Udani Ankeet D, Kim T Edward, Howard Steven K, Mariano Edward R
Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA ; Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Local Reg Anesth. 2015 Aug 11;8:33-43. doi: 10.2147/LRA.S68223. eCollection 2015.
The emerging subspecialty of regional anesthesiology and acute pain medicine represents an opportunity to evaluate critically the current methods of teaching regional anesthesia techniques and the practice of acute pain medicine. To date, there have been a wide variety of simulation applications in this field, and efficacy has largely been assumed. However, a thorough review of the literature reveals that effective teaching strategies, including simulation, in regional anesthesiology and acute pain medicine are not established completely yet. Future research should be directed toward comparative-effectiveness of simulation versus other accepted teaching methods, exploring the combination of procedural training with realistic clinical scenarios, and the application of simulation-based teaching curricula to a wider range of learner, from the student to the practicing physician.
区域麻醉学与急性疼痛医学这一新兴亚专业提供了一个契机，可对当前区域麻醉技术教学方法及急性疼痛医学实践进行批判性评估。迄今为止，该领域已有各种各样的模拟应用，且大多假定其具有有效性。然而，对文献的全面回顾显示，区域麻醉学与急性疼痛医学中包括模拟在内的有效教学策略尚未完全确立。未来的研究应针对模拟与其他公认教学方法的比较有效性、探索程序训练与实际临床场景的结合，以及将基于模拟的教学课程应用于从学生到执业医师等更广泛的学习者群体。
