Lois F J, Pospiech A L, Van Dyck M J, Kahn D A, De Kock M F
Acta Anaesthesiol Belg. 2014;65(2):61-71.
The value of simulation in medical education is increasingly obvious. Nevertheless, the high cost of running a simulation center and the time's availability for students to get to simulation center remain a major problem. Technological developments and miniaturization of computer systems now allow handling of simulation manikins. Therefore, "in situ" simulation seems a valuable alternative to center simulation.
OBJECTIVE(S): To identify the costs and feasibility of "in situ" simulation. To conduct an evaluation of the sessions by participants in order to adapt the educational objectives.
Observational study.
118 "in situ" simulation sessions were organized between March 2011 and February 2013 in the university hospital of Université Catholique de Louvain. Sessions took place in OR facilities. At the end of each session, a questionnaire was given to each participant.
357 of 368 participants completed a questionnaire. For each session, one or two nurses and 2 residents in anesthesia were invited.
Total costs for organizing the sessions. Number of realized sessions. Global satisfaction of participants.
Total cost for organizing the sessions is 18 414 Euro. One hundred and one among the 118 scheduled sessions were performed, which corresponds to a rate of 85%. Three hundred and sixty-five people participated in training simulations. During the sessions, 357 questionnaires were completed. The global satisfaction was high with a median Likert scale of 5 (5-5) to the question "I would like to participate in other sessions in the future".
The "in situ" simulation in anesthesia is feasible in a university hospital using the available facilities of the operating theater during the working hours of both participants and trainers. However, the number of annual sessions may be limited by the availability of the simulation room or staff.
模拟在医学教育中的价值日益明显。然而，运营模拟中心的高昂成本以及学生前往模拟中心的时间可用性仍然是一个主要问题。计算机系统的技术发展和小型化现在使得能够操控模拟人体模型。因此，“原位”模拟似乎是中心模拟的一个有价值的替代方案。
确定“原位”模拟的成本和可行性。让参与者对课程进行评估，以便调整教育目标。
观察性研究。
2011年3月至2013年2月期间，在鲁汶天主教大学医院组织了118次“原位”模拟课程。课程在手术室设施中进行。每次课程结束时，向每位参与者发放一份问卷。
368名参与者中有357人完成了问卷。每次课程邀请一两名护士和两名麻醉住院医师参加。
组织课程的总成本。实际完成的课程数量。参与者的总体满意度。
组织课程的总成本为18414欧元。计划的118次课程中有101次进行了，完成率为85%。365人参加了培训模拟。课程期间，共完成了357份问卷。总体满意度较高，对于“我希望未来参加其他课程”这一问题，李克特量表的中位数为5（5 - 5）。
在大学医院利用手术室的现有设施，在参与者和培训人员的工作时间内进行麻醉“原位”模拟是可行的。然而，每年的课程数量可能会受到模拟室或工作人员可用性的限制。
