基于导师视角的情境模拟教学在围术期医学教学中的应用

姚媛媛; 唐碧云; 韩紫芯; 芮敏; 罗格; 王屹; 严敏

doi:10.3760/cma.j.cn116021-20250608-02124

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基于导师视角的情境模拟教学在围术期医学教学中的应用

医学模拟教育 | 更新时间：2026-02-13

- 基于导师视角的情境模拟教学在围术期医学教学中的应用
- Application of scenario-based simulation teaching from the perspective of instructors in perioperative medical teaching
- 中华医学教育探索杂志 2026年25卷第1期页码：57-63
- 作者机构：
  
  浙江大学医学院附属第二医院麻醉科，杭州 310009
- 作者简介：
  
  严敏，Email：zryanmin@zju.edu.cn
- 基金信息：
  
  浙江大学第二临床医学院2024年度教学改革研究培育项目(20240415)
- DOI：10.3760/cma.j.cn116021-20250608-02124
  中图分类号： R4
- 收稿：2025-06-08，
  
  纸质出版：2026-01-20
- 稿件说明：
移动端阅览
姚媛媛, 唐碧云, 韩紫芯, 等. 基于导师视角的情境模拟教学在围术期医学教学中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 57-63.

Yao Yuanyuan, Tang Biyun, Han Zixin, et al. Application of scenario-based simulation teaching from the perspective of instructors in perioperative medical teaching[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 57-63.
姚媛媛, 唐碧云, 韩紫芯, 等. 基于导师视角的情境模拟教学在围术期医学教学中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 57-63. DOI： 10.3760/cma.j.cn116021-20250608-02124.

Yao Yuanyuan, Tang Biyun, Han Zixin, et al. Application of scenario-based simulation teaching from the perspective of instructors in perioperative medical teaching[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 57-63. DOI： 10.3760/cma.j.cn116021-20250608-02124.

摘要

目的

基于导师视角，调查情境模拟教学在中国围术期医学教学中的应用现状，了解其在实施过程中遇到的障碍。

方法

2024年4月至6月，采用便利抽样法，覆盖28个省级行政区医院，对参与围术期情境模拟教学的人员进行调研，对导师群体（

=285）在教学目标设定偏好、课程实施现状、教学障碍因素等方面的数据进行统计分析。

结果

全体一致S-CVI（S-CVI/UA）=0.967，平均一致S-CVI（S-CVI/Ave）=0.994。资深导师（教学年限≥5年）更关注非技术技能目标（领导力：52.11% vs. 33.64%，

=0.008），81.75%的导师呼吁开展专业培训，68.07%要求增加教学时间。

结论

本研究有助于从导师的视角初步了解中国围术期情境模拟教学发展现状，正视目前围术期情境模拟教学存在的问题，呼吁积极推进医学情境模拟教学资源共享，优化情境模拟教学课程设计与建设，加强师资培训。

Abstract

Objective

To investigate the application status of scenario-based simulation teaching in perioperative medicine teaching in China from the perspective of instructors

and to identify the challenges encountered in the implementation process.

Methods

From April to June 2024

a convenient sampling method was used to survey personnel who participated in perioperative scenario-based simulation teaching across hospitals in 28 provincial-level administrative regions. The data of the instructors (

=285) were statistically analyzed regarding teaching goal setting preference

curriculum implementation status

and barriers to teaching.

Results

The scale-content validity index/universal agreement (S-CVI/UA)

was 0.967

and the scale-content validity index/average (S-CVI/Ave) was 0.994. Senior instructors (teaching experience ≥5 years) placed greater emphasis on non-technical skill objectives such as leadership (52.11% vs. 33.64%

=0.008). Moreover

81.75% of instructors advocated for the development of professional training programs

and 68.07% called for increased teaching time.

Conclusions

This study provides a preliminary understanding

from the perspective of instructors

of the current development status of scenario-based simulation teaching in perioperative medicine in China. It highlights existing challenges in perioperative scenario-based simulation teaching and underscores the need to promote the sharing of medical resources related to scenario-based simulation teaching

optimize the design and development of related curricula

and strengthen faculty training.

关键词

Keywords

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