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皖南医学院第一附属医院麻醉科,芜湖
纸质出版日期:2019,
移动端阅览
程慧娴 张恺辰 鲁美静 金孝岠 郭文俊. SimMan 3G情景模拟教学在麻醉学教学中的应用[J]. 中华医学教育探索杂志, 2019,18(3).
The application of SimMan 3G situational simulation method in anesthesiology teaching[J]. 2019,18(3).
目的 探讨SimMan 3G情景模拟教学在麻醉学教学中的应用效果。方法 选择2012级麻醉学专业五年制学生作为对照组(35名),2013级麻醉学专业五年制学生作为观察组(36名)。对照组(带教教师演示病例)采用多媒体课件集中授课,然后分组使用SimMan 3G模型进行病例模拟演示并总结。观察组(学生角色扮演模拟病例)采用多媒体授课,然后学生在模拟手术室进行角色扮演并全程录像,训练结束后,就各自在模拟训练中的表现(通过模拟录像回放)进行讨论,带教教师进行点评及总结。课程结束后两周,两组学生分别进行麻醉综合理论考核并采用调查问卷评估模拟教学设计和教学效果。采用SPSS 25.0分别进行卡方检验和t检验。结果 两组学生在年龄、性别、平时专业理论成绩方面比较,差异无统计学意义(P>0.05);观察组麻醉综合理论成绩(79.44±5.41)分,对照组麻醉综合理论成绩(73.46±4.62)分,差异具有统计学意义(P=0.001)。观察组31人(86.1%)对教学内容满意,33人(91.7%)认为通过教学可锻炼临床思维,34人(94.4%)认为通过教学可提高团队协作和沟通能力;与对照组相比,上述指标满意度差异具有统计学意义(P=0.031,P=0.018,P=0.013)。结论 采用SimMan 3G进行角色扮演的情景模拟教学,可以显著提高学生的综合理论成绩,有利于临床思维的锻炼及团队协作能力和沟通能力的提高
Objective To evaluate the application value of situational simulation method based on SimMan 3G in anesthesiology teaching. Methods 5-years anesthesiology under-graduates of 2012 grade and 2013 grade in Wannan Medical Colloge anticipating in clinical practice of anesthesia were selected as observation group. All students were divided into two groups: control group (teachers demonstrated cases
2012 grade
n=35) and observation group (students role-played simulation cases
2013 grade
n=36). In control group
teachers firstly applied a multimedia courseware
and then demonstrated the cases to adopt the SimMan 3G simulated system. In observation group
SimMan 3G situational simulation method was used to teach the course
and then the students played roles and videotaped the whole course in the simulated operating room. After training
the students discussed their performance in the simulated training (by the playback of the simulated video)
and the teachers commented and summarized the case. The effect of teaching was evaluated by questionnaire and examination. The date were analyzed through Chi-square and t-test test. Results There was no significant difference in essential characteristics
including age
gender
the scores of specialized theory at routine examination between two groups (P>0.05). Statistical difference was found in the theoretical assessment between observation group and control group [(79.44±5.41) vs. (73.46±4.62)
P=0.001]. Meanwhile
questionnaire survey of teaching effect showed that in observation group 31 students (86.1%) were satisfied with the teaching contents
33 students (91.7%) had consolidated clinical thinking
and 34 students (94.4%) believed it improved their teamwork and communication ability (P=0.031
P=0.018
P=0.013). Conclusion Using SimMan3G for role-playing situational simulation teaching can significantly improve student's comprehensive theoretical scores
facilitate the exercise of clinical thinking
and improve their teamwork and communication skills.
模拟教学 麻醉学 SimMan 3G综合模拟人
Simulation teaching Anesthesiology SimMan 3G
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