaneous mass casualty exercises as part of medical student education and employed a novel 3-step moulage process that supported the highly realistic simulation activity that learners have come to expect while decreasing time, resources, and cost.


It was possible to identify that the moulage is an adequate resource in clinical simulation and that when built with rigor and method, it influences the fidelity and realism of the simulated scenario.

Simulating a self-inflicted facial gunshot wound with moulage to improve perceived realism, immersion, and learning in simulation-based airway management training

This work suggests that the simulated facial gunshot wound contributed to perceived scenario immersion and enhancement of the learning experience, supporting existing literature that suggests moulage is a valuable tool in healthcare simulation.

Expert opinions on the authenticity of moulage in simulation: a Delphi study

A prototype instrument for measuring moulage authenticity is presented in the form of the Moulage Authenticity Rating Scale (MARS) to further aid progress in understanding the role of authentic moulages in simulation.

Types of Healthcare Simulation: Locations and Training – Who, What, and Where?

This chapter will describe some of the skill backgrounds, training needs, and methods that educators have used to meet requirements for different learner types in healthcare simulation.


Objetivo:identificar como e porque utilizar a moulage dentro das práticas de simulação clínica. Método: trata-se de estudo de casos múltiplos, inclusivo, de caráter descritivo e exploratório com



High fidelity, low cost moulage as a valid simulation tool to improve burns education.

Assessing simulation-based clinical training: comparing the concurrent validity of students' self-reported satisfaction and confidence measures against objective clinical examinations

Students' self-reported satisfaction and confidence measures bore little relation to expert paramedics' judgements of their educational improvements, and appear to be dubious indicators of SBE learning outcomes.

Board 238 - Program Innovations Abstract High Fidelity Moulage for Standardized Patients (Submission #408)

In developing scenarios with standardized patients, simulationists at Ohiohealth were able to develop innovative Methods to use standardized patients and medical simulation equipment together to create a realistic scenario and give the learners the ability to do skills that otherwise would have had to been verbalized.

0171 A Simulated Burns Course Using Moulage: Can We Use It To Help Trainees And Other Healthcare Professionals Improve Their Confidence By Increasing The Realism Of Simulation?

A model to train doctors, nurse and allied health care professionals in the care of severe burns in a safe environment is produced, ultimately hoping to impact on patient outcome.

Effectiveness of simulation on health profession students' knowledge, skills, confidence and satisfaction

Simulation can be used as an adjunct for clinical practice, not a replacement for everyday practice, and the results indicate that there is high learner satisfaction with using simulators to learn clinical skills.

Simulation-based learning in nurse education: systematic review.

Medium and/or high fidelity simulation using manikins is an effective teaching and learning method when best practice guidelines are adhered to.

A typology of educationally focused medical simulation tools

The proposed typology of simulation methodologies available for educational purposes provides a helpful guide for educators and participants which should help them to realise the potential learning outcomes at different technological simulation levels in relation to the training approach employed.

Does Appearance Matter? Current Issues and Formulation of a Research Agenda for Moulage in Simulation

The simulation community is urged to move beyond descriptive papers to investigate moulage in terms of justification and clarification and the need for more evidence on moulages in simulation-based education is highlighted.

Moulage in High-Fidelity Simulation—A Chest Wall Burn Escharotomy Model for Visual Realism and as an Educational Tool

In the case of the chest wall burn model, moulage was used as more than a visual realism enhancing strategy—it served as an educational tool in its own right, permitting demonstration of a procedure performed infrequently outside the walls of major burns centers.

Clinical nursing competence of RN-to-BSN students in a nursing concept-based curriculum in Taiwan.

This 3-year longitudinal study used a questionnaire to evaluate the clinical nursing competence of RN-to-BSN students in a nursing concept-based curriculum in Taiwan and indicated full-time students' scores on self-evaluations of overallclinical nursing competence significantly increased with each successive evaluation.