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基于模拟的儿科培训:法国全国性调查。

Simulation-based pediatric training: A French national survey.

机构信息

CHU Lille, Pediatric Emergency Unit & Infectious Diseases, 59000 Lille, France.

CHU Tours, Pediatric Intensive Care Unit, Tours, France.

出版信息

Arch Pediatr. 2020 Nov;27(8):469-473. doi: 10.1016/j.arcped.2020.08.003. Epub 2020 Oct 1.

Abstract

INTRODUCTION

To have an overview of pediatric medical simulation within a country would be helpful to improve the offer and quality of teaching. The main objective of this study was to identify the scope for simulation-based teaching in pediatrics in France.

METHODS

An assessment of professional practices was conducted by means of a national survey conducted among all university hospitals between 20 May and 6 August 2018. A standardized GoogleForm® was created and sent to heads of simulation centers or persons responsible for pediatric simulation. Descriptive analyses and comparisons of centers with and without university trainers as well as with and without research activity were performed.

RESULTS

All 34 teaching hospitals or faculties of medicine responded to our survey. Of these, 31 had a simulation center. There was a median of nine trainers per center (interquartile range: 5-13). Most used simulation for communication and teamwork, as well as for technical and relational skills. These sessions were mainly dedicated to residents and health professionals. All centers reported working on high-fidelity newborn mannequins and 84% used low-fidelity newborn mannequins. Research activity was declared by 14 centers (45%), but only six of these had at least one publication. No difference was identified between centers with and without university trainers or with and without research activity.

CONCLUSION

Compared with the 2012 report, 19 new centers have emerged within 6 years in France (+158%). Pursuing research to evaluate the impact of simulation programs on physician skills and patient management would appear to be important.

摘要

简介

了解一个国家的儿科医学模拟情况有助于提高教学的提供和质量。本研究的主要目的是确定法国儿科模拟教学的范围。

方法

2018 年 5 月 20 日至 8 月 6 日,通过对所有大学医院进行的全国性调查,对专业实践进行了评估。创建了一个标准化的 GoogleForm®并发送给模拟中心负责人或负责儿科模拟的人员。对有和没有大学培训师以及有和没有研究活动的中心进行了描述性分析和比较。

结果

我们的调查收到了所有 34 家教学医院或医学系的回应。其中 31 家有模拟中心。每个中心平均有 9 名培训师(中位数:5-13)。大多数人使用模拟进行沟通和团队合作,以及技术和关系技能。这些课程主要针对住院医师和卫生专业人员。所有中心都报告说在使用高保真新生儿模拟人,84%的中心使用低保真新生儿模拟人。有 14 个中心(45%)宣布开展研究活动,但其中只有 6 个中心至少有一篇出版物。有和没有大学培训师以及有和没有研究活动的中心之间没有差异。

结论

与 2012 年的报告相比,6 年内法国新增了 19 个新中心(增加了 158%)。开展研究以评估模拟项目对医生技能和患者管理的影响似乎很重要。

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