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即时通讯模拟（SIMBA）在 COVID-19 大流行期间医学教育中的应用。

Utility of Simulation via Instant Messaging - Birmingham Advance (SIMBA) in medical education during COVID-19 pandemic.

机构信息

Princess of Wales Hospital, Cwm Taf Morgannwg University Health Board, Bridgend, UK.

Ninewells Hospital, NHS Tayside, Dundee, UK.

出版信息

J R Coll Physicians Edinb. 2021 Jun;51(2):168-172. doi: 10.4997/JRCPE.2021.218.

DOI:10.4997/JRCPE.2021.218

PMID:34131679

Abstract

BACKGROUND

Simulation via Instant Messaging - Birmingham Advance (SIMBA) aimed to improve clinicians' confidence in managing various clinical scenarios during the COVID-19 pandemic.

METHODS

Five SIMBA sessions were conducted between May and August 2020. Each session included simulation of scenarios and interactive discussion. Participants' self-reported confidence, acceptance, and relevance of the simulated cases were measured.

RESULTS

Significant improvement was observed in participants' self-reported confidence (overall n = 204, p<0.001; adrenal n = 33, p<0.001; thyroid n = 37, p<0.001; pituitary n = 79, p<0.001; inflammatory bowel disease n = 17, p<0.001; acute medicine n = 38, p<0.001). Participants reported improvements in clinical competencies: patient care 52.0% (n = 106/204), professionalism 30.9% (n = 63/204), knowledge on patient management 84.8% (n = 173/204), systems-based practice 48.0% (n = 98/204), practice-based learning 69.6% (n = 142/204) and communication skills 25.5% (n = 52/204).

CONCLUSION

SIMBA is a novel pedagogical virtual simulation-based learning model that improves clinicians' confidence in managing conditions across various specialties.

摘要

背景

通过即时通讯进行模拟-伯明翰高级模拟（SIMBA）旨在提高临床医生在 COVID-19 大流行期间管理各种临床情况的信心。

方法

2020 年 5 月至 8 月期间进行了五次 SIMBA 会议。每个会议都包括模拟场景和互动讨论。测量了参与者自我报告的信心、接受程度和模拟病例的相关性。

结果

参与者自我报告的信心显著提高（总体 204 人，p<0.001；肾上腺 33 人，p<0.001；甲状腺 37 人，p<0.001；垂体 79 人，p<0.001；炎症性肠病 17 人，p<0.001；急性医学 38 人，p<0.001）。参与者报告在临床能力方面有所提高：患者护理 52.0%（204 人中有 106 人）、专业精神 30.9%（204 人中有 63 人）、患者管理知识 84.8%（204 人中有 173 人）、基于系统的实践 48.0%（204 人中有 98 人）、基于实践的学习 69.6%（204 人中有 142 人）和沟通技巧 25.5%（204 人中有 52 人）。