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[医学生在模拟训练方法上的性别差异]

[Gender differences among medical students in the approach to simulation].

作者信息

Konge Lars, Ali Amir, Sørensen Morten, Bitsch Mikael

机构信息

Center for Klinisk Uddannelse, Københavns Universitet og Region Hovedstaden, Denmark.

出版信息

Ugeskr Laeger. 2011 Dec 5;173(49):3170-3.

Abstract

INTRODUCTION

Simulation-based training is gaining ground as a replacement for the "apprenticeship" model of training. For this reason, it is useful to know if men and women have the same prerequisites and assumptions prior to training. The purpose of the study was to investigate whether male and female medical students performed differently whilst training in a bronchoscope simulator.

MATERIALS AND METHODS

At a medical conference in Copenhagen, 62 medical students took part in a simulator experiment (number of male students: 33, number of female students: 29). Data collection was obtained from the bronchoscope simulator. The participant's task was to identify and visualise as many orifices as possible during five minutes, without impinging on the mucous membranes.

RESULTS

The male participants visualised a significantly higher amount of segments (p = 0,045) than the female participants, however there were also significantly more incidences of impingement on nearby mucous membranes in the male group of students (p = 0,045). At Copenhagen Medical School, there are almost twice as many female students as male students. Thus, gender distribution among the participants in this study does not reflect the gender distribution at a Danish medical school. This implies that men's interest in simulation is higher than the one of women's, and the results suggest a gender difference in the approach to simulation based training.

CONCLUSION

Gender differences should be taken into consideration, when planning and organising medical education and assessment in simulation training.

摘要

引言

基于模拟的培训正在逐渐取代“学徒制”培训模式。因此,了解男性和女性在培训前是否具有相同的前提条件和假设是很有用的。本研究的目的是调查男女医学生在支气管镜模拟器培训中的表现是否存在差异。

材料与方法

在哥本哈根的一次医学会议上,62名医学生参加了模拟器实验(男学生人数:33人,女学生人数:29人)。数据收集自支气管镜模拟器。参与者的任务是在五分钟内识别并尽可能多地可视化孔口,同时不损伤黏膜。

结果

男性参与者可视化的节段数量显著高于女性参与者(p = 0.045),然而,男性学生组中对附近黏膜的损伤发生率也显著更高(p = 0.045)。在哥本哈根医学院,女学生人数几乎是男学生的两倍。因此,本研究参与者中的性别分布并不反映丹麦医学院的性别分布。这意味着男性对模拟的兴趣高于女性,结果表明在基于模拟的培训方法上存在性别差异。

结论

在规划和组织模拟培训中的医学教育和评估时,应考虑性别差异。

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