Innovating low-cost burn moulage: a Peruvian clinical simulation experience
DOI:
https://doi.org/10.21142/mecp.2026.1.3.%25pKeywords:
Entrenamiento Simulado, Simulación de Paciente, Quemaduras, Educación Médica, Costos y Análisis de CostoAbstract
Burns constitute a severe public health problem in Peru and several countries within the region, associated with significant morbidity and mortality that demands continuous, high-quality medical training to mitigate their impact on emergency care. In this report, we describe the experience of the Healthcare Simulation & Medical Education (HeSIM) group at the Universidad Científica del Sur in the design and development of a moulage methodology aimed at recreating burns using everyday, easily accessible materials. We document the process through a sequential photographic series that depicts the anatomical and clinical consistency of the lesions represented for all three burn degrees. No formal measurements of face validity, content validity, or the educational impact of the technique were conducted. We conclude that this experience serves as an accessible methodological alternative for resource-limited institutions, with an estimated average cost of PEN 2.78 (USD 0.74) per lesion. We propose its detailed description as a foundation for future formal evaluations of its validity and pedagogical impact.
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1. Cornejo-Luyo V, Alvarado-Tan M, Neciosup-Farge C, Ocsas-Pinedo D, Sheen-Vargas C, Vallejos-Montoya J, et al. Características epidemiológicas de los pacientes quemados atendidos en los servicios de emergencias de establecimientos del Ministerio de Salud en Perú. An Fac med. 2025;86(1):55-60. doi: 10.15381/anales.v86i1.30276.
2. Lateef F. Simulation-based learning: Just like the real thing. Emerg Trauma Shock. 2010;3(4):348-52. doi: 10.4103/0974-2700.70743.
3. Gaba DM. The future vision of simulation in health care. Quality and Safety in Health Care. 2004;13(suppl 1). doi: 10.1136/qhc.13.suppl_1.i2.
4. Okuda Y, Bryson EO, DeMaria SJr. Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76(4):330-43. doi: 10.1002/msj.20127.
5. ASPEFAM. Red Nacional de Centros de Simulación Clínica 2017[Internet]. Lima: ASPEFAM; 2026 [citado el 13 de mayo de 2026]. Disponible en: https://www.aspefam.org.pe/redncsc
6. Cornele JT, Wilson L. Review Manual for the Certified Healthcare Simulation Educator Exam: Moulage in Simulation. Springer Publishing Company; 2014.
7. Felix HM, Simon LV. Moulage in Medical Simulation. 2022 Sep 26. In: StatPearls. Treasure Island (FL): StatPearls Publishing;
2026.
8. Stokes-Parish JB, Duvivier R, Jolly B. How does moulage contribute to medical students’ perceived engagement in simulation? A mixed-methods pilot study. Adv Simul (Lond). 2020;5(1):23. doi: 10.1186/s41077-020-00142-0.
9. Jariwala A, Zidoun Y, Alfroukh J, Mascarenhas S, Zary N. Low-cost moulage in Healthcare Simulation: Review of its use, utility, and perceptions. Preprints. 2021. doi: 10.20944/preprints202109.0150.v1.
10. Makkink AW, Slabber H. For the students, by the students: Student perceptions of low cost medical moulage in a resource-constrained environment. Afr J Emerg Med. 2019;9(4):207-11.
11. Carvalho DRS, Klahr PS, Murcia NP, Medeiros ML, Neto FGMRC. Moulage in clinical simulation: step-by-step making of a third-degree burn. J Appl Biotechnol Bioeng. 2020;7(3):107-110. doi: 10.15406/jabb.2020.07.00223.
12. Martinerie L, Rasoaherinomenjanahary F, Ronot M, Fournier P, Dousset B, Tesnière A, et al. Health Care Simulation in Developing Countries and Low-Resource Situations. J Contin Educ Health Prof. 2018;38(3):205-212. doi: 10.1097/CEH.0000000000000211.
13. Pywell MJ, Evgeniou E, Highway K, Pitt E, Estela CM. High fidelity, low cost moulage as a valid simulation tool to improve burns education. Burns. 2016;42(4):844-52. doi: 10.1016/j.burns.2015.12.013.
14. Prialé-Zevallos A, Arriaran-Aronés L, Ángel-Arango L, do Nascimento Nogueira MR, Velásquez-Rimachi V. Evolución del Centro de Simulación Clínica de la Universidad Científica del Sur. Med Educ Clin Pract. 2026;1(1):e004. doi: 10.21142/mecp.2026.1.1.e004.
15. American College of Surgeons. Advanced Trauma Life Support (ATLS) Student Course Manual. 10.ª ed. Chicago, IL: American College of Surgeons; 2018.
16. Swan NA. Burn moulage made easy (and cheap). J Burn Care Res. 2013;34(4):e215-e220. doi: 10.1097/BCR.0b013e3182721752.
17. Varghese A, Kumar H, Kathrotia R, Uniyal M, Rao S. HighFidelity, Indigenously Prepared, Low-Cost Moulage as a Valid Simulation Tool to Improve Trauma Education. Cureus. 2024;16(4):e57451. doi: 10.7759/cureus.57451.
18. Schneller A, Wecker H, Hindelang M, Schuh S, Welzel J, Zink A. [Moulage 2.0: a cross-sectional study on a 3D-printed skin model in dermatological education and training]. Dermatologie (Heidelb). 2025 Oct;76(10):614-626. German. doi: 10.1007/s00105-025-05579-w.
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Copyright (c) 2026 Solange Dubreuil-Wakeham, Daniela Samaniego-Lara, Álvaro Prialé-Zevallos, Fiorella Neyra-Cordova, Victor Velásquez-Rimachi
This work is licensed under a Creative Commons Attribution 4.0 International License.
