Perceptions of Health Extension Officer Students in Divine Word University on Medical Simulation Training as a Preparation Tool for Clinical Placement: A Mixed Methods Study

Abstract

Medical simulation training is an increasingly vital educational strategy for preparing healthcare professionals to meet the complex demands of clinical environments. This study explores the perceptions of Health Extension Officer (HEO) students at Divine Word University (DWU) regarding the effectiveness of medical simulation training as a preparation tool for clinical placement. The study aligns with Papua New Guinea’s desire to produce skilled and competent healthcare professionals and this view is a natural extension into the Pacific region’s goal of harnessing innovative technologies to improve healthcare delivery and support sustainable development. A mixed-methods approach using a sequential explanatory research design was utilized, involving a survey of 101 students across three academic years, followed by focus group discussions (FGDs) with 24 participants. The survey assessed satisfaction, perceived skill development, and resource adequacy, while the FGDs provided in- depth perspectives on the integration of basic medical sciences, development of interpersonal and clinical skills, and suggestions for enhancing simulation training.

Findings revealed that students perceive simulation as a highly effective tool for building clinical competencies, especially in technical skills, decision-making, and teamwork, all within a safe, low-risk environment. Participants valued structured feedback and opportunities for hands-on practice. However, they identified the need for longer sessions, improved basic science integration, and standardized instructor training. This study highlights the transformative potential of simulation- based learning in strengthening healthcare education across Papua New Guinea (PNG). By investing in simulation technologies and enhancing teaching methodologies, institutions can better prepare future health workers to serve rural and underserved communities, contributing to safer and more equitable health outcomes. The results hold implications not only for DWU and PNG but also for similar health systems across the Pacific, where resource limitations and workforce challenges demand innovative, context-relevant solutions. In conclusion, medical simulation training as a core educational strategy into training of clinical healthcare professionals supports PNG’s efforts towards building a resilient and competent health workforce, in doing so illustrating one positive approach desired to enhance safe, efficient, and sustainable healthcare improvements across the Pacific region.