Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training

Chen Daiyu; Tan Minghe; Wang Siqi; Ye Lin; Wu Bin; Cao Jun

doi:10.3760/cma.j.cn116021-20230618-01907

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Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training

Standardized Residency Training | 更新时间：2024-12-26

- Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training
- Chinese Journal of Medical Education Research Vol. 23, Issue 12, Pages: 1719-1723(2024)
- 作者机构：
  
  1.重庆医科大学附属第一医院麻醉科，重庆　400016
  2.重庆医科大学教务处，重庆 400016
- 作者简介：
  
  Cao Jun, Email: caojun@hospital.cqmu.edu.cn
- 基金信息：
  
  Chongqing Medical University Future Medical Youth Innovation Team Support Program (W0004);Chongqing Education and Science Project of 2019 in the 13th Five-Year Plan(2019-GX-381);General Research Project of Higher Education Teaching Reform in Chongqing(193064);Scientific Research Project of Chongqing Municipal Health Commission(2022WSJK117)
- DOI：10.3760/cma.j.cn116021-20230618-01907
  CLC： R614
- Published：20 December 2024，
  
  Received：18 June 2023，
- 稿件说明：
移动端阅览
陈代宇, 谭明河, 王思琦, 等. 虚拟仿真教考联动在住院医师规范化培训麻醉危机资源管理教学中的应用[J]. 中华医学教育探索杂志, 2024, 23(12): 1719-1723.

CHEN DAIYU, TAN MINGHE, WANG SIQI, et al. Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training. [J]. Chinese journal of medical education research, 2024, 23(12): 1719-1723.
陈代宇, 谭明河, 王思琦, 等. 虚拟仿真教考联动在住院医师规范化培训麻醉危机资源管理教学中的应用[J]. 中华医学教育探索杂志, 2024, 23(12): 1719-1723. DOI： 10.3760/cma.j.cn116021-20230618-01907.

CHEN DAIYU, TAN MINGHE, WANG SIQI, et al. Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training. [J]. Chinese journal of medical education research, 2024, 23(12): 1719-1723. DOI： 10.3760/cma.j.cn116021-20230618-01907.

摘要

目的

研究基于aneSIM麻醉模拟操作系统结合NW13机械式困难气道管理模型的虚拟仿真教考联动模式在提升住院医师规范化培训学员危机管理能力的应用。

方法

分别选取麻醉科进行住院医师规范化培训的2021年236名住培学员（189名非麻醉专业学员+47名麻醉专业学员）及2022年234名住培学员（184名非麻醉专业学员+50名麻醉专业学员）为对照组和试验组。对照组采用传统授课方式，试验组采用aneSIM麻醉模拟训练系统授课。两组成员均采用“表单大师”APP进行两次二维码线上理论考核及NW13机械式困难气道管理模型进行情景模拟操作训练及考核。采用SPSS 26.0进行

检验及卡方检验。

结果

试验组住培学员第二次理论考核成绩、模拟考核焦虑程度和成绩、课程满意度、知识掌握度及能力提升度明显优于对照组住培学员（

=7.15，14.31，3.90，6.22，4.23，3.04；均

0.05）。其中试验组非麻醉专业住培学员第二次理论考核成绩、模拟考核焦虑程度和成绩、课程教学满意度、知识掌握度及能力提升方面明显优于对照组非麻醉专业住培学员（

=7.77，5.43，3.09，5.26，3.82，2.19；均

0.05）。同时试验组麻醉专业学员模拟考核成绩、课程教学满意度、知识掌握度及能力提升方面明显高于对照组麻醉专业学员（

=2.60，3.56，2.01，2.48；

=0.011，0.001，0.047，0.015）。

结论

基于aneSIM麻醉模拟操作系统结合NW13机械式困难气道管理模型的虚拟仿真教考联动模式能够提升和检验住培学员困难气道管理及操作的能力，尤其适用于非麻醉专业住培学员教学，展现了其在麻醉危机资源管理教学中的应用价值。

Abstract

Objective

To investigate the application of virtual simulation-based teaching-examination linkage mode based on aneSIM anesthesia simulation system and NW13 difficult airway management model in improving the ability of anesthesia crisis resource management among trainees receiving standardized residency training.

Methods

A total of 236 trainees (189 trainees with non-anesthesia majors and 47 with anesthesia majors) who received standardized residency training in Department of Anesthesiology in 2021 were selected as control group

and 234 resident trainees (184 trainees with non-anesthesia majors and 50 with anesthesia majors) in 2022 were selected as observation group. The trainees in the control group received traditional theoretical teaching

and those in the observation group received teaching with the aneSIM system. The trainees in both groups received two sessions of online theoretical assessment through the QR code in Bangboss Application

as well as situational simulation training and assessment using the NW13 difficult airway management model. SPSS 26.0 was used to perform the

-test and the chi-square test.

