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[麻醉与重症监护中的高保真模拟:实施中心的背景与观点——法国麻醉医师和重症监护医师学院的一项调查]

[High fidelity simulation in Anesthesia and Intensive Care: context and opinion of performing centres--a survey by the French College of Anesthesiologists and Intensivists].

作者信息

Beydon L, Dureuil B, Nathan N, Piriou V, Steib A

机构信息

Commission formation initiale du Cfar, pôle d'anesthésie réanimation, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 09, France.

出版信息

Ann Fr Anesth Reanim. 2010 Nov;29(11):782-6. doi: 10.1016/j.annfar.2010.08.013. Epub 2010 Oct 8.

Abstract

OBJECTIVES

High fidelity simulation is rapidly expanding in France. The question of knowing how to accredit this new mode of continuous education and how far it is available for this purpose is pending. The purpose of this survey was to collect how active centres operate and which criteria they would prefer to accredit this form of continuing medical education.

STUDY DESIGN

National survey.

METHODS

A questionnaire was sent to all centres using high fidelity simulation in France (December 2009).

RESULTS

Eighteen of 21 centres answered (86%; all university hospitals). These centres are equipped with adult high fidelity simulation and procedural heads for intubation. Funding is achieved via multiple sources and one third of centres benefit from manufacturers' lending. Centres are mostly located within the university premises (70%). One or more staff practitioners are involved in 78% and the majority of centres are operated by more than three. Nurse anaesthetists are not involved in most centres. Operating procedures are similar and high fidelity simulation is mostly used for in-site resident training. At present, centres are only marginally able to train non-resident senior anaesthesiologists. Sessions extend over one day (72%). The majority of centres is prone to share scenarios (75%) and pedagogic aids (93%). Basic scenarios (e.g., cardiopulmonary resuscitation) are mainstream objectives for 85% of centres.

CONCLUSION

high fidelity simulation is rapidly expending in France but its ability to contribute to continuous medical education is still limited to date.

摘要

目的

高保真模拟在法国正迅速发展。如何认可这种新的继续教育模式以及在多大程度上可用于此目的的问题尚未解决。本次调查的目的是收集活跃中心的运作方式以及他们更倾向于认可这种继续医学教育形式的标准。

研究设计

全国性调查。

方法

向法国所有使用高保真模拟的中心发送了一份问卷(2009年12月)。

结果

21个中心中有18个做出了回应(86%;均为大学医院)。这些中心配备了成人高保真模拟设备和用于插管的操作头。资金来源多样,三分之一的中心受益于制造商的出借。中心大多位于大学校园内(70%)。78%的中心有一名或多名工作人员参与,大多数中心由三人以上运营。大多数中心没有护士麻醉师参与。操作程序相似,高保真模拟主要用于现场住院医师培训。目前,中心仅能勉强培训非住院的高级麻醉医师。课程持续一天(72%)。大多数中心倾向于共享场景(75%)和教学辅助工具(93%)。基本场景(如心肺复苏)是85%的中心的主流目标。

结论

高保真模拟在法国迅速发展,但迄今为止其对继续医学教育的贡献能力仍然有限。

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