模拟训练在妇产科实习中的应用：一项随机对照试验。
Simulation training in an obstetric clerkship: a randomized controlled trial.
机构信息
From the Division of General Obstetrics and Gynecology, the Office of Clinical Research, and the Division of Reproductive Endocrinology, University of South Florida, Tampa, Florida; and the Division of General Obstetrics and Gynecology, Indiana University, Bloomington, Indiana.
出版信息
Obstet Gynecol. 2011 Sep;118(3):649-654. doi: 10.1097/AOG.0b013e31822ad988.
OBJECTIVE
To estimate the effect of simulation training on the confidence of medical students to perform a vaginal delivery.
METHODS
Medical students on 12 consecutive rotations were recruited and randomly assigned to a traditional lecture on performing a vaginal delivery or a lecture plus hands-on vaginal delivery simulation. Participants completed confidence assessment questionnaires at baseline and 4 weeks after training. End-of-rotation examination scores were also compared.
RESULTS
One-hundred thirteen students participated (94.9% of those eligible). Students receiving simulation training were significantly more confident in their ability to perform a vaginal delivery immediately after assessment than students who did not receive the simulation training (P<.01); however, these differences narrowed over time. Compared with lecture-only students, simulation students scored significantly higher on their oral (P=.004) and written examinations (P=.009) 4 weeks after the intervention.
CONCLUSION
A single obstetric simulation is more effective than lecture only for increasing students' end-of-rotation oral and written examination scores.
LEVEL OF EVIDENCE
I.
目的
评估模拟训练对医学生行阴道分娩自信心的影响。
方法
连续招募了 12 个轮转的医学生，并将其随机分配至行阴道分娩传统讲座组或讲座加阴道分娩模拟实操组。参与者在基线和培训后 4 周完成信心评估问卷。比较期末轮转考试成绩。
结果
共有 113 名学生参与（符合条件的学生中 94.9%参与）。接受模拟训练的学生在评估后立即对自己行阴道分娩的能力明显更有信心，而未接受模拟训练的学生则不然（P<.01）；然而，这些差异随着时间的推移而缩小。与仅接受讲座的学生相比，模拟组学生在干预 4 周后，口头（P=.004）和书面考试（P=.009）的得分明显更高。
结论
单次产科模拟训练比仅讲座更能提高学生的期末口头和书面考试成绩。
证据水平
I。
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