新生儿围产医学奖学金项目中的模拟教学。
Simulation in Neonatal-Perinatal Medicine Fellowship Programs.
机构信息
Division of Neonatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington.
Division of Neonatology, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, Fetal and Neonatal Institute, University of Southern California, Los Angeles, California.
出版信息
Am J Perinatol. 2020 Oct;37(12):1258-1263. doi: 10.1055/s-0039-1693465. Epub 2019 Jul 15.
OBJECTIVE
This study aimed to investigate the use of simulation in neonatal-perinatal medicine (NPM) fellowship programs.
STUDY DESIGN
This was a cross-sectional survey of program directors (PDs) and simulation educators in Accreditation Council for Graduate Medical Education (ACGME) accredited NPM fellowship programs.
RESULTS
Responses were received from 59 PDs and 52 simulation educators, representing 60% of accredited programs. Of responding programs, 97% used simulation, which most commonly included neonatal resuscitation (94%) and procedural skills (94%) training. The time and scope of simulation use varied significantly. The majority of fellows (51%) received ≤20 hours of simulation during training. The majority of PDs (63%) wanted fellows to receive >20 hours of simulation. Barriers to simulation included lack of faculty time, experience, funding, and curriculum.
CONCLUSION
While the majority of fellowship programs use simulation, the time and scope of fellow exposure to simulation experiences are limited. The creation of a standardized simulation curriculum may address identified barriers to simulation.
目的
本研究旨在调查模拟在新生儿围产医学（NPM）奖学金项目中的应用。
研究设计
这是对经研究生医学教育认证委员会（ACGME）认证的 NPM 奖学金项目的项目主任（PD）和模拟教育者进行的横断面调查。
结果
收到了 59 名 PD 和 52 名模拟教育者的回复，代表了 60%的认证项目。在参与调查的项目中，97%的项目使用模拟，最常见的模拟包括新生儿复苏（94%）和程序性技能（94%）培训。模拟的使用时间和范围差异很大。大多数研究员（51%）在培训期间接受的模拟培训时间≤20 小时。大多数 PD（63%）希望研究员接受超过 20 小时的模拟培训。模拟的障碍包括缺乏师资时间、经验、资金和课程。
结论
尽管大多数奖学金项目都使用模拟，但研究员接受模拟体验的时间和范围有限。创建标准化的模拟课程可能会解决模拟中存在的障碍。
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