Total Application Scenario (TAS) means that the student is placed in a Student Centered Environment.  Task or single skill experiences are reduced while critical thinking and coordinated multiple skills experiences are increased. TAS is a true interdisciplinary environment where students from various programs work together to care for our patients....just like what happens at any major medical center.  There are four parts to TAS. 

Faculty member running a custom designed scenario in SIMS Medical Center

1. Dedicated Faculty:  The heart of TAS is a dedicated faculty who are willing to embrace this exciting new educational paradigm.   Faculty create "scenarios" or a script of everything that happens while students tend to a patient. Each scenario contains outcomes and methods for measuring each student's progress. Faculty can "run" the scenario from a remote area or be in the patient unit with the students. 

Close up of a typical patient environment at SIMS Medical Center

2. Environment: All aspects of a typical patient care environment is created in the various units of SIMS Medical.  Students may even  experience family members distraught over their loved ones medical condition.  TAS calls for creating the most realistic environment possible. 

STUDENT: "Helps retain learned knowledge by applying it."

Example of one method to record each patient scenario.

3. Control / Recording: In the control area, each patient scenario can be controlled and recorded.  Video tapes are used to help students with self assessment.  "Real time" control allows the operator to alter the scenario according to student reactions and needs. 

STUDENT: "Gives us the chance to all work together with different health care professionals."

The reflection after each patient care scenario is key to self assessment.

4. Reflection: Each patient care scenario includes a "reflection" component where each student thinks about and discusses how they believe they performed.  Reflection may be directed by the students or a faculty member. This self-assessment is perhaps the most important part of the learning process. 

STUDENT: "Allows me to practice teaching to the patient with different cognitive level." 

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