为探索医疗机构院内情境模拟教师培训模式,上海交通大学医学院附属瑞金医院自2022年起开展了基于体验学习的院内情境模拟教师培训。本研究概述了该教师培训的设计和实施,并对其效果进行评估。首期院内教师培训中的26位受训教师均已参与情境模拟教学实践,组成4个情境模拟教师团队小组,其中有23位(88.5%)教师担任1次及以上主讲教师;26位(100.0%)教师认为培训内容可以帮助其完善情境模拟的知识结构;25位(96.2%)教师表示培训内容可以激发其进一步主动探索情境模拟相关知识;25位(96.2%)教师认可该培训过程中各阶段的培训形式;26位(100.0%)教师认为该培训对其今后教学工作有所帮助。受训教师访谈结果显示,院内情境模拟教师培训的设计和实施需要遵循体验学习循环;转变教学思维是新手教师能够掌握情境模拟教学方法的关键因素。基于体验学习理论的院内教师培训有助于新手教师掌握情境模拟教学,实现自身教学思维的反思和转变。本研究可以为医疗机构发挥核心教师作用、开展有效的情境模拟教师培训提供参考。

In order to explore a promotable and effective train-the-trainer program conducted by core simulation faculty within the hospital, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine has organized and implemented an in-hospital train-the-trainer program for simulation faculty based on experiential learning since 2022. This study introduces the design and implementation of the train-the-trainer program and investigates its effectiveness. All 26 trainees have participated in teaching practice, four teaching teams formed, and 23(88.5%) of the 26 trainees have served as debriefers once or more. The results of the questionnaire showed that out of 26 trainees, 26(100.0%) trainees believed the training could improve their knowledge structure for scenario-based simulation, 25(96.2%) trainees believed that the training can stimulate them to actively explore relevant knowledge in scenario-based simulation, 25(96.2%) trainees recognized the training method at each stage, 26(100.0%) trainees believed that the training will be helpful for their future teaching practice. Focus group interviews were conducted with trainees, and the results showed that the design and implementation of such programs need to follow the learning cycle, and transforming teaching thinking patterns is the fundamental factor for novice simulation faculty to master the teaching method of scenario-based simulation. It can be seen that train-the-trainer program that conforms to the experiential learning theory helps novice teachers master the teaching method of scenario-based simulation, and achieving self-reflection and transformation of their own teaching thinking patterns. This study can inform medical institutions in China to play the role of core simulation faculty and carry out effective train-the-trainer program for simulation faculty.