McLaughlin Steven A, Doezema David, Sklar David P
Department of Emergency Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
Acad Emerg Med. 2002 Nov;9(11):1310-8. doi: 10.1111/j.1553-2712.2002.tb01593.x.
The authors propose a three-year curriculum for emergency medicine residents using human simulation both to teach and to assess the Accreditation Council for Graduate Medical Education (ACGME) core competencies. Human simulation refers to a variety of technologies that allow residents to work through realistic patient problems so as to allow them to make mistakes, learn, and be evaluated without exposing a real patient to risk. This curriculum incorporates 15 simulated patient encounters with gradually increasing difficulty, complexity, and realism into a three-year emergency medicine residency. The core competencies are incorporated into each case, focusing on the areas of patient care, interpersonal skills and communication, professionalism, and practice based learning and improvement. Because of the limitations of current assessment tools, the demonstration of resident competence is used only for formative evaluations. Limitations of this proposal and difficulties in implementation are discussed, along with a description of the organization and initiation of the simulation program.
作者们提出了一个针对急诊医学住院医师的三年课程，利用人体模拟来教授和评估毕业后医学教育认证委员会（ACGME）的核心能力。人体模拟是指多种技术，使住院医师能够处理现实中的患者问题，从而让他们在不使真实患者面临风险的情况下犯错、学习并接受评估。该课程将15次模拟患者诊疗过程融入三年的急诊医学住院医师培训中，这些诊疗过程的难度、复杂性和逼真度逐渐增加。核心能力被纳入每个案例中，重点关注患者护理、人际技能与沟通、职业素养以及基于实践的学习与改进等领域。由于当前评估工具的局限性，住院医师能力的展示仅用于形成性评价。文中讨论了该提议的局限性和实施中的困难，同时描述了模拟项目的组织和启动情况。
