医学学位:随机对照干预研究中的真实和标准化患者的比较
N Díez1, B Franchez2, M C Rodríguez-Díez3
1Unidad de Formación Clínica, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain.
Revista clinica espanola
|May 9, 2025
概括
医学学生在模拟场景中类似地感知标准化患者 (SP) 和真实患者 (RP). 由于其可访问性和多样化的病例模拟能力,SPs是医疗培训的可行替代方案.
科学领域:
- 医学教育 医学教育
- 临床模拟 临床模拟
- 医疗保健培训 医疗保健培训
背景情况:
- 模拟的临床场景为医学学生提供了一个安全的学习环境.
- 标准化患者 (SP) 建议用于这些场景,但与真实患者 (RP) 的比较有限.
研究的目的:
- 为了比较标准化患者 (SP) 与真实患者 (RP) 对医学学生感知和知识获取的影响.
- 在模拟的临床接触中评估学生和观察者的感知.
主要方法:
- 每个课程的40名医学学生 (第4,5,6) 被随机分配到SP或RP场景中.
- 学生,观察员和教授完成了感知和知识问卷;学生参加了焦点小组.
主要成果:
- 在SP和RP组之间没有发现学生感知或知识的显著差异.
- 学生更有可能将SP误认为RP (p < 0.001).
- 学生报告说,当他们认为他们正在与RP互动时,他们的准备和参与度更高.
结论:
- 医学学生在模拟场景中不区分SP和RP,并以相似的方式对其进行评分.
- 专科医生是医学学生培训的有价值和可访问的替代方案,特别是当需要不同的患者病理时.
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