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基于模拟的学习对医学学生进行基于能力的医学教育的知识和技能的影响
Devendra Prasad Kj1, Rajesh K1, Krisna Moorthy Dgsr1
1Emergency Medicine, Sri Devaraj Urs Medical College, Kolar, IND.
Cureus
|July 28, 2025
概括
基于模拟的学习显著提高了印度医学学生的临床技能,提高了即时表现和长期保留. 这种方法对于基于能力的医学教育 (CBME) 至关重要.
科学领域:
- 医学教育 医学教育
- 基于模拟的学习
- 临床能力评估临床能力评估
背景情况:
- 医学教育正在向基于能力的体验式学习过渡.
- 基于模拟的学习 (SBL) 为技能发展提供了一个安全的环境.
- 印度有限的研究需要研究SBL对临床能力的影响.
研究的目的:
- 评估基于模拟的医学教育 (SBME) 对印度本科生临床能力的影响.
- 调查SBME中的学习者认知和绩效影响因素.
- 为了解决当地研究的需要,由于诸如高学生对患者比率等因素.
主要方法:
- 一项干预性研究,涉及56名医学本科生 (第二阶段和第三阶段).
- 两个阶段的模拟训练使用低和中等保真人偶超过六个月.
- 经过验证的检查清单评估了基本生命支持 (BLS),高级创伤生命支持 (ATLS),前鼻包装,鼻胃管插入和尿道导管的性能.
主要成果:
- 在所有五个测试的临床程序中都观察到显著的改善.
- 提高了BLS (17/17任务) 和ATLS (22/25任务) 的熟练程度,具有中等到大的效果大小.
- 提高了鼻胃管插入 (15/17任务) 和福利导管 (13/15任务) 的技能保留,特别是在程序步骤和指示中.
结论:
- 基于模拟的学习有效地提高了即时的临床表现和长期的技能保留.
- 在基于能力的医学教育 (CBME) 框架内,定期的结构化模拟提高了技术准确性和以患者为中心的技能.
- 在日常医疗培训中SBME的整合得到了可靠的结果的支持,尽管单一中心的局限性.
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