Ortiz Nerian, Pedrogo Yasmin, Bonet Nydia
University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
Clin Teach. 2011 Jun;8(2):105-8. doi: 10.1111/j.1743-498X.2011.00438.x.
Simulation in medicine is a useful tool for assessing clinical competencies. The liaison committee on medical education expects students to have simulation experiences in the curriculum. The integration of simulators has been encouraged for clinical clerkships. The use of the human simulator in a safe environment should result in enhanced teamworking, communication and critical thinking skills.
During the academic year 2007-08, a formative activity using the simulator was implemented in the paediatrics clerkship. The objectives included exposing students to an emergent general paediatric medical scenario using the human simulator. It was imperative that students would adequately go through the critical thinking process.
The paediatrics clerkship has incorporated a formative activity using the high-fidelity simulator. A faculty member debriefed the students, and feedback was offered. A total of 124 students participated in the activity. Ninety-eight percent agreed that the use of the simulator in a scenario such as the one presented allowed for a better understanding of the clinical issues studied in the clerkship. More than 85 percent of the students recommended the integration of the simulator in other major clinical clerkships. Performance in the objective structured clinical exam (OSCE) at the end of the clerkship has improved after the implementation of this formative activity.
The use of the high-fidelity simulator during the paediatrics clerkship has been identified as an excellent teaching tool. This formative activity has been deemed successful by the students, who feel that it serves as an extra tool to strengthen learned concepts and skills.
医学模拟是评估临床能力的有用工具。医学教育联络委员会期望学生在课程中有模拟体验。临床实习中鼓励整合模拟器。在安全环境中使用人体模拟器应能提高团队协作、沟通和批判性思维能力。
在2007 - 2008学年，儿科实习中开展了一项使用模拟器的形成性活动。目标包括让学生通过人体模拟器接触一般儿科急症医疗场景。学生充分经历批判性思维过程至关重要。
儿科实习纳入了一项使用高保真模拟器的形成性活动。一名教员对学生进行了总结汇报并提供了反馈。共有124名学生参与了该活动。98%的学生认为在类似所呈现的场景中使用模拟器有助于更好地理解实习中所学的临床问题。超过85%的学生建议在其他主要临床实习中整合模拟器。在开展这项形成性活动后，实习结束时的客观结构化临床考试（OSCE）成绩有所提高。
在儿科实习中使用高保真模拟器已被视为一种优秀的教学工具。这项形成性活动被学生认为是成功的，他们觉得它是强化所学概念和技能的额外工具。
