医学模拟教育

医学模拟教育现状与未来发展

  • 张媛媛 ,
  • 刘婧 ,
  • 文张 ,
  • 姜冠潮
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  • 1北京大学人民医院全科医学科(综合内科),北京 100044;
    2北京大学人民医院教育处,北京 100044;
    3北京大学人民医院胸外科,北京 100044
姜冠潮,北京大学人民医院胸外科教授,主任医师,博士研究生导师。教育部临床医学实践教学指导分委员会委员,中华医学会医学教育分会委员,中国医师协会毕业后医学模拟教育专家委员会委员兼总干事,中国医药教育协会医学模拟教育专委会常务副主任委员。多年来致力于医学模拟教育,承担国家自然基金、北京市自然基金等4项科研基金,在国内外专业期刊发表论著80余篇,执笔《医学模拟中心建设标准专家共识(2017)》,《住院医师规范化培训基地临床技能培训中心工作指南(2023)》,主编国家卫生健康委员会“十三五”住院医师规范化培训规划教材《模拟医学》,2013年获得国家科技成果二等奖,2014年获得国家教学成果一等奖。

收稿日期: 2025-02-11

  网络出版日期: 2025-03-31

基金资助

2023年北京大学“教学新思路 2.0”项目(2023YB04);2023年北京大学人民医院研究与发展基金(RDE2023-01)

Current status and future development of simulation-based medical education

  • Zhang Yuanyuan ,
  • Liu Jing ,
  • Wen Zhang ,
  • Jiang Guanchao
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  • 1 Department of General Practice (General Internal Medicine), Peking University People's Hospital, Beijing 100044, China;
    2 Education Department, Peking University People's Hospital, Beijing 100044, China;
    3 Department of Thoracic Surgery, Peking University People's Hospital, Beijing 100044, China

Received date: 2025-02-11

  Online published: 2025-03-31

Supported by

Project "New Teaching Ideas 2.0" of Peking University in 2023 (2023YB04); Peking University People's Hospital Research and Development Fund in 2023 (RDE2023-01)

摘要

在医学教育发展进程中,传统教学模式培养医学生实践能力存在局限,医学模拟教育应运而生。本文系统阐述了医学模拟教育的发展现状,涵盖主要形式、应用现状、教育效果和未来发展方向。模拟教育形式多样,已经覆盖医学教育全程及各个学科,在临床实践、考核认证中发挥了关键作用,能够有效提升各类技能、医疗质量和患者安全,但仍存在资源分布不均和专科技能培训覆盖率不足等问题。未来,医学模拟教育将朝着新技术应用、教师培养与课程开发、培训方式多样化整合以及构建优化评价体系等方向发展,以深化与传统实践融合,构建以胜任力为核心的全周期培养体系,服务健康中国战略。

本文引用格式

张媛媛 , 刘婧 , 文张 , 姜冠潮 . 医学模拟教育现状与未来发展[J]. 中华医学教育杂志, 2025 , 45(4) : 241 -246 . DOI: 10.3760/cma.j.cn115259-20250211-00137

Abstract

In the development process of medical education, the traditional teaching model has limitations in cultivating the practical abilities of medical students, and simulation-based medical education (SBME) has emerged as the times require. This article systematically expounds on the development status of SBME, covering its main forms, application status, educational effects, and future development directions. SBME has diverse forms, covering the entire medical education process and various disciplines. It plays a crucial role in clinical practice and assessment certification, and can effectively improve various skills, medical quality, and patient safety. However, there are still problems such as uneven distribution of resources and insufficient coverage of specialized skills training. In the future, SBME will develop in the directions of new technology application, teacher training and curriculum development, diversified integration of training methods, and the construction and optimization of the evaluation system, so as to deepen the integration with traditional practices, build a full-cycle training system with ″competence as the core″, and serve the ″Healthy China″ strategy.

