MGH Learning Laboratory, Massachusetts General Hospital, Boston, MA.
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Acad Emerg Med. 2018 Feb;25(2):144-147. doi: 10.1111/acem.13299. Epub 2017 Oct 4.
A telesimulation platform utilizes communications technology to provide mannequin-based simulation education between learners and instructors located remotely from one another. Specifically, the instructor controls the mannequin and moderates the debriefing remotely. During these sessions, the instructor observes the learners in real time and provides immediate feedback during the debriefing. This platform obviates the need to have instructors, learners, and mannequins in the same place at the same time, potentially allowing simulation-based educational sessions to occur with greater frequency for institutions not located proximate to formal simulation centers. Additionally, the telesimulation platform enables an experienced simulation instructor to observe and directly help new simulation instructors at remote simulation locations. Readily available Web-conferencing, screen-sharing software, microphones, and webcams makes telesimulation possible. Mannequin-based telesimulation is relatively new and not well represented in the literature, but could facilitate systems changes, providing educational experiences to health care professionals in locations not currently benefiting from mannequin-based simulation opportunities. Several research questions need to be addressed in future studies to better develop this educational approach, including technical feasibility, logistic issues, a comparison of telesimulation to other simulation approaches, and assessing limitations of the telesimulation platform.
远程模拟平台利用通信技术，为远程学习者和指导教师提供基于模拟人的模拟教育。具体来说，指导教师可以远程控制模拟人和主持讨论。在这些课程中，指导教师可以实时观察学习者，并在讨论中提供即时反馈。该平台避免了指导教师、学习者和模拟人必须同时在同一地点的要求，这使得那些远离正规模拟中心的机构能够更频繁地进行基于模拟的教育课程。此外，远程模拟平台还可以使经验丰富的模拟指导教师观察和直接帮助远程模拟地点的新模拟指导教师。现成的网络会议、屏幕共享软件、麦克风和网络摄像头使得远程模拟成为可能。基于模拟人的远程模拟相对较新，在文献中也没有很好的体现，但它可以促进系统的改变，为目前无法从基于模拟的模拟机会中受益的医疗保健专业人员提供教育体验。未来的研究需要解决几个技术问题，以更好地开发这种教育方法，包括技术可行性、后勤问题、与其他模拟方法的比较，以及评估远程模拟平台的局限性。
