Le Lous Maela, Simon Ombeline, Lassel Linda, Lavoue Vincent, Jannin Pierre
LTSI-INSERM, Université de Rennes 1, UMR 1099, 35000, Rennes, France; Department of Obstetrics and Gynecology, University Hospital of Rennes, France.
Department of Obstetrics and Gynecology, University Hospital of Rennes, France.
Eur J Obstet Gynecol Reprod Biol. 2020 Mar;246:23-28. doi: 10.1016/j.ejogrb.2019.12.024. Epub 2019 Dec 24.
Hybrid simulation is defined as the use of a patient actor combined with a task trainer within the same session. We sought to investigate the level of evidence about the clinical benefits of hybrid simulation training in obstetrics. We searched MEDLINE using the keywords: Obstetrics AND Medical Education AND (Standardized patient OR Hybrid simulation). A total of 155 studies were screened, from which we selected 11 articles were selected from the title and the abstract in PubMed. For each study, data about the type of simulation, the level of evidence according KirkPatrick's hierarchy was collected. There is evidence that clinical benefit for patients exists for Shoulder Dystocia, and Cord prolapse. For Non-technical skills, such as communication or team training, hybrid simulation was also effective. Whether hybrid simulation offers better training for communication and better immersion than high-fidelity simulation for learners remains to be investigated.
混合模拟被定义为在同一会话中使用患者演员与任务训练器相结合的方式。我们试图调查关于产科混合模拟训练临床益处的证据水平。我们使用关键词“产科”“医学教育”以及“标准化患者”或“混合模拟”在MEDLINE数据库中进行搜索。共筛选出155项研究，其中我们从PubMed的标题和摘要中选择了11篇文章。对于每项研究，收集了关于模拟类型、根据柯克帕特里克层次体系的证据水平的数据。有证据表明，对于肩难产和脐带脱垂，对患者有临床益处。对于非技术技能，如沟通或团队训练，混合模拟也有效。混合模拟是否比高保真模拟为学习者提供更好的沟通训练和沉浸感仍有待研究。
