Hocker Sara, Wijdicks Eelco F M
Department of Neurology, Mayo Clinic, Rochester, Minnesota.
Semin Neurol. 2015 Apr;35(2):180-7. doi: 10.1055/s-0035-1547535. Epub 2015 Apr 3.
Skill in the determination of brain death is traditionally acquired during training in an apprenticeship model. Brain death is not frequently determined, and thus exposure to the techniques used is marginal. Brain death is therefore ideally suited for competency-based education models such as simulation. Simulation can ensure that all trainees have direct experience in brain death determination irrespective of their specialty, program design, or institutional protocol. In this review, the authors discuss the advantages and barriers to simulation and how to develop simulation scenarios for instruction in the determination of brain death. Future research should focus on validation of brain death simulation methods and assessment tools as well as the impact of simulation on performance in clinical practice.
传统上，脑死亡判定技能是在学徒制培训过程中习得的。脑死亡判定并不常见，因此对所使用技术的接触机会有限。所以，模拟等基于能力的教育模式非常适合用于脑死亡判定。模拟可以确保所有学员，无论其专业、课程设计或机构规程如何，都能在脑死亡判定方面获得直接经验。在本综述中，作者讨论了模拟的优势和障碍，以及如何开发用于脑死亡判定教学的模拟场景。未来的研究应聚焦于脑死亡模拟方法和评估工具的验证，以及模拟对临床实践表现的影响。
