中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (4): 252-256.DOI: 10.3760/cma.j.cn115259-20240907-00933

• 医学模拟教育 • 上一篇    下一篇

我国临床情境模拟教学的主要问题与思考

王佳玉1, 林健2, 钱逸维3, 史霆1   

  1. 1上海交通大学医学院附属瑞金医院医学教育处,上海 200025;
    2上海交通大学医学院附属第一人民医院临床实训中心,上海 201620;
    3上海交通大学医学院附属瑞金医院神经内科,上海 200025
  • 收稿日期:2024-09-07 出版日期:2025-04-01 发布日期:2025-03-31
  • 通讯作者: 史霆, Email: sting122@msn.com
  • 基金资助:
    国家重点研发计划(2022YFF1202600)

A comprehensive review on scenario-based simulation in clinical practice-based education in China

Wang Jiayu1, Lin Jian2, Qian Yiwei3, Shi Ting1   

  1. 1 Department of Medical Education, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
    2 Clinical Skills Training Center of Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China;
    3 Department of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2024-09-07 Online:2025-04-01 Published:2025-03-31
  • Contact: Shi Ting, Email: sting122@msn.com
  • Supported by:
    National Key Research and Development Program of China (2022YFF1202600)

摘要: 临床情境模拟教学是培养医务工作者临床胜任力的重要教学方法。为了提高医学教育工作者对临床情境模拟教学的认知、通过开设临床情境模拟课程提高教学效果,本文回顾医学情境模拟的相关重要文献,梳理了情境模拟教学的内涵与应用现状,发现我国医学模拟中心目前普遍存在模拟运作专员稀缺、教师胜任力不足、学习者认知程度低等问题。建议加强师资队伍建设、提高学习者知晓度、推进情境模拟的标准化和课程的制度化建设,以此推动国内医学情境模拟教学的发展,提高临床实践教育的质量和效果。

关键词: 临床医学, 情境模拟, 临床胜任力, 教学方法, 问题, 思考

Abstract: Clinical scenario-based simulation is a critical instructional method for cultivaing the clinical competence of healthcare practitioners. In order to enhance the understanding of clinical scenario-based simulation among medical educators and to achieve teaching effectiveness through the implementation of clinical scenario-based simulation, this article reviewed key literature on scenario-based simulation in healthcare education, delineated the essence and current application status of this method and revealed prevalent challenges within China's healthcare simulation centers, including a shortage of simulation operation specialists, limited teacher competence, and low learner awareness. To address these issues, the article proposes strengthening faculty development, increasing learner engagement, and advancing the standardization and institutionalization of scenario-based simulation curricula. These suggestions are intended to foster the advancement of scenario-based simulation in medical education and to elevate the caliber and effectiveness of clinical practice-based education in China.

Key words: Clinical medicine, Scenario-based simulation, Clinical competence, Teaching method, Issues, Reflections

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