Nelson Katharine, Bagnall Alan, Nesbitt Craig, Davey Philip, Mafeld Sebastian
Cardiothoracic Services, Freeman Hospital, Newcastle upon Tyne, UK.
Clin Teach. 2014 Oct;11(6):411-5. doi: 10.1111/tct.12174.
Simulation is increasingly recognised as a valuable tool in training tomorrow's doctors. This technology has the potential to improve patient safety and address some of the challenges posed by recent changes in doctors' training, yet the uptake has been slow in the majority of institutions. In our own centre, we noted existing equipment was used infrequently. We sought to address this problem through the development of a 1-day training course in simulation (SIM) and basic interventional skills aimed at trainees from across different endovascular specialties.
A 1-day course for trainees in cardiology, interventional radiology and vascular surgery was piloted. A variety of endovascular simulators were used to teach core skills common to all three specialties, under the umbrella theme of safe access, safe navigation and safe closure. Independent continuing use of SIM-based training was encouraged. Trainee and faculty member experiences of SIM training in a cross-specialty environment were explored by interview and online questionnaire.
Thirty-six trainees completed the pilot training course. Feedback was almost universally positive, with all trainees agreeing that SIM was useful in achieving the course's objectives, and that they would recommend the course to a colleague. Cross-specialty training was viewed positively by trainees and trainers alike, with benefits identified in knowledge and skills sharing, as well as fostering better clinical collaboration. SIM-based training was perceived as useful in promoting patient safety, and is considered to be a desirable component of future training.
We present a SIM-based model that achieves economies of scale by delivering common skill-set training for doctors from different specialties. Through our experiences piloting this course we discuss how the recognised barriers to adopting this new technology may be addressed and offer insights into how SIM may be integrated into existing training programmes.
模拟技术日益被视为培养未来医生的一项宝贵工具。这项技术有潜力提高患者安全，并应对近期医生培训变革带来的一些挑战，但在大多数机构中其应用进展缓慢。在我们自己的中心，我们注意到现有设备很少被使用。我们试图通过为来自不同血管内介入专业的学员开发一个为期1天的模拟（SIM）和基本介入技能培训课程来解决这个问题。
为心脏病学、介入放射学和血管外科的学员试点开设了一个为期1天的课程。使用了各种血管内模拟器来教授这三个专业共有的核心技能，主题围绕安全穿刺、安全导丝操作和安全闭合。鼓励学员独立持续使用基于模拟的培训。通过访谈和在线问卷探讨了学员和教员在跨专业环境中进行模拟培训的体验。
三十六名学员完成了试点培训课程。反馈几乎全是积极的，所有学员都认为模拟培训有助于实现课程目标，并且会向同事推荐该课程。学员和教员都对跨专业培训给予了积极评价，认为在知识和技能共享以及促进更好的临床协作方面有好处。基于模拟的培训被认为有助于提高患者安全，并被视为未来培训中一个理想的组成部分。
我们提出了一个基于模拟的模式，通过为不同专业的医生提供共同技能集培训来实现规模经济。通过我们试点这门课程的经验，我们讨论了如何应对采用这项新技术时公认的障碍，并就如何将模拟培训融入现有培训计划提供见解。
