Issenberg S Barry, Gordon Michael S, Greber A Alvin
Center for Research in Medical Education, University of Miami School of Medicine, PO Box 016960 (D-41), Miami, FL 33101, USA.
J Am Osteopath Assoc. 2003 Dec;103(12):603-7.
Medical practice changes that limit patient availability, instructor time, and advances in technology have led to a greater use of simulators and multimedia computers in medical education. These systems address the problem of inadequate bedside skills training and poor proficiency among all health care providers. While studies have shown their effectiveness among medical students, residents, and practicing physicians, none has focused on the osteopathic internist population--one that is becoming more responsible for conducting initial and follow-up physical examinations. This report describes the use of "Harvey," the cardiology patient simulator, and the UMedic Multimedia Computer System at a workshop conducted at the American College of Osteopathic Internists' 61st Annual Convention and Scientific Sessions. Participants in this study significantly improved their ability to identify common cardiac auscultatory events, as indicated by pretest-to-posttest scores. Workshop participants were nearly unanimous in their belief that they would like to use these tools for learning and assessment.
医学实践的变化限制了患者的可及性、教师的时间以及技术的进步，这导致在医学教育中更多地使用模拟器和多媒体计算机。这些系统解决了所有医疗保健人员床边技能培训不足和熟练程度差的问题。虽然研究表明它们在医学生、住院医师和执业医师中有效，但没有一项研究关注整骨内科医生群体——这个群体在进行初次和后续体格检查方面的责任越来越大。本报告描述了在美国整骨内科医生学会第61届年会和科学会议上举办的一个研讨会上使用心脏病患者模拟器“哈维”和UMedic多媒体计算机系统的情况。如前后测分数所示，本研究的参与者显著提高了识别常见心脏听诊事件的能力。研讨会参与者几乎一致认为他们希望使用这些工具进行学习和评估。
