基于模拟的支气管镜训练:随机试验比较工作样本与视频介绍
Lais M N Vieira1, Cassio da Cunha Ibiapina1, Paulo A M Camargos1
1Department of Pediatric Pulmonology, Federal University of Minas Gerais, Horizonte, Brazil.
Pediatric pulmonology
|August 29, 2023
概括
与传统的视频课程相比,建模示例方法显著提高了支气管镜检查技能,并减少了医学学生的认知负载. 这种培训方法在12个月内提高了技能保留率.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训
- 呼吸系统医学 呼吸系统医学
背景情况:
- 支气管镜检查是一项复杂的技能,需要综合的认知和运动能力.
- 模拟器技术为有效的支气管镜训练提供了新的途径.
- 评估新的培训方法对于改善医学教育至关重要.
研究的目的:
- 评估模拟示例方法在支气管镜训练中的有效性.
- 评估这种方法在学习过程中对认知负载的影响.
- 为了比较模拟示例和基于视频的培训之间的技能获取和保留.
主要方法:
- 47名医学学生被随机分配到对照组 (视频课程) 或建模示例组.
- 训练使用了基于模拟器的支气管镜程序.
- 使用模拟器指标测量性能,并在多个时间点通过修改后的Paas尺度评估认知负载.
主要成果:
- 基于模拟的培训提高了两组人的技能 (p < .05).
- 建模示例组在测试后和15天 (p < .001) 显示出优异的性能.
- 虽然12个月后技能下降了,但建模示例组的技能保持得更好 (p < .001),认知负载减少更大 (p < .001).
结论:
- 建模示例方法与传统的视频课程相比,为支气管镜训练提供了显著的优势.
- 这种方法有效地降低了认知负载,并增强了长期的技能保留.
- 基于模拟的培训,特别是模拟示例方法,对于医学学生学习复杂程序非常有益.
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