Vithanage Ruvini, Knox Benita, Ryan Anna
Department of Medical Education, University of Melbourne, Melbourne, Victoria, Australia.
Clin Teach. 2017 Aug;14(4):279-283. doi: 10.1111/tct.12615. Epub 2017 Mar 13.
Systems of health care is a key learning area in medical curricula. An understanding of the health care system with regards to reducing medical errors, improving efficiency in the provision of care and cost containment is recognised as being difficult to teach.
A game-based session was designed and executed as part of a medical student conference. This session incorporated numerous aspects of systems of health care, including teamwork, the efficient and equitable allocation of resources, safety, quality, medical errors, structure of health care systems and political influences in the delivery of health care.
Game of Hospitals employs experiential learning, enhanced by role-play and competition. Students take on roles as hospital administrators and doctors to negotiate complex clinical and administrative problems. The scenarios explore themes, and highlight patient outcomes and the finite nature of resources. Student experiences were observed and questionnaire evaluations attempted to explore student perceptions. An understanding of the health care system … is recognised as being difficult to teach IMPLICATIONS: Game of Hospitals appears to be a popular learning activity. Observations during the game demonstrated the active involvement of participants, and questionnaire evaluation revealed this to be a favourite session at the student conference. This paper presents a detailed explanation of the set-up and rules for the game in the hope that others can adopt and modify the game to suit their local context.
医疗保健系统是医学课程中的一个关键学习领域。人们认识到，要讲授关于减少医疗差错、提高医疗服务效率和控制成本方面的医疗保健系统知识是很困难的。
作为医学生会议的一部分，设计并开展了一场基于游戏的活动。该活动涵盖了医疗保健系统的诸多方面，包括团队合作、资源的有效和公平分配、安全、质量、医疗差错、医疗保健系统的结构以及医疗保健提供过程中的政治影响。
“医院游戏”采用体验式学习，并通过角色扮演和竞赛加以强化。学生们扮演医院管理人员和医生的角色，来协商解决复杂的临床和管理问题。这些场景探讨各种主题，并突出患者的治疗结果以及资源的有限性。观察了学生的体验情况，并通过问卷调查评估试图探究学生的看法。人们认识到，要讲授关于医疗保健系统的知识是很困难的。
“医院游戏”似乎是一项很受欢迎的学习活动。游戏过程中的观察表明参与者积极投入，问卷调查评估显示这是学生会议上最受欢迎的环节。本文详细解释了该游戏的设置和规则，希望其他人能够采用并根据当地情况对游戏进行修改。