Results

Compared with the control group

the observation group had a significantly higher score of the second theoretical assessment

significantly better degree of anxiety and score of simulation assessment

and significantly better knowledge mastery and ability improvement (

=7.15

14.31

3.90

6.22

4.23

3.04

all

0.05). Compared with the control group in terms of the resident trainees with non-anesthesia majors

the observation group had a significantly higher score of the second theoretical assessment

significantly better degree of anxiety and score of simulation assessment

a significantly higher degree of satisfaction with teaching

and significantly better knowledge mastery and ability improvement (

=7.77

5.43

3.09

5.26

3.82

2.19

all

0.05). Compared with the control group in terms of the resident trainees with anesthesia majors

the observation group had a significantly higher score of simulation assessmen

a significantly higher degree of satisfaction with teaching

and significantly better knowledge mastery and ability improvement (

=2.60

3.56

2.01

2.48

=0.011

0.001

0.047

0.015).

Conclusions

The mode of virtual simulation-based teaching-examination linkage based on the aneSIM anesthesia simulation system and NW13 difficult airway management model can examine and improve the abilities for difficult airway management and operation among resident trainees

especially those with non-anesthesia majors

thereby showing its application value in the teaching of anesthesia crisis resource management.

关键词

虚拟仿真困难气道教学方法住院医师规范化培训

Keywords

Virtual simulationDifficult airwayTeaching methodStandardized residency training

references

苗利萍，曾静贤，张蓉，等. 可视化技术在困难气道处理教学中的应用[J]. 基础医学教育， 2016， 18（12）： 1020-1021. DOI: 10.13754/j.issn2095-1450.2016.12.25http://dx.doi.org/10.13754/j.issn2095-1450.2016.12.25.

郭航，陈琳，马亚群. 情景模拟教学法在麻醉危机管理教学中的应用和效果分析[J]. 中国继续医学教育， 2022， 14（9）： 61-65. DOI: 10.3969/j.issn.1674-9308.2022.09.017http://dx.doi.org/10.3969/j.issn.1674-9308.2022.09.017.

顾伟，张娟，朱蓓蓓，等. 微信联合情景模拟教学法及CBL教学法在麻醉住培医师困难气道教学中的应用[J]. 中国继续医学教育， 2022， 14（17）： 52-57. DOI: 10.3969/j.issn.1674-9308.2022.17.014http://dx.doi.org/10.3969/j.issn.1674-9308.2022.17.014.

蓝竹，杨凯，钟鸣，等. 情景模拟教学法在麻醉科住培医师临床技能教学中的应用[J]. 中国继续医学教育， 2022， 14（19）：68-71. DOI: 10.3969/j.issn.1674-9308.2022.19.018http://dx.doi.org/10.3969/j.issn.1674-9308.2022.19.018.

王宇祺，闫秋菊，侯晓霞. 术前情景模拟应用于剖宫产手术产妇椎管内麻醉的效果分析[J]. 北京医学， 2015， 37（7）： 707-710. DOI: 10.15932/j.0253-9713.2015.7.033http://dx.doi.org/10.15932/j.0253-9713.2015.7.033.

刘孟江. 情景模拟和PBL教学法在麻醉科住院医生规范化培训中的应用[J]. 中国卫生产业， 2020， 17（11）： 137-139. DOI: 10.16659/j.cnki.1672-5654.2020.11.137http://dx.doi.org/10.16659/j.cnki.1672-5654.2020.11.137.

丁晓英，镇路明，王瑾，等. 麻醉科住院医师规范化培训的教学探索与思考[J]. 中国医学教育技术， 2022， 36（6）： 758-761. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.202206024http://dx.doi.org/10.13566/j.cnki.cmet.cn61-1317/g4.202206024.

杨冬，孙忠朋，邓晓明，等. 如何开展规范化困难气道管理培训[J]. 临床麻醉学杂志， 2017， 33（9）： 934-936.

杨冬，郅娟，邓晓明. 医学模拟教学在气道管理培训中的应用[J]. 临床麻醉学杂志， 2015， 31（2）： 198-200.

蔡巧玲，胡大一. 医学模拟技术在临床教学中的应用[J]. 中华内科杂志， 2006， 45（5）： 357-358. DOI: 10.3760/j.issn.0578-1426.2006.05.003http://dx.doi.org/10.3760/j.issn.0578-1426.2006.05.003.

杜学柯. 情景模拟教学法在临床医学教学中的应用[J]. 卫生职业教育， 2017， 35（20）： 57-58.

李崎，马尔丽，刘进，等. 模拟教学提高医学生基本生命支持技能的试验研究[J]. 中国高等医学教育， 2011（8）： 67-69. DOI: 10.3969/j.issn.1002-1701.2011.08.037http://dx.doi.org/10.3969/j.issn.1002-1701.2011.08.037.

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