虚拟值班:使用低保真模拟来提高对实践的准备能力
Molly M Nichols1, Amy Radcliffe1, Allen Daniel1
1Medical Education and Simulation, Maidstone and Tunbridge Wells National Health Service (NHS) Trust, Kent, GBR.
Cureus
|December 19, 2024
概括
虚拟值班模拟显著提高了医学学生对值班技能的信心,解决了他们在成为医生之前对临床推理和紧急管理的担忧.
科学领域:
- 医学教育 医学教育
- 基于模拟的学习
- 临床技能培训 临床技能培训
背景情况:
- 新获得资格的医生往往缺乏为临床实践做好准备,理由是临床推理,紧急管理,交接和任务优先级的挑战.
- 由于这些已识别的技能差距,围绕第一次值班班的焦虑被放大了.
研究的目的:
- 评估虚拟值班 (VOC) 模拟程序在增强医学学生对值班工作的信心和准备方面的有效性.
- 评估VOC对特定应急相关技能的影响,包括临床推理,紧急管理和优先级.
主要方法:
- 一个低保真,基于病房的模拟 (虚拟调用) 实施了高级本科医学学生.
- 该计划涉及两家医院的自愿参与,包括三个模拟会议,各种医疗和手术场景.
- 学生们对模拟页面做出回应,管理患者笔记,完成任务,并参加学生主导的交付,随后进行辅导员反.
主要成果:
- 会议前的调查问卷显示,学生对第一次值班班的焦虑程度很高 (91%).
- 会议后的评估显示,在所有评估的应急主题 (p<0.05) 中,学生的信心在统计学上显著增加.
- 在第一次会议之后,47%的参与者对值班工作有积极的看法,在参加多次会议的人中,持续的信心增加.
结论:
- 虚拟值班计划有效地解决了尚未满足的教育需求,显著提高了对安全和成功值班实践至关重要的技能的信心.
- 模拟提供了一个有利的环境来练习急性情况管理,优先级和升级,提高准备能力和时间管理.
- 通过VOC获得的信心增加预计将转化为改进的临床实践和合格后的积极患者护理结果.
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