Evidence map›Paper›PMID 34154591›Full record

ArticleBMC medical education2021

Development, production and evaluation of 2-dimensional transfer tattoos to simulate skin conditions in health professions education.

Daniel Bauer, Andrea C Lörwald, Sandra Wüst, Helmut Beltraminelli, Miria Germano, Adrian Michel, Kai P Schnabel

Abstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Moulage safety practice around the world: a framework for best practice.Advances in simulation (London, England) · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniel Bauer *Institute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland. daniel.bauer@iml.unibe.ch.ORCID http://orcid.org/0000-0002-3337-3327
Andrea C Lörwald *Institute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Sandra WüstInstitute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Helmut BeltraminelliDepartment of Dermatology, Inselspital, Bern, Switzerland.
Miria GermanoInstitute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Adrian MichelInstitute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Kai P SchnabelInstitute for Medical Education; Faculty of Medicine, University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMoulages can greatly extend the possibilities of simulation in teaching and assessment. Since moulages that fit an educator's exact needs are often unavailable commercially, this paper explains how 2-dimensional transfer tattoos can be independently developed, produced, and evaluated.

methodsFrom representative photographs of the specific skin condition an analogue copy of the pathological finding is drawn. Once validated by the medical expert, it can be digitized by scanning and processed using graphics software. The final digital image file is printed onto transfer paper. Once applied and fixed onto the intended wearer, usually a simulated patient, its authenticity can be confirmed, and further transfer tattoos can be produced.

resultsUsing this moulage technique we produced 10 different 2-dimensional transfer tattoos to date, including hematoma, Janeway lesions and splinter nails. These moulages are used in clinical skills training, formative and high-stakes summative assessment in undergraduate medical and nursing programs.

conclusionsBy sharing our development process for 2-dimensional transfer tattoos, health profession educators can produce their own that best fit their local educational needs. Due to their high authenticity and standardization, 2-dimensional transfer tattoos are ideal for use in high-stakes assessment.

Indexed as

TattooingClinical CompetenceEducational MeasurementHealth OccupationsHumansClinical skillsMedical moulageOSCESimulation engagementStandardized patient

Identifiers

PMID34154591
PMCPMC8218469

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.