Woodfield Georgia, Tyson Luke D, Orhan Orhan, Szram Joanna
West Middlesex University Hospital, London, UK and clinical research fellow, Imperial College London, London, UK.
London North West University Healthcare NHS Trust, London, UK and honorary clinical research fellow, Imperial College London, London, UK.
Future Healthc J. 2021 Mar;8(1):e131-e136. doi: 10.7861/fhj.2020-0153.
We designed, implemented and evaluated a near-peer simulation training programme teaching diagnostic and therapeutic abdominal paracentesis to core medical trainees (CMTs). We taught diagnostic and therapeutic abdominal paracentesis to 77 north-west London CMTs over 8 training days over 4 years, 2015 to 2019. The programme was optimised by use of plan, do, study, act (PDSA) cycles and the content was evaluated by anonymous pre- and post-course questionnaires. There was a need for this training; 89% of participants reported inadequate training opportunities pre-course and only 28% felt 'confident' or 'very confident' to insert an ascitic drain. Simulation training appears effective when teaching these skills. Having been low in confidence before the course, all participants reported increased confidence after completing the course. Simulation training has been highlighted as a key aspect of the new internal medicine training programme, which replaces CMT. We would recommend using PDSA cycles to implement effective simulation programmes.
我们设计、实施并评估了一项针对核心医学实习生（CMT）的近同伴模拟培训计划，该计划教授诊断性和治疗性腹腔穿刺术。在2015年至2019年的4年时间里，我们在8个培训日为77名伦敦西北部的CMT教授了诊断性和治疗性腹腔穿刺术。该计划通过使用计划-实施-研究-改进（PDSA）循环进行了优化，其内容通过匿名的课前和课后问卷进行了评估。有开展此培训的必要；89%的参与者报告称课前培训机会不足，只有28%的人对插入腹水引流管感到“有信心”或“非常有信心”。在教授这些技能时，模拟培训似乎很有效。所有参与者在课程开始前信心不足，但在完成课程后都表示信心增强。模拟培训已被视为取代CMT的新内科培训计划的一个关键方面。我们建议使用PDSA循环来实施有效的模拟计划。
