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.
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
.
DOI: 10.3760/cma.j.cn115259-20250412-00412
[1] 肖杨, 陈春, 陈明全, 等. 情景模拟教学在住院医师心肺复苏技能培训中的应用效果[J].中国毕业后医学教育,2024,8(7):522-525. DOI: 10.3969/j.issn.2096-4293.2024.07.010.
[2] Hallmark BF, Johnson BK. Creating an effective simulation environment[J]. Nurs Clin North Am, 2024,59(3):345-358. DOI: 10.1016/j.cnur.2024.02.003.
[3] 顾伟,张国强,谢苗荣.不断固化急救技术,持续提升急诊能力[J]. 中华急诊医学杂志,2025,34(2):133-136. DOI:10.3760/cma.j.issn.1671-0282.2025.02.002.
[4] 谢莉,魏昕,许敏,等. 原位模拟教学法在住培医师麻醉后监护室危机处理教学中的应用效果[J].广西医学,2023,45(14):1785-1788. DOI: 10.11675/j.issn.0253-4304.2023.14.26.
[5] 刘燕平,邢芫珍,王长远.原位模拟在急诊教学中的应用及实施策略[J].中国医学教育技术,2023,37(1):13-16,37. DOI:10.13566/j.cnki.cmet.cn61-1317/g4.202301003.
[6] 伦冰,杨晓宇,孙丹丹,等.助产专科护士原位模拟培训模式的构建及应用[J].护理学报,2023,30(19):24-27.DOI:10.16460/j.issn.1008-9969.2023.19.024.
[7] Mileder LP, Baik-Schneditz N, Pansy J, et al. Impact of in situ simulation training on quality of postnatal stabilization and resuscitation-a before-and-after, non-controlled quality improvement study[J]. Eur J Pediatr, 2024,183(11):4981-4990. DOI: 10.1007/s00431-024-05781-3.
[8] 张凡, 曾育辉, 梁秋玲, 等. 原位模拟实践培训法在急诊科综合急救培训中的应用效果[J].中国毕业后医学教育,2023,7(6):451-455. DOI: 10.3969/j.issn.2096-4293.2023.06.005.
[9] Botelho F, Gerk A, Harley JM, et al. Improving pediatric trauma education by teaching non-technical skills: a randomized controlled trial[J]. J Pediatr Surg, 2024,59(5):874-888. DOI: 10.1016/j.jpedsurg.2024.01.018.
[10] 葛炯杉,史迪,刘继海. 原位模拟在医学教育中应用的现状、方法与展望[J].中华医学教育杂志,2025,45(4):264-271. DOI: 10.3760/cma.j.cn115259-20250131-00107.
[11] Waters KM, Hwu R, Kulkarni M, et al. Use of in situ simulation to improve team performance and utilization of a rapid sequence intubation checklist[J]. AEM Educ Train, 2024,8(6):e11039. DOI: 10.1002/aet2.11039.
[12] 夏扬,张秀峰.原位模拟在住院医师临床技能培训中的应用[J].中国毕业后医学教育,2025,9(2):108-112. DOI: 10.3969/j.issn.2096-4293.2025.02.007.
[13] Levy N, Saeed S, Gbagornah PF, et al. Implementation of routine in situ simulation in residency curriculum targeting competency in technical and decision-making skills[J]. J Cardiothorac Vasc Anesth, 2024,38(10):2176-2183. DOI: 10.1053/j.jvca.2024.04.040.
[14] Grace MA, O′Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review[J]. Simul Healthc, 2024,19(4):243-253. DOI: 10.1097/SIH.0000000000000748.
[15] Bredmose PP, Hagemo J, Østergaard D, et al. Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept[J]. BMC Med Educ, 2021,21(1):579. DOI: 10.1186/s12909-021-03015-w.
