Ogunyemi Dotun, Haltigin Christopher, Vallie Stephanie, Ferrari Thomas M
Arrowhead Regional Medical Center.
California University of Science and Medicine, Colton, California.
Medicine (Baltimore). 2020 Oct 23;99(43):e22562. doi: 10.1097/MD.0000000000022562.
Simulation and Objective Structured Clinical Examination assessment of learners can teach clinical skills proficiency in a safe environment without risk to patients. Interprofessional simulation-based education (IPSE) contributes to a transformation in students' understanding of teamwork and professional roles. Long term outcomes for stimulation and IPSE sessions, are less well studied. We hypothesized that a progressive interprofessional education simulation program incorporating both faculty and interprofessional student collaboration would improve medical students' knowledge retention, comfort with procedural skills, positive teamwork and respectful interaction between students.An Obstetrics and Gynecology IPSE for medical and nursing students (NS) was developed in collaboration between a school of medicine and a school of nursing from 2014 to 2017. By 2017, content includedFrom 2014 to 2016, medical students completed attitude, knowledge, and perception surveys both pre and immediately post simulation, at 4 months, and 8 months. In 2017; all students completed self-assessments and received faculty-assessments.The program trained 443 medical and 136 NS. Medical students' knowledge, comfort, and interest increased significantly post simulation. Outcome scores decreased but were still significantly improved at 4 months but nearly dissipated by 8 months. There were no significant differences between medical and NS self-assessment or faculty-assessment scores regarding IUD insertion, cervical examination, or contraception quiz scores. Medical students' birth simulation self-assessment versus faculty-assessment scores were 8.6 vs 8.9, P < .001.Simulation improved students' short-term medical knowledge, comfort, and perception with some long-term persistence at 4-8 months. Medical and NS learned obstetrics and gynecology skills in a collaborative environment and in role-specific situations. Medical students had the opportunity to learn from NS. Positive teamwork and respectful interaction occurred between the students.
对学习者进行模拟和客观结构化临床考试评估,可以在安全的环境中教授临床技能熟练度,而不会对患者造成风险。基于跨专业模拟的教育(IPSE)有助于转变学生对团队合作和专业角色的理解。对于模拟和IPSE课程的长期效果,研究较少。我们假设,一个将教师与跨专业学生合作纳入其中的渐进式跨专业教育模拟项目,将提高医学生的知识保留率、对操作技能的熟练度、积极的团队合作以及学生之间相互尊重的互动。2014年至2017年,一所医学院和一所护理学院合作开发了一个面向医学和护理专业学生(NS)的妇产科IPSE。到2017年,内容包括从2014年到2016年,医学生在模拟前、模拟后立即、4个月和8个月时完成了态度、知识和认知调查。2017年,所有学生完成了自我评估并接受了教师评估。该项目培训了443名医学生和136名护理专业学生。模拟后,医学生的知识、熟练度和兴趣显著提高。结果分数有所下降,但在4个月时仍有显著提高,但到8个月时几乎消失。在宫内节育器插入、宫颈检查或避孕知识测验分数方面,医学生和护理专业学生的自我评估或教师评估分数没有显著差异。医学生分娩模拟的自我评估分数与教师评估分数分别为8.6和8.9,P<0.001。模拟提高了学生的短期医学知识、熟练度和认知,在4至8个月时有一定的长期持续性。医学生和护理专业学生在协作环境和特定角色情境中学习了妇产科技能。医学生有机会向护理专业学生学习。学生之间出现了积极的团队合作和相互尊重的互动。