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基于模拟的掌握学习课程的实用性,用于教导劳动和分娩程序
Gabrielle K Smith1, Shivani Arza1, Christopher S Ennen1
1Department of Obstetrics and Gynecology, University of Virginia, Charlottesville, USA.
Cureus
|December 1, 2025
概括
基于模拟的掌握学习 (SBML) 提高了医学学习者对进行产科手术的信心. 虽然知识分数保持相似,但在 DELIVER SBML 课程之后,独立技能表现的舒适度显著增加.
科学领域:
- 产科和妇科 产科和妇科
- 医学教育 医学教育
- 手术模拟器手术模拟器
背景情况:
- 掌握产科程序技能是具有挑战性的,因为需要触觉解剖学理解和在没有直接教练可视化的情况下实时表现.
- 基于模拟的掌握学习 (SBML) 为学习者提供了一个无风险的环境,在患者护理之前实现预定义的技能标准.
- 德利弗SBML课程旨在解决研究生医学教育中的这些挑战.
研究的目的:
- 评估DELIVER SBML课程在提高研究生医学教育学习者的知识和自主产科程序技能的舒适性方面的实用性.
- 评估SBML对获得关键产科技能的影响.
主要方法:
- 进行了前性队列研究,涉及11名研究生医学教育学习者.
- 学习者参加了DELIVER SBML课程,其中包括膜破裂培训,宫检查,胎儿头皮电极 (FSE) 放置和子宫内压力导管 (IUPC) 放置.
- 通过书面测试来评估知识,并使用SBML课程之前和之后的5分利克特级别来衡量独立表现的舒适度.
主要成果:
- 所有11名学习者都成功完成了课程,并证明了他们对有针对性的产科手术的熟练程度.
- 书面知识评估得分显示SBML前后没有统计学上显著的差异 (中位数为9/10,p=0.102).
- 学习者报告说,在独立执行产科程序技能时,舒适度显著增加 (SBML前的中位数:1/5强烈不同意;SBML后:4/5同意,p=0.014).
结论:
- 德利弗SBML课程显著提高了研究生医学学习者对独立产科程序技能的准备和舒适感.
- 虽然SBML没有显著改善书面知识评估成绩,但它对学习者自我报告的信心产生了积极的影响.
- 在安全的模拟环境中,SBML是一种有价值的教育策略,可以培养对基本产科程序的能力和信心.
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