Department of Cardiology, Lariboisiere Hospital, AP-HP, Inserm UMRS 942, University of Paris, 75010 Paris, France; Division of Cardiology, Johns Hopkins University, MD 21287-0409 Baltimore, USA; Ilumens Simulation Department, Paris Diderot University, 75010 Paris, France; French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France.
French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiovascular Explorations and Echocardiography-Heart Valve Clinic, CHU de Lille, 59000 Lille, France; Université de Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1011-EGID, 59000 Lille, France.
Arch Cardiovasc Dis. 2021 Jan;114(1):73-84. doi: 10.1016/j.acvd.2020.10.004. Epub 2021 Jan 5.
In our healthcare system, mindful of patient safety and the reduction of medical errors, simulation-based training has emerged as the cornerstone of medical education, allowing quality training in complete safety for patients. Initiated by anaesthesiologists, this teaching mode effectively allows a gradual transfer of learning, and has become an essential tool in cardiology teaching. Cardiologists are embracing simulation to master complex techniques in interventional cardiology, to manage crisis situations and unusual complications and to develop medical teamwork. Simulation methods in cardiology include high-fidelity simulators, clinical scenarios, serious games, hybrid simulation and virtual reality. Simulation involves all fields of cardiology: transoesophageal echocardiography, cardiac catheterization, coronary angioplasty and electrophysiology. Beyond purely technical issues, simulation can also enhance communication skills, by using standardized patients, and can improve the management of situations related to the announcement of serious diseases. In this review of recent literature, we present existing simulation modalities, their applications in different fields of cardiology and their advantages and limitations. Finally, we detail the growing role for simulation in the teaching of medical students following the recent legal obligation to use simulation to evaluate medical students in France.
在我们的医疗体系中，为了牢记患者安全和减少医疗差错，基于模拟的培训已成为医学教育的基石，为患者提供了安全、高质量的培训。这种教学模式由麻醉师发起，有效地实现了学习的逐步转移，已成为心脏病学教学中不可或缺的工具。心脏病专家正在采用模拟技术来掌握介入心脏病学中的复杂技术，应对危机情况和异常并发症，并培养医疗团队合作。心脏病学中的模拟方法包括高保真模拟器、临床情景、严肃游戏、混合模拟和虚拟现实。模拟涵盖了心脏病学的所有领域：经食管超声心动图、心导管检查、冠状动脉成形术和电生理学。除了纯粹的技术问题外，模拟还可以通过使用标准化患者来提高沟通技巧，并改善与严重疾病宣布相关的情况的管理。在对近期文献的回顾中，我们介绍了现有的模拟方式，它们在心脏病学不同领域的应用及其优缺点。最后，我们详细介绍了模拟在法国最近的法律义务中在医学生教学中的作用日益增加，该义务要求使用模拟来评估医学生。
