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“勇士”系统：一种用于培训临床药师急诊医学知识的新型实用急诊模拟器。

The "Warrior" system: a new useful emergency simulator to train clinical pharmacists in emergency medicine.

作者信息

Huang Cong, Wang Yang-Yang, Zhou Jing-Jie, Liu Yan-Fei, He Xin

机构信息

School of Tradition Chinese Medicine, Guangdong Pharmaceutical University, Guangzhou.

Basic Medical College, Guizhou University of Traditional Chinese Medicine, Guiyang.

出版信息

Medicine (Baltimore). 2020 May 29;99(22):e20047. doi: 10.1097/MD.0000000000020047.

DOI:10.1097/MD.0000000000020047
PMID:32481374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7447503/
Abstract

Clinical pharmacists are indispensable providers of emergency medical services. However, the training of Chinese clinical pharmacists in medical emergency skills is apparently insufficient.The current study aimed to evaluate the effect of the "Warrior" emergency simulator application in the emergency medical education of clinical pharmacy students (CP students).The "Warrior" system, which contains a pharmacokinetics/pharmacodynamics-linked model and a drug database, was successfully employed to train CP students and improve their capability to deal with various medical emergency situations. Both an objective (in-class) test and the subjective Dundee Ready Education Environment Measure (DREEM) were administered to 20 CP students, randomly divided into an intervention group and a control group, to estimate the teaching effect of the "Warrior" system.The scores of CP students from the intervention group were significantly higher (P < .01) in the in-class test than the scores of students from the control group due to the diverse situational teaching using the "Warrior" system. The results of the DREEM showed that CP students from the intervention group obtained considerably better (P < .01) marks for "students' perceptions of learning" and "students' perceptions of atmosphere" than those from the control group. Furthermore, the intervention group scored much higher (P < .01) than the control group on the total DREEM.The "Warrior" system provides an excellent training path for clinical pharmacists that supplies a more realistic clinical simulation experience and significantly improves the teaching effect. The "Warrior" system exhibits high potential for future development in emergency medical education.

摘要

临床药师是急诊医疗服务中不可或缺的提供者。然而，中国临床药师在医疗急救技能方面的培训明显不足。本研究旨在评估“勇士”急救模拟器在临床药学专业学生（CP学生）急诊医学教育中的应用效果。“勇士”系统包含一个药代动力学/药效学关联模型和一个药物数据库，已成功用于培训CP学生，并提高他们应对各种医疗紧急情况的能力。对随机分为干预组和对照组的20名CP学生进行了客观（课堂）测试和主观的邓迪准备教育环境量表（DREEM）评估，以评估“勇士”系统的教学效果。由于使用“勇士”系统进行了多样化的情景教学，干预组CP学生在课堂测试中的成绩显著高于对照组学生（P<0.01）。DREEM结果显示，干预组CP学生在“学生对学习的感知”和“学生对氛围的感知”方面的得分明显高于对照组（P<0.01）。此外，干预组在DREEM总分上的得分也远高于对照组（P<0.01）。“勇士”系统为临床药师提供了一条出色的培训途径，提供了更逼真的临床模拟体验，并显著提高了教学效果。“勇士”系统在急诊医学教育中具有很高的未来发展潜力。

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