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针对一年级外科住院医师的模拟伤口管理课程的设计与评估

Design and evaluation of a simulated wound management course for postgraduate year one surgery residents.

作者信息

Qi Xin, He Rui, Wen Bing, Li Qiang, Wu Hongbin

机构信息

Plastic Surgery and Burn, Peking University First Hospital, Beijing, China.

Institute of Medical Education/National Centre for Health Professions Education Development, Peking University, Beijing, China.

出版信息

PeerJ. 2021 Apr 14;9:e11104. doi: 10.7717/peerj.11104. eCollection 2021.

DOI:10.7717/peerj.11104
PMID:33954032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8052975/
Abstract

BACKGROUND

It is vital to cover wound management knowledge and operations in the early stages of resident training. With this in mind, a simulated wound management course for postgraduate year one surgery residents (PGY1s) was designed and its effectiveness was evaluated.

METHODS

A retrospective quasi-experimental method was used. PGY1s in 2014 constituted the control group, and PGY1s in 2015 and 2016 constituted the intervention group. The course given to the control group comprised didactic teaching followed by deliberate practice plus immediate personalized feedback. The newly designed course given to the intervention group was reconstructed and disassembled into four components according to the simulation-based mastery learning model, which were baseline test, interactive learning, basic skills practice, and reflective learning. The same performance assessments were used in the control and intervention group, including process measurement and outcome measurement.

RESULTS

The process measurement showed that the intervention group's scores were significantly higher in the "dissociation of subcutaneous tissue" and "quality of suturing and knots". The outcome measurement showed that the accuracy of debridement was greatly improved and both key and total suture numbers were significantly higher in the intervention group.

CONCLUSIONS

Simulation-based mastery learning was incorporated into our proposed course framework, promoting the learning outcome of PGY1s. It has the potential to be adapted for other surgical training sites for residents in China.

摘要

背景

在住院医师培训的早期阶段传授伤口管理知识与操作至关重要。鉴于此，为一年级外科住院医师（PGY1）设计了一门模拟伤口管理课程，并对其效果进行了评估。

方法

采用回顾性准实验方法。2014年的PGY1组成对照组，2015年和2016年的PGY1组成干预组。对照组的课程包括理论教学，随后是刻意练习并给予即时个性化反馈。给予干预组的新设计课程根据基于模拟的掌握学习模型进行重构并拆解为四个部分，即基线测试、互动学习、基本技能练习和反思学习。对照组和干预组采用相同的绩效评估，包括过程测量和结果测量。

结果

过程测量显示，干预组在“皮下组织分离”和“缝合与打结质量”方面的得分显著更高。结果测量显示，干预组清创的准确性有了很大提高，关键缝线数和总缝线数均显著更高。

结论

基于模拟的掌握学习被纳入我们提出的课程框架，促进了PGY1的学习成果。它有可能适用于中国其他住院医师外科培训场所。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/034892a43923/peerj-09-11104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/5f6c0e70a177/peerj-09-11104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/04a8113a45a6/peerj-09-11104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/f6d70b518715/peerj-09-11104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/034892a43923/peerj-09-11104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/5f6c0e70a177/peerj-09-11104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/04a8113a45a6/peerj-09-11104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/f6d70b518715/peerj-09-11104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aab/8052975/034892a43923/peerj-09-11104-g004.jpg

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本文引用的文献

1
[Medical residents and wound healing: A French national survey].[住院医师与伤口愈合：一项法国全国性调查]
J Med Vasc. 2019 Sep;44(5):324-330. doi: 10.1016/j.jdmv.2019.06.003. Epub 2019 Jul 16.
2
Learning Theory Foundations of Simulation-Based Mastery Learning.基于模拟的精通学习的学习理论基础
Simul Healthc. 2018 Jun;13(3S Suppl 1):S15-S20. doi: 10.1097/SIH.0000000000000279.
3
Surgical Management and Reconstruction Training (SMART) Course for International Orthopedic Surgeons.国际骨科医师外科管理和重建培训（SMART）课程。
Ann Glob Health. 2016 Jul-Aug;82(4):652-658. doi: 10.1016/j.aogh.2016.06.002.
4
Recommendations for Reporting Mastery Education Research in Medicine (ReMERM).医学领域掌握式教育研究报告建议（ReMERM）
Acad Med. 2015 Nov;90(11):1509-14. doi: 10.1097/ACM.0000000000000933.
5
Current Status of Simulation-Based Training in Graduate Medical Education.研究生医学教育中基于模拟的培训现状
Surg Clin North Am. 2015 Aug;95(4):767-79. doi: 10.1016/j.suc.2015.04.009. Epub 2015 May 23.
6
Assessment of surgery residents' operative skills in the operating theater using a modified Objective Structured Assessment of Technical Skills (OSATS): a prospective multicenter study.使用改良的客观结构化技术技能评估（OSATS）在手术室评估外科住院医师的手术技能：一项前瞻性多中心研究。
Surgery. 2014 Nov;156(5):1078-88. doi: 10.1016/j.surg.2014.04.052. Epub 2014 Sep 16.
7
Wound healing in US medical school curricula.美国医学院课程中的伤口愈合
Wound Repair Regen. 2014 Jul-Aug;22(4):467-72. doi: 10.1111/wrr.12198.
8
Modification of Peyton's four-step approach for small group teaching - a descriptive study.修改佩顿的四步教学法用于小组教学——描述性研究。
BMC Med Educ. 2014 Apr 2;14:68. doi: 10.1186/1472-6920-14-68.
9
Reform direction of medical education in China: implementing "competency-based" medical education.中国医学教育的改革方向：实施“以胜任力为基础”的医学教育。
Chin Med J (Engl). 2013;126(17):3203-4.
10
Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82.《医疗保健教育中的模拟：最佳证据实用指南》。AMEE 指南第 82 号。
Med Teach. 2013 Oct;35(10):e1511-30. doi: 10.3109/0142159X.2013.818632. Epub 2013 Aug 13.