The attempt and experience of establish a scenario simulation training campus in senior medical students

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The attempt and experience of establish a scenario simulation training campus in senior medical students

更新时间：2024-09-19

- The attempt and experience of establish a scenario simulation training campus in senior medical students
- Vol. 15, Issue 12, (2016)
- 作者机构：
  
  1. 上海交通大学医学院附属新华医院急诊科
  2. 上海交通大学医学院附属新华临床医学院
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2016，
- 稿件说明：
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The attempt and experience of establish a scenario simulation training campus in senior medical students. [J]. 15(12).(2016)
DOI：

The attempt and experience of establish a scenario simulation training campus in senior medical students. [J]. 15(12).(2016) DOI：

摘要

【摘要】目的在高年级医学生毕业前开设短期情境模拟训练营，以帮助实现从医学生到住院医生的顺利过渡。方法所有研究对象共计101人均参加急诊医学传统授课，其中四年级医学生51人、五年级医学生50人，后期选修急诊情境模拟训练营课程的48人为训练营组，其余53人为对照组。对照组仅参加常规急诊医学传统课程，训练营组在此基础上参加急诊情境模拟训练营课程，包括高级心血管生命支持和团队协作、脓毒症和医患沟通、气促和危机处理、意识障碍和跨学科团队合作、多发伤和紧急预案、综合案例考评。训练营课程前、后对所有研究对象分小组进行急诊模拟病例考核评分（操作技能、团队合作、医患沟通），课后对训练营组进行问卷调查。应用SAS 9.2处理数据，对数据进行t检验和描述性分析。结果课前训练营组和对照组在操作技能、团队合作、医患沟通评分方面，差异无统计学意义（P>0.05），具有可比性。课后训练营组操作技能、团队合作、医患沟通评分均明显高于对照组，差异有统计学意义（P<0.05）。训练营组学生对课程认可度高，92%（44/48）学生认为本课程对提高团队、危机处理、临床实践能力有帮助，且赞成在高年级医学生中开展类似课程。结论在医学生最后阶段开展情境模拟训练营能提高综合思维、独立临床决策、实践技能、团队协作和应变沟通等能力，增强自信以帮助医学生适应真实的临床工作

Abstract

【Abstract】 Objective Establish a short-term scenario simulation training campus in senior medical students before graduation for the sake of a smooth transformation from medical students to residents. Methods There were 101 participants involved in the study. All the participants attended emergency medicine traditional teaching

including 51 fourth-year medical students and 50 fifth-year medical students. The 48 students who took the emergency scenario simulation training course were classified as training camp group while the other 53 students were classified as control group. The control group only participated in the emergency medicine traditional teaching

and the training camp group participated in the emergency scenario simulation training course on the basis of control group’s routine teaching

including advanced cardiac life support and team collaboration

sepsis and doctor-patient communicaton

polypnea and crisis management

disorder of consciousness and interdisciplinary teamwork

multiple injuries and emergency plans

comprehensive case evaluation. The training camp group was divided into groups and received evaluation of performance on treating emergency simulated case (clinical skills

teamwork

doctor-patient communication) before and after class. The training camp group was received questionnaire survey after class. SAS 9.2 was used to do the t test and descriptive analysis. Results There’s no statistically significant differences (P>0.05) between the scores of the performance on clinical skills

teamwork

doctor-patient communication of training camp group and control group before class. The scores of training camp group after class are significantly better than those of control group (p<0.05). In addition

the course has a high recognition by students. 92%(44/48) students think the course is contributed to improve the ability of crisis management and clinical practice and are in favor of developing similar courses for senior medical students. Conclusion Scenario simulation training campus can strengthen the cultivation of comprehensive thinking

independent clinical decision making

practice skills and communication ability in final stage of medical education as well as enhance medical students' self-confidence so as to help them to adapt to the real clinical work.

关键词

情境模拟临床教学教学方法急诊医学

Keywords

Scenario simulationClinical teachingTeaching methodEmergency medicine

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