Fukuta Junaid, Morgan Justin
University of Bristol, North Bristol Academy, Southmead Hospital, Bristol, UK.
Southmead Hospital, Directorate of Surgery, Bristol, UK.
Clin Teach. 2018 Jun;15(3):231-235. doi: 10.1111/tct.12659. Epub 2017 May 10.
Simulation training is increasingly being used as part of the undergraduate medical curriculum, but it remains time and faculty member intensive. To improve efficacy, videos have been used prior to the simulation of practical procedures; however, using videos prior to simulation training concerning the management of patients who are unwell has not been investigated. The aim of this project was to see whether clinical decision-making and non-technical skills can be improved if a video is used prior to simulation training, and uniquely to enhance the authenticity we filmed it using a first-person perspective.
We conducted a randomised controlled trial with 40 final-year medical students randomised into two groups. One group viewed a video filmed in first person prior to a simulation scenario, whereas the other group did not view the video. The two groups then carried out the simulation and were assessed with 'time to' investigation and treatment decisions. Further quantitative data were collected for non-technical skills using the Ottawa Crisis Resource Management (OCRM) score. Qualitative data were collected from the students as to the perceived ease of use and helpfulness of the video. Simulation training is increasingly being used as part of the undergraduate medical curriculum RESULTS: The students who watched the video appeared to perform better in clinical decision-making and non-technical skills. The students were extremely receptive to the use of a first-person perspective video, and highlighted its perceived realism and its help as a memory aid.
The use of this style of video was warmly received by students and opens the possibility of further use to enhance simulation training.
模拟训练越来越多地被用作本科医学课程的一部分，但它仍然耗费时间且对教员要求较高。为了提高效率，在实际操作模拟之前已使用视频；然而，在针对不适患者管理的模拟训练之前使用视频的情况尚未得到研究。本项目的目的是探究在模拟训练之前使用视频是否能提高临床决策能力和非技术技能，并且特别地，为增强真实感我们采用第一人称视角拍摄了该视频。
我们进行了一项随机对照试验，将40名医学专业最后一年的学生随机分为两组。一组在模拟场景前观看了以第一人称拍摄的视频，而另一组未观看该视频。然后两组进行模拟，并通过“采取……的时间”调查和治疗决策进行评估。使用渥太华危机资源管理（OCRM）评分收集非技术技能的进一步定量数据。从学生那里收集关于视频的易用性和有用性的定性数据。模拟训练越来越多地被用作本科医学课程的一部分 结果：观看视频的学生在临床决策和非技术技能方面表现似乎更好。学生们对使用第一人称视角视频极为接受，并强调了其逼真感以及作为记忆辅助工具的帮助。
这种视频的使用受到学生的热烈欢迎，并开启了进一步用于增强模拟训练的可能性。
