Pong Kwai-Meng, Teo Jerrold Tze-Ren, Cheah Fook-Choe
Pediatrics Department, Penang Adventist Hospital, Penang, Malaysia.
Department of Pediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Front Pediatr. 2021 Feb 11;9:619035. doi: 10.3389/fped.2021.619035. eCollection 2021.
Simulation-based education (SBE) is increasingly used as an education tool to improve learning for healthcare providers. In newborn care practice, SBE is used in the Neonatal Resuscitation Program (NRP) and training in procedural skills. The NRP is a mandatory course in Malaysia for all house officers (interns) and medical officers (residents) during their pediatric rotation. Almost 30,000 of NRP providers have been trained over the last 5 years. The recent establishment of the Allied Healthcare Center of Excellence (AHCoE), an organization dedicated to promoting SBE, and Malaysian Society for Simulation in Healthcare (MaSSH) aims to enhance the integration of SBE into the healthcare training curriculum and set up a local healthcare simulation educator training program. Our experience in implementing SBE necessitated that we made several important choices. As there was no strong evidence to favor high-fidelity over low-fidelity simulation, and because simulation centers can be very costly to set up with limited resources, we chose SBE mainly in the form of low-fidelity and simulation. We also identified an important developmental goal to train Malaysian instructors on structured debriefing, a critical activity for learning in SBE. Currently, debriefing is often carried out in our centers at an basis because of time limitation and the lack of personnel trained. Finally, we aim to implement SBE further in Malaysia, with two axes: (1) the credentialing and recertification of physicians and nurses, and (2) the education of lay caregivers of high-risk infants before discharge from the neonatal intensive care unit.
基于模拟的教育（SBE）越来越多地被用作一种教育工具，以改善医疗保健提供者的学习效果。在新生儿护理实践中，SBE被用于新生儿复苏计划（NRP）和操作技能培训。NRP是马来西亚所有住院医生（实习生）和医务人员（住院医师）在儿科轮转期间的必修课。在过去5年里，已有近30000名NRP提供者接受了培训。最近成立的联合医疗卓越中心（AHCoE）是一个致力于推广SBE的组织，马来西亚医疗模拟协会（MaSSH）旨在加强SBE在医疗培训课程中的整合，并设立一个本地医疗模拟教育工作者培训项目。我们在实施SBE方面的经验使我们做出了几个重要选择。由于没有强有力的证据表明高保真模拟优于低保真模拟，而且由于在资源有限的情况下建立模拟中心成本很高，我们选择的SBE主要是低保真模拟的形式。我们还确定了一个重要的发展目标，即培训马来西亚的教员进行结构化的总结汇报，这是SBE学习中的一项关键活动。目前，由于时间限制和缺乏经过培训的人员，我们中心的总结汇报往往是临时进行的。最后，我们的目标是在马来西亚进一步实施SBE，有两个方向：（1）医生和护士的资格认证和重新认证，（2）在高危婴儿从新生儿重症监护病房出院前对其非专业护理人员进行教育。
