支气管炎模拟模块在儿科预职教育练习 (PRECEDE) 课程中的课程
Justin M Jeffers1, Amit Pahwa2, Stacy Cooper3
1Assistant Professor, Department of Pediatrics, Johns Hopkins University School of Medicine; Adjunct Faculty, Johns Hopkins University School of Education.
概括
儿科医学学生在模拟训练后显著改善了对急性支气管炎引起的婴儿呼吸困扰的管理. 建议进一步提供模拟机会,以提高临床技能发展.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗模拟 医疗模拟
- 呼吸系统疾病 呼吸系统疾病
背景情况:
- 急性支气管炎影响90%的2岁以下儿童,每年造成20万例死亡.
- 目前的管理重点是呼吸系统的支持和预防.
- 对医疗保健提供者来说,有效的评估和护理升级至关重要.
研究的目的:
- 评估高保真模拟对儿科医生实习生急性支气管炎呼吸困难管理的影响.
- 在基于模拟的培训和汇报后评估绩效改进.
主要方法:
- 一个高保真的婴儿模拟器被用来模拟急性支气管炎中进展的呼吸困扰.
- 儿科医生实习生进行了模拟,随后进行了汇报和重复模拟.
- 通过加权的检查清单来衡量绩效,并收集学生的反.
主要成果:
- 在模拟和汇报后,学生的成绩显著改善,从57%提高到86% (p < .05).
- 佩戴个人防护设备是模拟前后最常见的遗漏项目.
- 模拟课程受到好评,有更多机会的要求.
结论:
- 基于模拟的培训有效地改善了儿科学生在急性支气管炎中呼吸困难的管理.
- 基于绩效的评估工具可以提供有效的学习证据.
- 增加模拟机会和教师多样性是未来培训的建议.
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