分段式模拟训练在创伤急救一体化基本技能培训中的应用
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摘要
目的探讨分段式模拟训练法在外科住院医师创伤急救一体化基本技能培训中的应用效果。方法选取中南大学湘雅二医院住院医师规范化培训外科第三年学员40人,学员通过理论学习和考试、技能摸底考核后进入技能模拟培训,培训分为基础生命支持、创伤救护、团队复苏、综合应用四段,通过相应分段考核后进入下一段培训,全部通过后获得结业证。对培训前调查、结业考核和学员反馈进行分析。结果培训前学员对基础生命支持掌握程度较高,对创伤救护掌握欠佳,而团队复苏和综合应用技能严重欠缺。培训后考核合格率高于摸底考核合格率,各段技能均得到明显提高。结论分段式模拟训练法能显著提高外科住院医师创伤急救一体化基本技能。
Objective To explore the effect of multistage simulated method in basic skills training for integrated emergency care of trauma in standardized resident training. Methods 40 surgical students of the third year trainees at the standardized resident training of the Second Xiangya Hospital of Central South University were selected. Before entering skills simulated training, they were required to pass theoretical study and exam and had pre-training baseline examination. The skills training involved four stages: basic life support, trauma care, resuscitation by team and integrated application. The students who passed the corresponding examination entered the next stage training. After passing all the examinations, the trainee would get the certificate. The pre-training survey, post-training examination and student feedback were analyzed. Results Pre-training students had a high degree of mastery of basic life support, poor mastery of trauma care, while resuscitation by team and integrated application skills were seriously deficient. The pass rate of post-training examination was significantly higher than that of baseline examination, and all the skills were significantly improved. Conclusion Multistage simulated training method can significantly improve the basic skills for integrated emergency care of trauma in standardized resident training.
Objective To explore the effect of multistage simulated method in basic skills training for integrated emergency care of trauma in standardized resident training. Methods 40 surgical students of the third year trainees at the standardized resident training of the Second Xiangya Hospital of Central South University were selected. Before entering skills simulated training, they were required to pass theoretical study and exam and had pre-training baseline examination. The skills training involved four stages: basic life support, trauma care, resuscitation by team and integrated application. The students who passed the corresponding examination entered the next stage training. After passing all the examinations, the trainee would get the certificate. The pre-training survey, post-training examination and student feedback were analyzed. Results Pre-training students had a high degree of mastery of basic life support, poor mastery of trauma care, while resuscitation by team and integrated application skills were seriously deficient. The pass rate of post-training examination was significantly higher than that of baseline examination, and all the skills were significantly improved. Conclusion Multistage simulated training method can significantly improve the basic skills for integrated emergency care of trauma in standardized resident training.
引文
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[13]马丽萍.临床模拟教学的真谛[J].医学教育研究与实践,2017,25(2):185-188.
[2]陆一鸣,许臻晔.一体化急诊创伤外科运作模式下急诊亚专科建设的实践与思考[J].临床急诊杂志,2016,17(4):249-252.
[3]李博,李莉,白冰,等.基于流程重组建立一体化创伤急救流程[J].中华急诊医学杂志,2015,24(1):105-107.
[4]李永宁,郭权,李晓楠,等.急诊创伤“一体化”救治教学模式在临床技能培训中的探讨[J].医学教育研究与实践,2017,25(2):291-293.
[5]蒲丹,韩英,周舟,等.医学模拟教学在临床技能培训中的作用与探讨[J].四川医学,2015,36(2):146-149.
[6]李景荣,张立新,李雪翔.医学模拟教学在急诊医学住院医师规范化培训中的应用[J].医学信息,2015,28(14):224.
[7]胡建华.急诊外科对创伤患者伤病情评估及抢救流程的应用研究[J].中国继续医学教育,2017,9(34):56-57.
[8]刘婧,姜冠潮,张斯琴,等.临床技能循环培训体系在外科学技能培训中的应用和效果[J].中国继续医学教育,2017,9(10):35-37.
[9]刘善收,赵威,李俊杰,等.基于战创伤模拟人的情景模拟教学法在卫勤训练中的应用[J].临床急诊杂志,2017,18(10):722-725.
[10]周宗庆,雷慧菁,方志仙.创伤急救情景演练在急救技能教学中的应用[J].浙江医学教育,2014,13(5):16-17,29.
[11]张卫华,刘涛,吴铭娟.全程情境模拟教学法在临床技能实训中的应用[J].中国医学教育技术,2016,30(1):72-75.
[12]江慧琳,叶显智,朱永城,等.团队模拟教学在急诊医学教学中的应用[J].现代医院,2015,15(8):135-136.
[13]马丽萍.临床模拟教学的真谛[J].医学教育研究与实践,2017,25(2):185-188.