美国匹兹堡大学重症医学情景模拟教学体系的设置具有培训对象广泛、技术与情景紧密结合、教学师资专业、课程制作规范、内容多样化等特点。该教学体系注重以培训对象为主导、激发学生的主动性,关注危机情景处理,增加临床实用性,非常值得我国重症医学教学借鉴。我国重症医学情景模拟教学存在课程建设不标准、内容单调、受众不广、学生参与度低等问题,可以从发挥临床模拟中心主导作用、强化教师队伍、建立标准化课程、增加课程的多样性和真实性、调动学生积极性等方面进行改进。

The setting up of the scenario simulation teaching system of critical care medicine of the University of Pittsburgh has the characteristics of wide teaching objects,close integration of technology and context,professional teaching staff,rich curriculum and regulations,and high participation of training participants.This simulation teaching system pays great attention to the training object as the leading,stimulating the initiative of the students,paying attention to the crisis situation management and increasing the clinical practicability,which is worthy of reference for the teaching of Chinese critical care medicine.There are some problems in the simulation teaching of critical care medicine in our country,such as non-standard curriculum construction,monotonous content,not wide training participants and low participation of students.We can improve it by giving full play to the leading role of simulation center,strengthening the teaching group,establishing standardized courses,increasing the diversity and authenticity of courses,and arousing the enthusiasm of students.