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顶点模拟:为高级紧急医疗住院人员提供多患者模拟
Caitlin Schrepel1, Anne K Chipman2, Ross Kessler3
1Assistant Professor and Assistant Program Director, Department of Emergency Medicine, University of Washington School of Medicine.
MedEdPORTAL : the journal of teaching and learning resources
|November 13, 2023
概括
紧急医疗实习生可以通过多患者模拟来评估他们的任务交换技能. 这种模拟课程有效地评估了核心紧急医疗技能,包括复苏和沟通,需要经常切换任务.
科学领域:
- 医学教育 医学教育
- 基于模拟的学习
- 紧急医疗 紧急医疗
背景情况:
- 紧急医疗 (EM) 实习生需要熟练掌握同时管理多个患者的技能,这种技能被称为任务交换.
- 虽然多病例场景是公认的教学工具,但很少有研究探讨了它们在评估居民任务交换能力方面的用途.
研究的目的:
- 开发和评估一个课程,以使用需要经常切换任务的模拟来对核心EM技能进行形成性评估.
- 为教育工作者提供一个工具,以反思反高级EM学习者的复苏,领导力和任务交换技能.
主要方法:
- 实施了三种模拟场景的序列:医疗复苏,为两名患者提供高级创伤生命支持,并传达坏消息.
- 教师观察员使用特定场景的检查清单来识别知识,沟通和任务交换的缺陷,在反思性解读报告.
- 分析了检查清单数据和会议后评估,以确定趋势和需要改进的领域.
主要成果:
- 确定了改善的关键领域,包括特定的临床行动,如检查葡萄糖,规划输管备用,指定血液制品和寻求团队意见.
- 12名参与者中有9人完成了评估,大多数人同意模拟是相关的,并促进了对任务交换的反思.
结论:
- 这种基于模拟的课程提供了一种有价值的方法来评估和反基本的EM技能,特别是任务交换.
- 该课程可以进一步精细化,以支持管理复杂的患者护理场景的有意识实践.
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