我国临床情境模拟教学的主要问题与思考  

A comprehensive review on scenario-based simulation in clinical practice-based education in China

作　　者：王佳玉[1] 林健[2] 钱逸维 史霆[1] Wang Jiayu;Lin Jian;Qian Yiwei;Shi Ting(Department of Medical Education,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Clinical Skills Training Center of Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 201620,China;Department of Neurology and Institute of Neurology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院医学教育处,上海200025 [2]上海交通大学医学院附属第一人民医院临床实训中心,上海201620 [3]上海交通大学医学院附属瑞金医院神经内科,上海200025

出　　处：《中华医学教育杂志》2025年第4期252-256,共5页Chinese Journal of Medical Education

基　　金：国家重点研发计划(2022YFF1202600)。

摘　　要：临床情境模拟教学是培养医务工作者临床胜任力的重要教学方法。为了提高医学教育工作者对临床情境模拟教学的认知、通过开设临床情境模拟课程提高教学效果,本文回顾医学情境模拟的相关重要文献,梳理了情境模拟教学的内涵与应用现状,发现我国医学模拟中心目前普遍存在模拟运作专员稀缺、教师胜任力不足、学习者认知程度低等问题。建议加强师资队伍建设、提高学习者知晓度、推进情境模拟的标准化和课程的制度化建设,以此推动国内医学情境模拟教学的发展,提高临床实践教育的质量和效果。Clinical scenario-based simulation is a critical instructional method for cultivaing the clinical competence of healthcare practitioners.In order to enhance the understanding of clinical scenario-based simulation among medical educators and to achieve teaching effectiveness through the implementation of clinical scenario-based simulation,this article reviewed key literature on scenario-based simulation in healthcare education,delineated the essence and current application status of this method and revealed prevalent challenges within China's healthcare simulation centers,including a shortage of simulation operation specialists,limited teacher competence,and low learner awareness.To address these issues,the article proposes strengthening faculty development,increasing learner engagement,and advancing the standardization and institutionalization of scenario-based simulation curricula.These suggestions are intended to foster the advancement of scenario-based simulation in medical education and to elevate the caliber and effectiveness of clinical practice-based education in China.

关 键 词：临床医学 情境模拟 临床胜任力 教学方法 问题 思考 

分 类 号：R-05[医药卫生]