在高年级医学生中开展情境模拟训练营的尝试和体会  

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

作　　者：胡增艳[1] 赵洁[1] 潘曙明[1] 俞芸[1] 费爱华[1] 王丽娜[1] 何双霞[2] 许小幸[2] 

机构地区：[1]上海交通大学医学院附属新华医院急诊科,200092 [2]上海交通大学医学院临床医学院,200092

出　　处：《中华医学教育探索杂志》2016年第12期1220-1225,共6页Chinese Journal of Medical Education Research

基　　金：基金项目：上海交通大学医学院医学教育研究一般项目（2014-2015）;上海市教委教育科学研究项目（2012-2014）;2013-2014年度国家临床重点专科建设项目--急诊医学科

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师的顺利过渡。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（操作技能、团队合作、医患沟通）评分，课后对训练营组进行问卷调查。应用SAS9．2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）的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。Objective To establish a short-term scenario simulation training campus in senior med- ical 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 sce- nario simulation training course on the basis of control group＇s routine teaching, including advanced cardiac life support and team collaboration, sepsis and doctor-patient communication, polypnea and crisis manage- ment, disorder of consciousness and interdisciplinary teamwork, multiple injuries and emergency plans, and 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 were 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 were sig- nificantly better than those of control group （P〈0.05）. In addition, the course had a high recognition by students. 92% （44/48） students thought the course was contributed to improving the ability of crisis man- agement and clinical practice and were in favor of developing similar courses for senior medical students. Conclusion S

关 键 词：情境模拟 临床教学 教学方法 急诊医学 

分 类 号：R-05[医药卫生]