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将 MeaT 融入 Team 培训:手术团队培训工作坊的开发、实施和评估。

Putting the MeaT into TeaM Training: Development, Delivery, and Evaluation of a Surgical Team-Training Workshop.

机构信息

Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts.

Louisiana State University School of Medicine, New Orleans, Louisiana.

出版信息

J Surg Educ. 2016 Jan-Feb;73(1):136-42. doi: 10.1016/j.jsurg.2015.08.008. Epub 2015 Oct 21.

Abstract

BACKGROUND

Despite importance to patient care, team training is infrequently used in surgical education. To address this, a workshop was developed by the Association for Surgical Education Simulation Committee to teach team training using high-fidelity patient simulators and the American College of Surgeons-Association of Program Directors in Surgery team-training curriculum.

METHODS

Workshops were conducted at 3 national meetings. Participants completed preworkshop and postworkshop questionnaires to define experience, confidence in using simulation, intention to implement, as well as workshop content quality. The course consisted of (A) a didactic review of Preparation, Implementation, and Debriefing and (B) facilitated small group simulation sessions followed by debriefings.

RESULTS

Of 78 participants, 51 completed the workshops. Overall, 65% indicated that residents at their institutions used patient simulation, but only 33% used the American College of Surgeons-the Association of Program Directors in Surgery team-training modules. The workshop increased confidence to implement simulation team training (3.4 ± 1.3 vs 4.5 ± 0.9). Quality and importance were rated highly (5.4 ± 00.6, highest score = 6).

CONCLUSIONS

Preparation for simulation-based team training is possible in this workshop setting, although the effect on actual implementation remains to be determined.

摘要

背景

尽管对患者护理很重要,但团队培训在外科教育中很少使用。为了解决这个问题,外科教育模拟委员会协会开发了一个研讨会,使用高保真患者模拟器和美国外科医师学院-外科项目主任协会的团队培训课程来教授团队培训。

方法

在 3 次全国会议上进行了研讨会。参与者完成了会前和会后的问卷调查,以确定经验、使用模拟的信心、实施意图以及研讨会内容质量。课程包括 (A) 准备、实施和汇报的讲座复习和 (B) 小组模拟会议和随后的汇报。

结果

78 名参与者中,有 51 人完成了研讨会。总的来说,65%的参与者表示他们所在机构的住院医师使用了患者模拟,但只有 33%的人使用了美国外科医师学院-外科项目主任协会的团队培训模块。研讨会提高了实施模拟团队培训的信心(3.4 ± 1.3 对 4.5 ± 0.9)。质量和重要性被评为很高(5.4 ± 00.6,最高得分为 6)。

结论

在这种研讨会的环境下,进行基于模拟的团队培训的准备是可行的,尽管其对实际实施的影响仍有待确定。

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