参考文献

[1] Walsh C, Lydon S, Byrne D, et al. The 100 most cited articles on healthcare simulation: a bibliometric review[J]. Simul Healthc, 2018,13(3):211-220. DOI: 10.1097/SIH.0000000000000293.
[2] Diaz-Navarro C, Armstrong R, Charnetski M, et al. Global consensus statement on simulation-based practice in healthcare[J]. Adv Simul (Lond), 2024,9(1):19. DOI: 10.1186/s41077-024-00288-1.
[3] 刘婧, 姜冠潮, 柳琪林. 我国住院医师规范化培训基地医学模拟中心现状调查与分析[J]. 中华医学教育杂志,2022,42(4):362-366. DOI: 10.3760/cma.j.cn115259-20210817-01039.
[4] 中国医师协会毕业后医学模拟教育专家委员会, 中国医药教育协会医学模拟教育专业委员会. 医学模拟中心建设标准专家共识(2017)[J]. 中华医学教育杂志,2017,37(6):803-807. DOI: 10.3760/cma.j.issn.1673-677X.2017.06.002.
[5] 中国医师协会. 住院医师规范化培训基地临床技能培训中心工作指南(2023年版)[EB/OL]. (2023-04-10)[2024-11-19]. https://www.pkufh.com/Html/News/Articles/52641.html.
[6] Motola I, Devine LA, Chung HS, et al. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82[J]. Med Teach, 2013,35(10):e1511-1530. DOI: 10.3109/0142159X.2013.818632.
[7] McGaghie WC, Barsuk JH, Wayne DB. AM last page: mastery learning with deliberate practice in medical education[J]. Acad Med, 2015,90(11):1575. DOI: 10.1097/ACM.0000000000000876.
[8] Wayne DB, Didwania A, Feinglass J, et al. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study[J]. Chest, 2008,133(1):56-61. DOI: 10.1378/chest.07-0131.
[9] Barsuk JH, McGaghie WC, Cohen ER, et al. Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit[J]. J Hosp Med, 2009, 4(7):397-403. DOI: 10.1002/jhm.468.
[10] 张媛媛, 姜冠潮, 韩一哲, 等. 外科住院医师利用动物离体器官训练手术技能的方法与效果观察[J]. 中国毕业后医学教育,2023,7(1):39-43. DOI: 10.3969/j.issn.2096-4293.2023.01.008.
[11] Aloosh M, Noureldin YA, Andonian S. Transfer of flexible ureteroscopic stone-extraction skill from a virtual reality simulator to the operating theatre: a pilot study[J]. J Endourol, 2016,30(10):1120-1125. DOI: 10.1089/end.2016.0365.
[12] 崔蕾, 韩岩, 王昱婷, 等. 基于临床真实场景的新型显微外科模拟训练平台的初步教学应用效果[J]. 中华整形外科杂志,2024,40(3):318-324. DOI: 10.3760/cma.j.cn114453-20230830-00037.
[13] Cheng A, Lang TR, Starr SR, et al. Technology-enhanced simulation and pediatric education: a meta-analysis[J]. Pediatrics, 2014,133(5):e1313-1323. DOI: 10.1542/peds.2013-2139.
[14] 徐怡琼, 严俊, 陶磊, 等. 情景模拟在住院医师气道管理培训中的作用[J]. 中华全科医学,2020,18(10):1741-1745. DOI: 10.16766/j.cnki.issn.1674-4152.001608.
[15] Shi Y, Miao S, Fu Y, et al. TeamSTEPPS improves patient safety[J]. BMJ Open Qual, 2024,13(2):e002669. DOI: 10.1136/bmjoq-2023-002669.
[16] Draycott TJ, Crofts JF, Ash JP, et al. Improving neonatal outcome through practical shoulder dystocia training[J]. Obstet Gynecol, 2008,112(1):14-20. DOI: 10.1097/AOG.0b013e31817bbc61.
[17] Zendejas B, Jakub JW, Terando AM, et al. Laparoscopic skill assessment of practicing surgeons prior to enrollment in a surgical trial of a new laparoscopic procedure[J]. Surg Endosc, 2017,31(8):3313-3319. DOI: 10.1007/s00464-016-5364-1.
[18] 沈鹏, 安友仲, 吕杰, 等. 重症超声5G远程互动线上培训与传统线下培训方式的比较研究[J]. 中华医学教育杂志,2024,44(3):195-198. DOI: 10.3760/cma.j.cn115259-20230315-00263.
[19] 宋雨晴, 张婷, 陈红. 跨专业教育在医学本科教育中的实践与效果[J]. 中华医学教育杂志,2018,38(4):499-502. DOI: 10.3760/cma.j.issn.1673-677X.2018.04.005.
[20] 陈军, 乔松, 徐芬, 等. 两种医护团队临床急救综合能力模拟培训方法的对比研究[J]. 中华医学教育杂志,2023,43(6):463-466. DOI: 10.3760/cma.j.cn115259-20220720-00918.
[21] Calhoun AW, Cook DA, Genova G, et al. Educational and patient care impacts of in situ simulation in healthcare: a systematic review[J]. Simul Healthc, 2024,19(1S):S23-S31. DOI: 10.1097/SIH.0000000000000773.
[22] Turner L, Hashimoto DA, Vasisht S, et al. Demystifying AI: current state and future role in medical education assessment[J]. Acad Med, 2024,99(4S Suppl 1):S42-S47. DOI: 10.1097/ACM.0000000000005598.
[23] 王敏,胡兆,徐晓巍,等.融合知识驱动和数据驱动的混合决策模型构建:以室性心动过速病因诊断为例[J/OL]. 协和医学杂志,1-11[2025-03-04]. http://kns.cnki.net/kcms/detail/11.5882.R.20241120.1710.002.html.
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