Yates Evan, Chirurgi Roger, Adamakos Frosso, Habal Rania, Jaiswal Rajnish, Kalantari Hossein, Hassen Getaw Worku
Western University of Health Sciences, USA.
Samuel Johnson School of Management Cornell Tech, USA.
Emerg Med Int. 2018 Nov 15;2018:9712647. doi: 10.1155/2018/9712647. eCollection 2018.
Medical simulation is a widely used training modality that is particularly useful for procedures that are technically difficult or rare. The use of simulations for educational purposes has increased dramatically over the years, with most emergency medicine (EM) programs primarily using mannequin-based simulations to teach medical students and residents. As an alternative to using mannequin, we built a 3D printed models for practicing invasive procedures. Repeated simulations may help further increase comfort levels in performing an emergency department (ED) thoracotomy in particular, and perhaps this can be extrapolated to all invasive procedures. Using this model, a simulation training conducted with EM residents at an inner city teaching hospital showed improved confidence. A total of 21 residents participated in each of the three surveys [(1) initially, (2) after watching the educational video, and (3) after participating in the simulation]. Their comfort levels increased from baseline after watching the educational video (9.5%). The comfort level further improved from baseline after performing the hands on simulation (71.4%).
医学模拟是一种广泛使用的培训方式,对于技术上困难或罕见的操作尤其有用。多年来,用于教育目的的模拟使用量急剧增加,大多数急诊医学(EM)项目主要使用基于人体模型的模拟来教授医学生和住院医师。作为使用人体模型的替代方法,我们制作了用于练习侵入性操作的3D打印模型。反复模拟可能有助于进一步提高尤其是在进行急诊科(ED)开胸手术时的舒适度,也许这可以推广到所有侵入性操作。使用这个模型,在内城区教学医院对急诊医学住院医师进行的模拟培训显示信心有所提高。共有21名住院医师参与了三项调查中的每一项[(1)最初,(2)观看教育视频后,以及(3)参与模拟后]。他们的舒适度在观看教育视频后从基线水平有所提高(9.5%)。在进行实际模拟后,舒适度从基线水平进一步提高(达到71.4%)。