中国医学生急诊医学强化模拟培训项目的开发。
Development of an intensive simulating training program in emergency medicine for medical students in China.
作者信息
Lu Xin, Feng Shi, Guo Shi-Gong, Qin Mu-Bing, Liu Xiang-Ning, Yu Shi-Yuan, Zhao Li-Na, Ge Zeng-Zheng, Chai Jing-Jing, Xu Sheng-Yong, Shi Di, Liu Ji-Hai, Zhu Hua-Dong, Li Yi
机构信息
Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Department of Rehabilitation Medicine, Southmead Hospital, Bristol BS105NB, United Kingdom.
出版信息
World J Emerg Med. 2022;13(1):24-26. doi: 10.5847/wjem.j.1920-8642.2022.004.
BACKGROUND
A national standardized emergency medicine (EM) curriculum for medical students, including specific competencies in procedural skills, are absent in many countries. The development of an intensive simulating training program in EM, based on a tight schedule, is anticipated to enhance the competency of medical students.
METHODS
A 3-day intensive EM training program, consisting of four procedural skills and 8-hour case-based learning (CBL), was developed by experienced physicians from the EM department in Peking Union Medical College Hospital (PUMCH). Medical students from Peking Union Medical College (PUMC) and Tsinghua University (THU) participated in the training. Three written tests were cautiously designed to examine the short-term (immediately after the program) and long-term (6 months after the program) efficacy of the training. After completion of the training program, an online personal appraisal questionnaire was distributed to the students on WeChat (a mobile messaging App commonly used in China) to achieve anonymous self-evaluation.
RESULTS
Ninety-seven out of 101 students completed the intensive training and took all required tests. There was a significant increase in the average score after the intensive simulating training program (pre-training 13.84 vs. 15.57 post-training, <0.001). Compared with the pre-training test, 63 (64.9%) students made progress. There was no significant difference in scores between the tests taken immediately after the program and 6 months later (15.57±2.22 vs. 15.38±2.37, =0.157). Students rated a higher score in all diseases and procedural skills, and felt that their learning was fruitful.
CONCLUSIONS
The introduction of a standardized intensive training program in EM focusing on key competencies can improve clinical confidence, knowledge, and skills of medical students toward the specialty. In addition, having such a program can also enhance student's interest in EM as a career choice which may enhance recruitment into the specialty and workplace planning.
背景
许多国家都没有针对医学生的全国标准化急诊医学（EM）课程，包括程序技能方面的特定能力。基于紧凑日程安排开发的急诊医学强化模拟培训项目，有望提高医学生的能力。
方法
北京协和医院急诊科经验丰富的医生开发了一个为期3天的急诊医学强化培训项目，包括四项程序技能和8小时的基于案例的学习（CBL）。北京协和医学院（PUMC）和清华大学（THU）的医学生参加了培训。精心设计了三项笔试，以检验培训的短期（培训结束后立即进行）和长期（培训结束后6个月）效果。培训项目结束后，通过微信（中国常用的移动通讯应用程序）向学生发放在线个人评估问卷，以实现匿名自我评价。
结果
101名学生中有97名完成了强化培训并参加了所有要求的测试。强化模拟培训项目后平均成绩有显著提高（培训前13.84分，培训后15.57分，<0.001）。与培训前测试相比，63名（64.9%）学生取得了进步。培训结束后立即进行的测试和6个月后进行的测试成绩之间没有显著差异（15.57±2.22 vs. 15.38±2.37，=0.157）。学生对所有疾病和程序技能的评分更高，并认为他们的学习卓有成效。
结论
引入注重关键能力的标准化急诊医学强化培训项目，可以提高医学生对该专业的临床信心、知识和技能。此外，开展这样一个项目还可以增强学生对急诊医学作为职业选择的兴趣，这可能会增加该专业的招生人数并有助于职业规划。
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