Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, 5 Emerson Place, Boston, MA 02114, USA.
CJEM. 2010 Jul;12(4):349-53. doi: 10.1017/s1481803500012458.
The integration of simulation into a medical postgraduate curriculum requires informed implementation in ways that take advantage of simulation's unique ability to facilitate guided application of new knowledge. It requires review of all objectives of the training program to ensure that each of these is mapped to the best possible learning method. To take maximum advantage of the training enhancements made possible by medical simulation, it must be integrated into the learning environment, not simply added on. This requires extensive reorganization of the resident didactic schedule. Simulation planning is supported by clear learning objectives that define the goals of the session, promote learner investment in active participation and allow for structured feedback for individual growth. Teaching to specific objectives using simulation requires an increased time commitment from teaching faculty and careful logistical planning to facilitate flow of learners through a series of simulations in ways that maximize learning. When applied appropriately, simulation offers a unique opportunity for learners to acquire and apply new knowledge under direct supervision in ways that complement the rest of the educational curriculum. In addition, simulation can improve the learning environment and morale of residents, provide additional methods of resident evaluation, and facilitate the introduction of new technologies and procedures into the clinical environment.
将模拟融入医学研究生课程需要以明智的方式实施，充分利用模拟独特的能力，以促进新知识的引导应用。这需要审查培训计划的所有目标，以确保每个目标都映射到最佳的学习方法上。为了充分利用医学模拟带来的培训增强效果，必须将其融入学习环境，而不仅仅是添加进去。这需要对住院医师的理论课程进行广泛的重新组织。模拟规划以明确的学习目标为支撑，这些目标定义了课程的目标，促进学习者积极参与，并为个人成长提供结构化的反馈。使用模拟进行有针对性的教学需要教学人员投入更多的时间，并进行精心的后勤规划，以促进学习者在一系列模拟中流畅地进行，从而最大限度地提高学习效果。当适当地应用时，模拟为学习者提供了一个独特的机会，使他们能够在直接监督下获得和应用新知识，从而补充教育课程的其他部分。此外，模拟可以改善住院医师的学习环境和士气，提供额外的住院医师评估方法，并促进新技术和程序在临床环境中的引入。
