快速循环故意实践 (RCDP) 对胸管插入和固定技术和非技术技能的有效性:试点研究
Killen H Briones-Zamora1, Melani Chávez Vega2, Anahí D Briones-Zamora2
1Universidad de Especialidades Espíritu Santo (UEES), Samborondón, Ecuador.
Journal of surgical education
|November 18, 2025
概括
与传统方法相比,快速循环故意实践 (RCDP) 显著提高了医学学生在胸管插入方面的技术和非技术技能. RCDP增强了全面的临床技能发展.
科学领域:
- 医学教育 医学教育
- 进行外科手术技能培训.
- 基于模拟的学习
背景情况:
- 有效的培训方法对于培养医学学生的技术和非技术技能至关重要.
- 胸管插入和固定需要熟练掌握程序和人际关系能力.
- 通过比较不同的基于模拟的培训方法,可以确定最佳的教育策略.
研究的目的:
- 为了比较快速循环故意实践 (RCDP) 与传统模拟和佩顿四步方法的有效性.
- 评估这些方法对胸管插入和固定期间的技术和非技术技能的影响.
- 评估医学三年级学生的技能获取.
主要方法:
- 试点准实验性研究涉及3个指导队列:传统模拟,RCDP和Peyton的四步方法.
- 标准化培训课程,然后进行基于模拟的评估.
- 使用技术技能客观结构化评估 (OSATS),OSCE-CoMeD和外科医生的非技术技能 (NOTSS) 框架进行评估.
主要成果:
- 与对照组和佩顿组相比,RCDP组在技术性能 (OSATS),患者沟通 (CoMeD-OSCE) 和非技术技能 (NOTSS) 中的得分明显更高 (p < 0.001).
- 在技术和非技术性绩效指标之间发现了强烈的正相关性 (r = 0.84对于OSATS/NOTSS,r = 0.61对于OSATS/CoMeD;p < 0.001).
- 女学生的沟通成绩明显高 (p = 0.008).
结论:
- 快速循环故意实践 (RCDP) 是一种有效的教育方法,用于提高医学学生对胸管手术的技术和非技术技能.
- 将RCDP整合到模拟课程中可以促进全面的临床技能发展.
- 建议对随机设计和更大的样本进行进一步的研究,以确保长期保留和通用性.
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