O'Dea Maggie, Murphy Deanna, Dubrowski Adam, Rogers Peter
Simulation, Memorial University of Newfoundland, St. John's, CAN.
Obstetrics and Gynecology, Memorial University of Newfoundland, St. John's, CAN.
Cureus. 2020 Sep 22;12(9):e10588. doi: 10.7759/cureus.10588.
Simulation-based medical education (SBME) is an educational technique that enables participants to experience an immersive representation of a clinical event for the purpose of practice, learning, and evaluation. This experience is intended to improve trainees' competency and confidence in both procedural tasks, as well as team-based and interpersonal skills when responding to real-world clinical encounters. Moreover, SBME improves procedural exposure and competency in low-frequency, high-stakes clinical procedures without the risk of adverse consequences, error, or patient harm - a priority for physician training at all levels. This technical report describes a novel bi-phasic maternal cardiac arrest simulation that can be used to teach and train post-graduate year one (PGY1) emergency medicine and obstetrics and gynecology trainees in the use of perimortem cesarean sections (PMCS) prior to in-situ exposure. Using a high-fidelity simulation protocol employing training manikins and 3-D printed models of gravid uteri, this bi-phasic simulation, completed over two sessions, six months apart, will equip trainees with the knowledge, skills, and professionalism behaviors necessary for difficult clinical decisions and time-critical procedures.
基于模拟的医学教育（SBME）是一种教育技术，它能让参与者体验临床事件的沉浸式呈现，以进行实践、学习和评估。这种体验旨在提高学员在应对现实临床情况时在程序性任务以及团队协作和人际技能方面的能力和信心。此外，SBME能在不产生不良后果、错误或患者伤害风险的情况下，增加低频、高风险临床程序的操作机会并提高操作能力，这是各级医师培训的一个重点。本技术报告描述了一种新型的双阶段孕产妇心脏骤停模拟，可用于在实际操作前，对一年级住院医师（PGY1）阶段的急诊医学和妇产科实习生进行围产期剖宫产（PMCS）使用培训。通过使用采用训练人体模型和3D打印妊娠子宫模型的高保真模拟方案，这种分两个阶段、间隔六个月完成的双阶段模拟，将使学员具备应对困难临床决策和时间紧迫程序所需的知识、技能和专业行为。
