Application of in situ simulation in comprehensive first aid skills training for emergency standardized training residents

doi:10.3760/cma.j.cn115259-20250412-00412

Abstract

Abstract: Objective To study application of in situ simulation(ISS) in comprehensive first aid skills training for emergency standardized training residents. Methods This study adopted an experimental control method. A total of 67 residency trainees who rotated through the Emergency Department of Xuanwu Hospital, Capital Medical University, from September 2023 to September 2024 were enrolled. They were randomly divided into an experimental group (n=34) and a control group (n=33). The experimental group received training through ISS using a SimMan 3G manikin, whereas the control group was trained in the medical simulation center using the same manikin but through off-site simulation. After training, assessments were conducted using high-fidelity physiologically driven manikins to compare the rescue success time and rescue success rate between the two groups. Non-technical skills of trainees in both groups were assessed, and scores in four areas, including task management, were compared. Questionnaires were distributed to compare self-evaluations of learning interest and competency. Data were analyzed using independent samples t-tests, χ² tests, etc. Results The rescue success time of the experimental group was shorter than that of the control group [(7.92±0.86) minutes vs. (8.43±0.78) minutes], and the rescue success rate was higher than that of the control group [(91.18%) vs. (72.73%)]. The non-technical skill scores for task management and situational awareness in the experimental group were higher than those in the control group [(14.54±3.65) vs. (12.36±3.54) and (9.86±1.63) vs. (8.83±1.74), respectively]. Questionnaire results showed that self-evaluation scores for learning interest and competency were higher in the experimental group than in the control group [(4.44±0.66) vs. (4.00±0.79) and (4.32±0.68) vs. (3.85±0.79), respectively]. All the above differences were statistically significant (all P<0.05). Conclusions The application of ISS in comprehensive emergency skill training for residency trainees helps improve rescue success rates, enhances non-technical skills such as task management and situational awareness, and promotes the development of their competency.

Key words: Emergency medicine, In situ simulation, Standardized residency training, Non-technical skills, Competency

CLC Number:

R-05
R192.3

Guo Yawei, Zhu Dandan, Han Yingna, Liu Zhi, Wang Changyuan. Application of in situ simulation in comprehensive first aid skills training for emergency standardized training residents[J]. Chinese Journal of Medical Education, 2026, 46(4): 264-268.

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