Objective To evaluate the effect of crisis resource management (CRM) combined with medical simulation teaching method in standardized training of obstetric residents.Methods Fifty obstetrics and gynecology trainees who received standardized training in the Department of Obstetrics of Jiaxing Maternity and Child Health Care Hospital from September 2018 to February 2019 were divided into experimental group and control group with stratified sampling.Each group contains 25 trainees.The experimental group adopted CRM simulation method,and the control group adopted traditional training method.The two groups of students were assessed for their theoretical knowledge and comprehensive clinical capacity respectively at the end of the training cycle.A self-designed questionnaire was used to investigate the course quality and self-cognition of students in the experimental group.Results In the clinical case analysis,the score of the experimental group (35.52±1.39) was higher than those in the control group (32.40±2.89),and the difference was statistically significant (t=4.87,P<0.01).The scores of clinical decision-making skills,humanistic care professionalism,overall organizational efficiency,and overall clinical abilityof the experimental group were (6.68±0.80),(6.64±0.81),(6.60±1.04) and (6.72±0.98),respectively.The corresponding scores of the control group were (5.96±0.94,)(6.00±0.91),(5.92±0.95)and (6.12±0.93),respectively,and the differences were statistically significant (all P<0.05).Conclusions CRM combined with simulation method can improve trainees' clinical capacity and non-medical competence(humanistic care,organization and coordination,teamwork and responsiveness )by setting appropriate curriculum.
Xu Ping
,
Yang Baicai
,
Feng Ying
,
Tao Yueping
,
Shen Huaxiang
. Application of crisis resource management combined with simulation teaching method in resident standardized training of obstetrics[J]. Chinese Journal of Medical Education, 2019
, 39(11)
: 864
-867
.
DOI: 10.3760/cma.j.issn.1673-677X.2019.11.015
[1] Helmreich RL,Merritt AC,Wilhelm JA.The evolution of crew resource management training in commercial aviation[J].Int J Aviat Psychol,1999,9(1):19-32.DOI:10.1207/s15327108ijap0901_2.
[2] Boet S,Bould MD,Fung L,et al.Transfer of learning and patient outcome in simulated crisis resource management:a systematic review[J].Can J Anaesth,2014,61(6):571-582.DOI:10.1007/s12630-014-0143-8.
[3] 国家卫生计生委办公厅关于印发住院医师规范化培训基地认定标准(试行)和住院医师规范化培训内容与标准(试行)的通知[J].国家卫生计生委公报,2014(9):25-65.