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在基于模拟的外科培训中使用故意实践,用于开放的一般和小专业手术:系统性审查
Dakshitha Praneeth Wickramasinghe1, Jonathan Vincent
1From the Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka (D.P.W.); and Department of Educational Research, Lancaster University, Lancaster, LA1 4YW, United Kingdom (D.P.W., J.V.).
概括
基于模拟的外科培训 (SBST) 通过整合故意实践 (DP) 元素来提高外科技能. 虽然在研究中有效,但不一致的DP实施强调了在外科教育中加强教学设计的必要性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 技能获取 技能获得 技能获取
背景情况:
- 基于模拟的外科培训 (SBST) 为开发外科技能提供了一个安全的环境.
- 蓄意实践 (DP) 的原则可以提高SBST的有效性.
研究的目的:
- 系统地审查DP元素在SBST中的应用,用于开放的普通和小专科手术.
- 评估DP告知SBST在改善外科技能的有效性.
主要方法:
- 对22项专注于开放外科手术程序的研究进行了系统审查.
- 分析DP元素集成 (反,重复,动机,任务设计) 和基克帕特里克级别的评估.
主要成果:
- 大多数研究都包含了反和重复,但缺乏结构化的动机和任务设计.
- 经过DP告知的SBST通常会提高外科手术技能,基克帕特里克1级和2级评估是最常见的.
- 使用的DP元素与学习成果之间的相关性不一致.
结论:
- 根据DP信息的SBST增强了在开放外科手术中获得技能.
- 在DP实施的变化阻碍了跨研究的直接比较.
- 改进与DP原则一致的教学设计对于持续的培训质量至关重要.
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