Objective To evaluate the effectiveness and satisfaction of scenario cases based simulation teaching in the training of mechanical ventilation.Methods The scenario cases and simulation courses based on constructionism were developed in the residents.Eighty-six residents who rotated to intensive care unit from January 2016 to May 2018 were randomized to experimental group and control group.Forty-three experimental group residents were trained using scenario cases based simulation teaching,and the other forty-three control group residents were trained using traditional teaching.Theory and operation assessment were compared between two groups before and after training.Training satisfaction was also compared between two groups after rotation in the department of Critical Care Medicine.Results Total test score of post-training was significantly higher than that of pre-training in all the residents (80.5±8.3 vs 53.0±5.3,P<0.01).After training,total test score was significantly higher in the experimental group than control group (87.1± 5.8 vs 73.8± 4.1,P<0.01).Training satisfaction was also significantly higher in the experimental group than that in control group (44.5± 1.9 vs 32.9± 2.7,P<0.01).Conclusions The application of scenario cases based simulation teaching in mechanical ventilation training had achieved good results and high satisfaction.
Zhao Huiying
,
Liang Shujing
,
Du Anqi
,
Lyu Shan
,
Zhu Fengxue
,
Jiang Guanchao
,
An Youzhong
. The application of scenario cases based simulation teaching of mechanical ventilation in the residents[J]. Chinese Journal of Medical Education, 2019
, 39(11)
: 860
-863
.
DOI: 10.3760/cma.j.issn.1673-677X.2019.11.014
[1] 中国医师协会毕业后医学模拟教育专家委员会,中国医药教育协会医学模拟教育专业委员会.医学模拟中心建设标准专家共识(2017)[J].中华医学教育杂志,2017,37(6):803-807.DOI:10.3760/cma.j.issn.1673-677X.2017.06.002.
[2] 梁书静,姜冠潮,张斯琴,等.八年制临床医学专业学生模拟教学效果探析[J].中华医学教育杂志,2016,36(4):555-558.DOI:10.3760/cma.j.issn.1673-677X.2016.04.019.
[3] Barsuk JH,McGaghie WC,Cohen ER,et al.Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit[J].Crit Care Med,2009,37(10):2697-2701.
[4] 刘飞,么改琦,曾辉,等.生理驱动高仿真模拟培训技术在危重医学教学中的应用初探[J].中华医学教育杂志,2014,34(1):103-104.DOI:10.3760/cma.j.issn.1673-677X.2014.01.032.
[5] Schroedl CJ,Corbridge TC,Cohen ER,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):219.e7-13.DOI:10.1016/j.jcrc.2011.08.006.
[6] Spadaro S,Karbing DS,Fogagnolo A,et al.Simulation training for residents focused on mechanical ventilation:a randomized trial using mannequin-based versus computer-based simulation[J].Simul Healthc,2017,12(6):349-355.DOI:10.1097/SIH.0000000000000249.
[7] 康晓凤,郭爱敏,梁涛,等.情景模拟教学课程资源核查表的构建[J].中华医学教育杂志,2018,38(1):40-45.DOI:10.3760/cma.j.issn.1673-677X.2018.01.009.
[8] 高胜利,高淑红,刘丽霞,等.建构主义教学模式在医学教育中的适切性分析[J].中华医学教育杂志,2011,31(1):9-11.DOI:10.3760/cma.j.issn.1673-677X.2011.01.003.
