Liu Yu, Zhang Yanshu, Zhang Lei, Bai Hongliang, Wang Gang, Guo Litao
Department of Critical Care Medicine.
Clinical Skills and Experiment Center, The First Affiliated Hospital of Xi'an Jiaotong University.
Medicine (Baltimore). 2019 Jan;98(2):e13930. doi: 10.1097/MD.0000000000013930.
The purpose of this study was to analyze the role of SimMan in resident training of emergency skills.Forty-five 1st year medical residents were selected for this study. All participants were divided into groups and each participant performed different roles during training. Clinical cases were selected using the tutor mode/auto mode in the SimMan computer system in order to train and assess each group. A pre-test was administered to the 45 residents before emergency medical technician (EMT) skill training. Finally, a post-test was conducted with SimMan after training. Tutors scored the student's performance and recorded the overall time for the procedure.Before training, the overall qualification rate was 44.44%. The average score of the 9 groups was 62.78 ± 8.84 and the average 1st aid duration was 519.22 ± 34.35 seconds. After the training, the overall qualification rate was 100%. The average score of the 9 groups was 80.89 ± 7.39. The average 1st aid duration was 453.56 ± 24.40 seconds. The P values in comparing pre- and post-training data were .009, <.001 and <.001.An integrated learning approach using SimMan as a tool for training and examination can help training residents develop emergency skills, teamwork, and communication.
本研究的目的是分析SimMan在住院医师急救技能培训中的作用。本研究选取了45名一年级医学住院医师。所有参与者被分成小组，每个参与者在培训期间扮演不同的角色。在SimMan计算机系统中使用导师模式/自动模式选择临床病例，以便对每个小组进行培训和评估。在急救医疗技术员（EMT）技能培训前，对45名住院医师进行了预测试。最后，培训后使用SimMan进行了后测试。导师对学生的表现进行评分，并记录整个操作过程的时间。培训前，总体合格率为44.44%。9个小组的平均成绩为62.78±8.84，平均急救时长为519.22±34.35秒。培训后，总体合格率为100%。9个小组的平均成绩为80.89±7.39。平均急救时长为453.56±24.40秒。培训前后数据比较的P值分别为0.009、<0.001和<0.001。使用SimMan作为培训和考核工具的综合学习方法有助于培训住院医师提高急救技能、团队协作能力和沟通能力。
