【目的】探讨住院医师规范化培训中模拟教学模块的组织、实施对模拟运作专员(SOS)的需求及其实际效用
分析SOS对住院医师规范化培训的必要性及其工作内涵的设置。【方法】从瑞金临床医学院住院医师规范化培训课程中模拟课程的设计、实施、反馈三个方面
调研了2017~2018学年在瑞金医学模拟中心参于医学模拟课程的全部住培医师、同期参与模拟教学的教员及SOS的主观评价
采用手机端在线调研方式
同时纳入相关课程教师地图的设计数据。【结果】1. 目前基于高端模拟人的住培情景模拟课仅使用了26.3%的预设功能
教员对大多功能的掌握程度不到三成
而SOS参与了全部的课程准备及63.6%的课程运作
高于教师地图的要求(45.5%)。其中心电监护调控、静脉管理、特效化妆的需求最大
同时也是教员需求与掌握程度间差值最大的项目。2. 在住培医师对教具(96.9%)和模拟环境(94.9%)感到非常满意的现况下
仍需SOS替代教员操控教学设备来减少课程的中断感(37.0%)、暗示作用(31.3%)和提升体验感(32.3%)。且临床学科专业医师较非临床学科专业医师更需要SOS的协助(t1=3.204
t2=2.573
t3=2.660
p<0.05)。3. SOS的实际工作内容与职能要求存在差异(χ2=13.822
P<0.01)
在课程中SOS仍履行着部分标准化病人(SP)和管理工作的职责。【结论】在住院医师规范化培训中SOS起着重要的作用
尤其应注重其在临床学科住培模拟课程中的参与
加强其在模拟人等教具管理、特效化妆、教程设计、适宜的SP职能等专业模拟及课程辅助方面的能力培养
以符合目前住培模拟课程对SOS最主要的需求方向。良好的住培模拟课程的开发、执行需要进一步提高教员的师资能力并注重SOS的共同参与
Objective: To explore the requirement and practical utility of the simulation operations specialists (SOS) in the organization and operation of simulation teaching modules during the standardized medical residency training as well as its necessity and connotationSconstruction. Methods: All the residents of standardized medical residency training and tutors who participated in simulation courses in the same period as well as the subjective evaluation of SOS their own were involved during the year of 2017 and 2018. The study was conducted in the aspects of the designation
operation and feedback of the simulation courses of standardized medical residency training of Ruijin Hospital by means of mobile phone online investigation. At the same time
the design data of teaching concept map of relevant curriculum were also included. Results: 1.At present only 26.3% of the preset functions were used in the medical simulation courses based on high-tech medical simulator while tutors had a less than 30% command of the whole function of the simulators. SOS participated in the whole process of the course preparation and 63.6% of the course operation
which was higher than the requirement of teaching concept map(45.5%). ECG monitoring regulation
venous management and special effects makeup were items of the greatest need
which
of all the items
could be seen the biggest gap between ideality and reality. 2.Based on the current situation that residents of standardized medical residency training had a good satisfactory of teaching aids(96.9%) and simulated environment(94.9%)
SOS were still needed to control teaching facilities to reduce interruption(37.0%) and implications(31.3%)during courses
as well as improving experience(32.3%). Furthermore
specialists with clinical background needed more assist from SOS than those without clinical background(t1=3.204
t2=2.573
t3=2.660
p<0.05). 3.Differences were found between the actual work content of SOS and their job requirement (χ2=13.822
P<0.01)since part of their duty were still included standardized patients(SP)and management. Conclusion: SOS played an important role in the standardized medical residency training. To match the requirement for SOS of medical simulation courses in standardized medical residency training
special attention should be paid to its participation in the simulation training program for residents of clinical subjects in order to enhance such professional simulation and course assistance ability as teaching aids management
special effects makeup
course designing
qualified for being SP. Both the teaching ability of the instructors and cooperation of SOS are essential to ensure a good development and performance of medical simulation courses.
模拟运作专员医学模拟住院医师规范化培训教师地图
Simulation operations specialists (SOS)Healthcare simulationStandardized medical residency trainingInstructor map
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