Department of Ageing & Health, St Thomas' Hospital, London, UK.
Health Education England, London, UK.
Br J Hosp Med (Lond). 2021 Jan 2;82(1):1-13. doi: 10.12968/hmed.2020.0587. Epub 2021 Jan 28.
Many doctors take time out of clinical practice, and then have decreased confidence and poor performance ratings on their return. Simulation training provides a safe and effective learning platform for healthcare professionals to become immersed in realistic scenarios that provide an opportunity to develop technical and non-technical skills. A standardised, 1-day, multi-fidelity, interprofessional, simulation training course was developed and delivered at four sites, focusing on human factors, patient safety and acute clinical scenarios relevant for clinicians returning to practice in internal medicine. A total of 56 participants, with a median time out of training of 3.6 years, attended seven courses. Quantitative and qualitative analysis showed a significant pre/post-course increase in candidates' self-reported confidence in returning to practice along with learning in non-technical skills. The carefully designed standardised format may facilitate wider expansion of such training.
许多医生会抽出时间离开临床实践，然后在返回后信心降低，绩效评价不佳。模拟培训为医疗保健专业人员提供了一个安全有效的学习平台，使他们能够沉浸在现实场景中，有机会发展技术和非技术技能。我们开发了一种标准化的、为期 1 天、多保真度、跨专业的模拟培训课程，并在四个地点进行了教学，重点关注与内科医生重返临床实践相关的人为因素、患者安全和急性临床情况。共有 56 名参与者参加了 7 门课程，他们的平均培训中断时间为 3.6 年。定量和定性分析显示，候选人在重返实践方面的自我报告信心以及非技术技能方面的学习都有显著的课前课后提高。精心设计的标准化格式可能有助于更广泛地开展此类培训。
