From the Department of Emergency Medicine, Yale Center for Medical Simulation, Yale School of Medicine, New Haven, CT.
Pediatr Emerg Care. 2021 Feb 1;37(2):119-122. doi: 10.1097/PEC.0000000000002311.
OBJECTIVES/INTRODUCTION: The Association of American Medical Colleges suggested that medical students not be involved in direct patient care activities in the United States because of the COVID pandemic. Our objectives are to (1) describe the rapid creation and implementation of a fully online simulation-based pediatric emergency medicine training intervention for medical student learners using existing simulation center staff (faculty, technicians, actors) and resources (simulation technology, scenario files) and (2) report student and faculty feedback on the intervention.
The sessions involved the use of our existing simulation center faculty, staff, and resources. Feedbacks on the sessions were collected via a survey from faculty and students at the end of each session.
Sixteen simulation sessions were conducted (8 febrile infant, 8 anaphylactic toddler). Forty-eight students, 2 technicians, 2 actors, and 10 faculty participated. Ninety percent of the students agreed with the statements, "I am more comfortable with pediatrics after this session," "participating improved my pediatric knowledge/skills," "this session was more useful than other learning activities I am involved in at this time." Seventy percent of the students agreed with the statement, "I learned as much from observing as when I was actively involved." All faculty agreed with the statement, "this was an effective educational strategy compared to other distance learning." Most faculty (60%) disagreed with the statement, "virtual simulation was equal to or superior to in-person simulation." All students and faculty strongly agreed with the statement, "I would highly recommend this to others."
A telesimulation intervention involving all medical students, staff, and facilitators interacting remotely for pediatric emergency training during COVID was associated with high levels of satisfaction by the majority of learners and faculty.
目的/引言:由于 COVID 大流行,美国医学协会建议美国医学生不要参与直接的患者护理活动。我们的目的是:(1) 描述如何使用现有的模拟中心工作人员(教师、技术员、演员)和资源(模拟技术、情景文件),为医学生学习者快速创建和实施完全在线的基于模拟的儿科急诊医学培训干预措施;(2) 报告学生和教师对干预措施的反馈。
课程涉及使用我们现有的模拟中心教师、工作人员和资源。在每节课结束时,通过教师和学生的调查收集对课程的反馈。
共进行了 16 次模拟课程(8 次发热婴儿,8 次过敏幼儿)。共有 48 名学生、2 名技术员、2 名演员和 10 名教师参加。90%的学生同意以下说法:“经过这次培训,我对儿科更有信心了”、“参与提高了我的儿科知识/技能”、“与我目前参与的其他学习活动相比,这次培训更有用”。70%的学生同意“我从观察中学到的和积极参与时一样多”。所有教师都同意“与其他远程学习相比,这是一种有效的教育策略”。大多数教师(60%)不同意“虚拟模拟等同于或优于面对面模拟”。所有学生和教师都强烈同意“我将向其他人强烈推荐这一点”。
在 COVID 期间,涉及所有医学生、工作人员和促进者远程互动的远程模拟干预措施,与大多数学习者和教师的高度满意度相关。