Wong Jonathan, Finan Emer, Campbell Douglas
Pediatrics, University of British Columbia.
Pediatrics, Mt. Sinai Health Systems.
Cureus. 2017 Jul 8;9(7):e1448. doi: 10.7759/cureus.1448.
Introduction Simulation is used for the delivery of education and on occasion assessment. Before such a tool is used routinely in neonatal training programs across Canada, a need assessment is required to determine its current usage by accredited training programs. Our aim was to characterize the type of simulation modalities used and the perceived simulation-based training needs in Canadian neonatal-perinatal medicine (NPM) training programs. Methods A 22-item and 13-item online descriptive survey was sent to all NPM program directors and fellows in Canada, respectively. The survey was modeled on a previously validated tool by Johnston, et al. and responses were collected over 30 days. Results In total, eight (63%) program directors and 24 (28%) fellows completed the survey, with all respondents indicating that simulation is being used. Both lab-based and in situ simulations are occurring, with a range of simulation modalities employed to primarily teach resuscitation, procedural and communication skills. Fellows indicated that simulation should also be used to also teach other important topics, including disease-specific management, crisis resource management, and prevention of medical error. Five (63%) programs have faculty with formal simulation training and four (50%) programs have at least one faculty involved in simulation research. Conclusion Simulation is widely used in Canadian NPM training programs, with program directors and fellows identifying this as an important tool. Simulation can be used to teach a range of skills, but programs need to align their curriculum with both training objectives and learner needs. There is an opportunity for faculty development and increased simulation research.
引言 模拟用于教育教学，有时也用于评估。在加拿大各地的新生儿培训项目中常规使用此类工具之前，需要进行需求评估，以确定经认可的培训项目对其的当前使用情况。我们的目的是描述加拿大新生儿围产期医学（NPM）培训项目中使用的模拟方式类型以及基于模拟的培训需求。方法 分别向加拿大所有NPM项目主任和学员发送了一份包含22个项目和13个项目的在线描述性调查问卷。该调查问卷以约翰斯顿等人之前验证过的工具为蓝本，在30天内收集回复。结果 共有8名（63%）项目主任和24名（28%）学员完成了调查，所有受访者均表示正在使用模拟。基于实验室和现场模拟都在进行，采用了一系列模拟方式，主要用于教授复苏、操作和沟通技能。学员们表示，模拟还应用于教授其他重要主题，包括特定疾病管理、危机资源管理和医疗差错预防。5个（63%）项目的教员接受过正式的模拟培训，4个（50%）项目至少有一名教员参与模拟研究。结论 模拟在加拿大NPM培训项目中广泛使用，项目主任和学员将其视为一种重要工具。模拟可用于教授一系列技能，但各项目需要使其课程与培训目标和学习者需求保持一致。教员发展和增加模拟研究存在机会。
