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根据医疗事故案例设计的急诊医学计算机模拟培训。

Computer-based simulation training in emergency medicine designed in the light of malpractice cases.

作者信息

Karakuş Akan, Duran Latif, Yavuz Yücel, Altintop Levent, Calişkan Fatih

机构信息

Department of Medical Education, Ondokuz Mayis University Faculty of Medicine, Kurupelit, Samsun, Turkey.

出版信息

BMC Med Educ. 2014 Jul 27;14:155. doi: 10.1186/1472-6920-14-155.

Abstract

BACKGROUND

Using computer-based simulation systems in medical education is becoming more and more common. Although the benefits of practicing with these systems in medical education have been demonstrated, advantages of using computer-based simulation in emergency medicine education are less validated. The aim of the present study was to assess the success rates of final year medical students in doing emergency medical treatment and evaluating the effectiveness of computer-based simulation training in improving final year medical students' knowledge.

METHODS

Twenty four Students trained with computer-based simulation and completed at least 4 hours of simulation-based education between the dates Feb 1, 2010 - May 1, 2010. Also a control group (traditionally trained, n =24) was chosen. After the end of training, students completed an examination about 5 randomized medical simulation cases.

RESULTS

In 5 cases, an average of 3.9 correct medical approaches carried out by computer-based simulation trained students, an average of 2.8 correct medical approaches carried out by traditionally trained group (t = 3.90, p < 0.005). We found that the success of students trained with simulation training in cases which required complicated medical approach, was statistically higher than the ones who didn't take simulation training (p ≤ 0.05).

CONCLUSIONS

Computer-based simulation training would be significantly effective in learning of medical treatment algorithms. We thought that these programs can improve the success rate of students especially in doing adequate medical approach to complex emergency cases.

摘要

背景

在医学教育中使用基于计算机的模拟系统正变得越来越普遍。尽管在医学教育中使用这些系统进行练习的益处已得到证实,但在急诊医学教育中使用基于计算机的模拟的优势却较少得到验证。本研究的目的是评估医学专业最后一年学生进行紧急医疗救治的成功率,并评估基于计算机的模拟培训在提高医学专业最后一年学生知识水平方面的有效性。

方法

24名学生接受了基于计算机的模拟培训,并在2010年2月1日至2010年5月1日期间完成了至少4小时的基于模拟的教育。同时选择了一个对照组(传统培训组,n = 24)。培训结束后,学生们完成了关于5个随机医疗模拟病例的考试。

结果

在5个病例中,接受基于计算机模拟培训的学生平均实施了3.9种正确的医疗方法,传统培训组平均实施了2.8种正确的医疗方法(t = 3.90,p < 0.005)。我们发现,在需要复杂医疗方法的病例中,接受模拟培训的学生的成功率在统计学上高于未接受模拟培训的学生(p ≤ 0.05)。

结论

基于计算机的模拟培训在学习医疗算法方面将具有显著效果。我们认为这些程序可以提高学生的成功率,特别是在对复杂急诊病例采取适当医疗方法方面。

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