Chou Wei-Kuo, Cheng Ming-Tai, Lin Chien-Hao, Shih Fuh-Yuan
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, TWN.
Cureus. 2021 May 21;13(5):e15151. doi: 10.7759/cureus.15151.
Introduction Functional exercises are effective for testing disaster management training. Previously, we found that functional exercises promote student engagement and improve the perception of learning after exercise. Objective The study objective is to investigate whether functional exercise is effective for teaching disaster medicine. Methods Students who partook in a two-day course of disaster medicine were recruited. The course consisted of lectures and workshops followed by a half-day functional exercise and was designed based on four core competency domains which included major disaster medicine concepts. After the lectures and workshops, participants completed a test to assess their knowledge of the core competency domains and a questionnaire to evaluate their willingness to pursue further training and participate in a disaster medical assistance team (DMAT) and their interest in disaster exercises. The functional exercise involved the scenario of an earthquake and mass-casualty incident and participants acted as DMAT members in the exercise. A post-exercise debrief was conducted by the evaluators to discuss performance and evaluate the results of the exercise. Participants then completed the same tests and questionnaires as before the exercise. Results Ninety-seven students were recruited, 72 of which were medical students. Pre- and post-exercise tests and questionnaires were completed by 48. We found disaster scene safety knowledge to be significantly improved after the functional exercise. Students' willingness for further training and participation in a DMAT as well as their interest in disaster training was high before and after the exercise. Conclusion Disaster scene safety is a vital element of disaster medicine training but it is difficult to teach. Functional exercises represent a good tool for this purpose and can maintain enthusiasm for learning and participating in disaster medicine-related activities.
引言
功能演练对于测试灾害管理培训是有效的。此前，我们发现功能演练能促进学生参与，并改善演练后对学习的认知。
目的
本研究的目的是调查功能演练对灾害医学教学是否有效。
方法
招募参加为期两天灾害医学课程的学生。该课程包括讲座和工作坊，随后是半天的功能演练，其设计基于四个核心能力领域，涵盖主要灾害医学概念。在讲座和工作坊之后，参与者完成一项测试以评估他们对核心能力领域的知识，并填写一份问卷以评估他们继续接受培训并加入灾害医疗援助团队（DMAT）的意愿，以及他们对灾害演练的兴趣。功能演练涉及地震和大规模伤亡事件场景，参与者在演练中扮演DMAT成员。评估人员进行了演练后汇报，以讨论表现并评估演练结果。参与者随后完成与演练前相同的测试和问卷。
结果
招募了97名学生，其中72名是医学生。48名学生完成了演练前后的测试和问卷。我们发现功能演练后灾害现场安全知识有显著提高。学生在演练前后继续接受培训并加入DMAT的意愿以及他们对灾害培训的兴趣都很高。
结论
灾害现场安全是灾害医学培训的重要要素，但难以教授。功能演练是实现这一目的的良好工具，并且可以保持对学习和参与灾害医学相关活动的热情。
