Piloting a Mobile Tele-simulation Unit to Train Rural and Remote Emergency Healthcare Providers

  • Jennifer JewerEmail author
  • Adam Dubrowski
  • Cody Dunne
  • Kristopher Hoover
  • Andrew Smith
  • Michael Parsons
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


Health-care providers in rural and remote areas do not have the same access to training as those in urban areas. This poses a serious challenge to equitable health-care delivery. This paper outlines the development and piloting of a mobile tele-simulation unit (MTU) prototype to address the challenges of training in rural and remote settings. The goal of the MTU is to increase opportunities for emergency health-care providers to access training remotely. Mobile tele-simulation is a novel approach to remote medical training with many potential benefits. However, one must take into consideration the effective development and implementation of such a unit. In this paper, we describe our multidisciplinary mixed-methods approach to develop and pilot the MTU using proven theoretical frameworks. We also discuss the developmental challenges, and findings on trainee satisfaction and learning outcomes. Initial results are promising and warrant a formal evaluation.


Tele-simulation Mobile Rural Remote Medical training Simulation-based 



This project has been supported by an Ignite RDC grant awarded by the Research and Development Corporation of Newfoundland and Labrador. Thanks to the following organizations at Memorial University of Newfoundland: the Tuckamore Simulation Research Collaborative (TSRC) for research support and advice, the Clinical Learning and Simulation Center (CLSC) for equipment and operational support, and MUN Med 3D for the provision of simulation models. Thank you to the following people for their assistance during this research project: Research Assistants Megan Pollard, Samantha Noseworthy and Sarah Boyd; Tate Skinner (technical support), Joanne Doyle (Emergency Medicine discipline secretary), and Memorial University’s Emergency Medicine Interest Group (EMIG).


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jennifer Jewer
    • 1
    Email author
  • Adam Dubrowski
    • 1
  • Cody Dunne
    • 1
  • Kristopher Hoover
    • 1
  • Andrew Smith
    • 1
  • Michael Parsons
    • 1
  1. 1.Memorial University of NewfoundlandSt. John’sCanada

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