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用于模拟汇报的认知负荷理论:对教师发展的启示

Cognitive Load Theory for debriefing simulations: implications for faculty development.

作者信息

Fraser Kristin L, Meguerdichian Michael J, Haws Jolene T, Grant Vincent J, Bajaj Komal, Cheng Adam

机构信息

1Department of Medicine, Cumming School of Medicine, University of Calgary, 7007 14 St SW, Calgary, Alberta T2V 1P9 Canada.

2Department of Emergency Medicine, NYC Health + Hospitals/Harlem Simulation Center, Columbia University School of Medicine, New York, USA.

出版信息

Adv Simul (Lond). 2018 Dec 29;3:28. doi: 10.1186/s41077-018-0086-1. eCollection 2018.


DOI:10.1186/s41077-018-0086-1
PMID:30619626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6310924/
Abstract

The debriefing is an essential component of simulation-based training for healthcare professionals, but learning this complex skill can be challenging for simulation faculty. There are multiple competing priorities for a debriefer's attention that can contribute to a high mental workload, which may adversely affect debriefer performance and consequently learner outcomes. In this paper, we conceptualize the debriefer as a learner of debriefing skills and we discuss Cognitive Load Theory to categorize the many potential mental loads that can affect the faculty debriefer as learner. We then discuss mitigation strategies that can be considered by faculty development programmes to enhance professional development of debriefing staff.

摘要

汇报是医疗保健专业人员基于模拟的培训的重要组成部分,但对于模拟教员来说,学习这项复杂技能可能具有挑战性。汇报者需要关注多个相互竞争的优先事项,这可能导致较高的心理负荷,进而可能对汇报者的表现产生不利影响,从而影响学习者的学习成果。在本文中,我们将汇报者概念化为汇报技能的学习者,并讨论认知负荷理论,以对可能影响教员汇报者作为学习者的多种潜在心理负荷进行分类。然后,我们讨论教员发展计划可以考虑的缓解策略,以加强汇报人员的专业发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9fc/6310924/c5f8bce3299e/41077_2018_86_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9fc/6310924/c5f8bce3299e/41077_2018_86_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9fc/6310924/c5f8bce3299e/41077_2018_86_Fig1_HTML.jpg

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[1]
Cognitive Load Theory for debriefing simulations: implications for faculty development.

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引用本文的文献

[1]
"My skills are going to be exposed" - Anxiety, meaning and professional identity during simulation-based learning in medical students: A mixed method study.

PLoS One. 2025-7-9

[2]
Peer-assisted learning in critical care: a simulation-based approach for postgraduate medical training.

Med Educ Online. 2025-12

[3]
Use of an observer tool to enhance learning of anaesthesia resident's non-technical skills during high-fidelity simulation: a randomised controlled trial.

BMC Med Educ. 2025-1-20

[4]
When common cognitive biases impact debriefing conversations.

Adv Simul (Lond). 2024-12-18

[5]
Changing the conversation: impact of guidelines designed to optimize interprofessional facilitation of simulation-based team training.

Adv Simul (Lond). 2024-10-12

[6]
Debriefer cognitive load during Traditional Reflective Debriefing vs. Rapid Cycle Deliberate Practice interdisciplinary team training.

Adv Simul (Lond). 2024-6-4

[7]
[Not Available].

Tunis Med. 2023

[8]
Examining Factors Influencing Cognitive Load of Computer Programmers.

Brain Sci. 2023-7-28

[9]
Measuring teamwork for training in healthcare using eye tracking and pose estimation.

Front Psychol. 2023-5-31

[10]
Are evaluations in simulated medical encounters reliable among rater types? A comparison between standardized patient and outside observer ratings of OSCEs.

PEC Innov. 2023-1-29

本文引用的文献

[1]
Competency-based simulation education: should competency standards apply for simulation educators?

BMJ Simul Technol Enhanc Learn. 2015-2-18

[2]
Working memory is limited: improving knowledge transfer by optimising simulation through cognitive load theory.

BMJ Simul Technol Enhanc Learn. 2016-7-4

[3]
The PEARLS Healthcare Debriefing Tool.

Acad Med. 2018-2

[4]
Development and Validation of Two Instruments Measuring Intrinsic, Extraneous, and Germane Cognitive Load.

Front Psychol. 2017-11-16

[5]
Considering Face, Rights, and Goals: A Critical Review of Rapport Management in Facilitator-Guided Simulation Debriefing Approaches.

Simul Healthc. 2018-2

[6]
Navigating difficult conversations: the role of self-monitoring and reflection-in-action.

Med Educ. 2017-12

[7]
Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs.

Simul Healthc. 2017-10

[8]
Simulation Faculty Development: A Tiered Approach.

Simul Healthc. 2017-8

[9]
Instrument-mounted displays for reducing cognitive load during surgical navigation.

Int J Comput Assist Radiol Surg. 2017-2-23

[10]
The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The Society for Pediatric Anesthesia Critical Events Checklists.

Anesth Analg. 2017-3

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