Austin Andrea, Rudolf Frances, Fernandez Jorge, Ishimine Paul, Murray Matthew, Suresh Preetham, McDaniel Michele, Shishlov Kirill, Oyama Leslie
Department of Emergency Medicine University of California San Diego San Diego California USA.
Department of Pediatric Emergency Medicine Rady Children's Hospital San Diego California USA.
AEM Educ Train. 2021 Apr 1;5(2):e10593. doi: 10.1002/aet2.10593. eCollection 2021 Apr.
The COVID-19 pandemic has dramatically affected medical education. Emergency medicine (EM) requires excellence in multiple core competencies, including leadership, teamwork, and communication skills as well as procedural experience. To meet these objectives, we developed a hybrid simulation model that accommodated a reduced number of learners in our simulation center to allow for physical distancing, seamlessly integrated with an online integrated experience for remote learners. All learners participated or watched one adult and one pediatric simulation case. Fourteen residents participated in live simulation, while six residents and six medical students comprised the remote group. At the end of each case, the live feed was ended, and separate debriefings were conducted by different EM faculty, in person and online (via Zoom). An electronic survey was then sent to participants to rate the effectiveness of the intervention; 23 survey responses were collected: 52.2% (12) from the live session and 47.2% (11) from the virtual session. Survey results demonstrated that the online simulation observation and debriefing had the same, if not better, satisfaction than in-person simulation sessions and debriefings. Due to its success, this new method of hybrid simulation will be our plan for the foreseeable future, at least until COVID-19 abates.
新冠疫情对医学教育产生了巨大影响。急诊医学（EM）要求具备多项核心能力，包括领导力、团队协作能力、沟通技巧以及操作经验。为实现这些目标，我们开发了一种混合模拟模型，该模型在模拟中心容纳数量减少的学习者以实现物理距离，同时与远程学习者的在线综合体验无缝集成。所有学习者都参与或观看了一个成人模拟病例和一个儿科模拟病例。14名住院医师参与了现场模拟，而6名住院医师和6名医学生组成了远程组。在每个病例结束时，现场直播结束，由不同的急诊医学教员分别进行面对面和在线（通过Zoom）的总结汇报。然后向参与者发送电子调查问卷以评估干预措施的有效性；共收集到23份调查问卷回复：52.2%（12份）来自现场课程，47.2%（11份）来自虚拟课程。调查结果表明，在线模拟观察和总结汇报的满意度即便不比面对面模拟课程和总结汇报更好，也与之相当。鉴于其成功，这种新的混合模拟方法将成为我们在可预见未来的计划，至少在新冠疫情缓解之前如此。
