Objective To explore the application value of virtual simulation in the teaching of mechanical ventilation in non-critical-medicine residents. Methods Adopting experimental control methods. Ninty-five non-critical-medicine residents rotating in intensive care unit for 2 months from October, 2021 to December, 2022 were enrolled and randomly divided by random number table method into experimental group (47) and control group (48). Residents in the experimental group received 6 hours of traditional mechanical ventilation teaching and 4 hours of virtual simulation teaching, while the residents in the control group received 12 hours of traditional mechanical ventilation teaching. The teaching effect was evaluated through the results of knowledge test, skill examination and questionnaire survey. T-test was used for comparison between groups. Results The knowledge test score and skill examination score of the residents in the experimental group were higher than those in the control group [(84.94±10.04) vs. (68.73±14.36), (82.36±10.03) vs. (54.71±13.85)]; The results of the questionnaire survey revealed a high level of satisfaction with teaching methods among 97.9%(46/47) residents in the experimental group, compare with only 41.7%(20/48) residents in the control group; There were statistically significant differences between the two groups (all P<0.001). Conclusions Virtual simulation teaching is beneficial to improve the knowledge level, operational skills, and learning satisfaction of non-critical-medicine residents.
Lyu Shan
,
Zhao Huiying
,
Du Anqi
,
Yang Shuguang
,
An Youzhong
. The application of virtual simulation in the teaching of mechanical ventilation among non-critical-medicine residents[J]. Chinese Journal of Medical Education, 2024
, 44(3)
: 222
-226
.
DOI: 10.3760/cma.j.cn115259-20230322-00297
[1] Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome[J]. N Engl J Med, 1998,338(6):347-354. DOI: 10.1056/NEJM199802053380602.
[2] 王光杰, 赵慧颖, 曾庆奇, 等. 新型冠状病毒肺炎疫情下对重症医学住院医师规范化培训的思考[J].中华医学教育杂志,2021,41(5):385-389. DOI: 10.3760/cma.j.cn115259-20200723-01107.
[3] Rodríguez-Llamazares S, Arroyo-Hernández LJ, Hernández-Cárdenas CM. Mechanical ventilation education for all: call for action[J]. Chest, 2021,159(1):38-39. DOI: 10.1016/j.chest.2020.09.091.
[4] Wilcox SR, Seigel TA, Strout TD, et al. Emergency medicine residents' knowledge of mechanical ventilation[J]. J Emerg Med, 2015,48(4):481-491. DOI: 10.1016/j.jemermed.2014.09.059.
[5] Issenberg SB, McGaghie WC, Hart IR, et al. Simulation technology for health care professional skills training and assessment[J]. JAMA, 1999,282(9):861-866. DOI: 10.1001/jama.282.9.861.
[6] 汪洁英,李雪玲,陈水云,等. 虚拟仿真实验教学对医学生学习效果的影响研究[J]. 中华医学教育杂志,2023,43(3):203-207.DOI:10.3760/cma.j.cn115259-20220623-00817.
[7] Rosenthal ME, Adachi M, Ribaudo V, et al. Achieving housestaff competence in emergency airway management using scenario based simulation training: comparison of attending vs housestaff trainers[J]. Chest,2006 ,129(6):1453-1458. DOI: 10.1378/chest.129.6.1453.
[8] Blum MG, Powers TW, Sundaresan S. Bronchoscopy simulator effectively prepares junior residents to competently perform basic clinical bronchoscopy[J]. Ann Thorac Surg,2004,78(1):287-291. DOI: 10.1016/j.athoracsur.2003.11.058.
[9] Smith CC, Huang GC, Newman LR,et al. Simulation training and its effect on long-term resident performance in central venous catheterization[J]. Simul Healthc,2010,5(3):146-151. DOI: 10.1097/SIH.0b013e3181dd9672.
[10] Yee J,Fuenning C, George R, et al. Mechanical ventilation boot camp: a simulation-based pilot study[J]. Crit Care Res Pract, 2016, 2016(1):1-7. DOI: 10.1155/2016/4670672.
[11] 赵慧颖, 梁书静, 杜安琪, 等. 以情景病例为基础的模拟教学在住院医师机械通气培训中的应用[J].中华医学教育杂志,2019,39(11):860-863. DOI: 10.3760/cma.j.issn.1673-677X.2019.11.014.
[12] Schroedl CJ, Frogameni A, Barsuk JH, et al. Impact of simulation-based mastery learning on resident skill managing mechanical ventilators[J]. ATS Sch, 2020,2(1):34-48. DOI: 10.34197/ats-scholar.2020-0023OC.
[13] Clara JS, Thomas CC, Elaine RC, et al. Use of simulation-based education to improve resident learning and patient care in the medical intensive care unit: a randomized trial[J]. J Crit Care, 2012,27(2):7-13. DOI: 10.1016/j.jcrc.2011.08.006.
