基于超声导向区域麻醉模拟培训的教学设计特征:系统性审查
Pooyan Sekhavati1, Tristan Wild1, Ingrid D P C Martinez2
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Anaesthesia
|January 6, 2025
概括
基于模拟的超声波导向区域麻醉培训可以提高学习成果,特别是具有专家教练和重复练习等特征. 对于高级技能和患者结果的最佳组合需要进一步研究.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 模拟技术的模拟技术
背景情况:
- 超声导向区域麻醉 (UGRA) 改善了患者的护理,并降低了成本.
- 传统的UGRA培训方法在有效性方面面临挑战.
- 基于模拟的医学教育 (SBME) 为技能获取提供了一个有希望的替代方案.
研究的目的:
- 系统地审查和评估UGRA模拟培训中的教学设计特征.
- 评估这些特征的流行程度及其与学习成果的相关性.
- 用修改的柯克帕特里克模型进行结果评估.
主要方法:
- 从创立到2024年8月进行了全面的文献搜索.
- 包括随机对照试验,对照前后研究和其他实验设计.
- 数据提取的重点是研究特征,模拟模式,教学设计特征和学习成果.
主要成果:
- 62项研究符合从2023年开始的纳入标准.
- 常见的方法包括实体模型扫描和凝幻影模型.
- 像专家教练,重复练习和多样化的学习策略等特征在较低的基克帕特里克水平上显示出显著的改善.
结论:
- 具有特定教学设计特征的UGRA模拟培训提高了教育成果,特别是在基克帕特里克1级和2级.
- 对于更高层次的结果 (行为和患者影响) 的特征的最佳组合尚不清楚.
- 未来的研究需要标准化的结果测量和单个特征的隔离来评估临床影响.
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