泰国基于模拟的医学教育：一项横断面在线全国调查。
Simulation-based medical education in Thailand: a cross-sectional online national survey.
机构信息
Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
出版信息
BMC Med Educ. 2022 Apr 20;22(1):298. doi: 10.1186/s12909-022-03369-9.
BACKGROUND
Simulation-Based Medical Education (SBME) is a teaching method commonly used in undergraduate medical education. Although Thai medical schools have developed a system that incorporates SBME, various aspects of that system require improvement. We surveyed medical school administrators, instructors, and students about SBME in their institutions and the obstacles involved in its implementation, as well as their experiences, expectations, and attitudes regarding the current system.
METHODS
We conducted a cross-sectional online survey between August 2019 and July 2020 among administrators, instructors, and 6th-year medical students. A structured questionnaire was developed and distributed to volunteers as an online survey. We recorded details about the SBME system as well as participant characteristics, obstacles, experiences, expectations, and attitudes. We used descriptive statistics as appropriate.
RESULTS
We received responses from 15 (68.2%) administrators, 186 instructors, and 371 (13.7%) sixth-year medical students. SBME was commonly used in teaching and evaluation but less so in research. It was mainly used to improve psychomotor tasks, knowledge, patient care, and communication skills. The expected outcomes were improvements in students' performance, knowledge, and practice. The clinical courses were longer and had fewer participants than the pre-clinical courses. Obstacles encountered included shortages of faculty and simulators, time and space limitations, inadequate faculty training, and insufficient financial support. The administrators surveyed had positive attitudes toward SBME. Medical students reported having experience with SBME and strongly agreed that it was beneficial; however, they expected fewer students per class and more learning time to be devoted to these methods.
CONCLUSIONS
SBME in Thailand is focused on teaching and assessment. The system could be improved through better-trained faculty, greater available space, more simulators, and sufficient funding. There were also some aspects that failed to meet students' expectations and need to be addressed. However, participants expressed positive attitudes toward SBME.
TRIAL REGISTRATION
TCTR20210524003 (Thai Clinical Trials Registry).
背景
基于模拟的医学教育（SBME）是本科医学教育中常用的一种教学方法。尽管泰国医学院已经建立了一个包含 SBME 的系统，但该系统的各个方面仍需要改进。我们调查了医学院的管理人员、教师和学生，了解他们所在机构的 SBME 情况以及实施过程中的障碍，以及他们对当前系统的经验、期望和态度。
方法
我们于 2019 年 8 月至 2020 年 7 月期间对管理人员、教师和 6 年级医学生进行了横断面在线调查。我们开发了一份结构化问卷，并作为在线调查分发给志愿者。我们记录了有关 SBME 系统以及参与者特征、障碍、经验、期望和态度的详细信息。我们酌情使用描述性统计。
结果
我们共收到 15 名（68.2%）管理人员、186 名教师和 371 名（13.7%）6 年级医学生的回复。SBME 常用于教学和评估，但在研究中使用较少。它主要用于提高运动技能任务、知识、患者护理和沟通技能。预期的结果是提高学生的表现、知识和实践能力。临床课程比基础课程时间更长，参与者也更少。遇到的障碍包括教师和模拟设备短缺、时间和空间限制、教师培训不足以及资金支持不足。接受调查的管理人员对 SBME 持积极态度。医学生报告有 SBME 经验，并强烈认为它是有益的；然而，他们希望每个班级的学生人数更少，并投入更多的学习时间来使用这些方法。
结论
泰国的 SBME 侧重于教学和评估。通过更好的师资培训、更多的可用空间、更多的模拟设备和充足的资金，该系统可以得到改进。还有一些方面未能满足学生的期望，需要加以解决。然而，参与者对 SBME 持积极态度。
试验注册
TCTR20210524003（泰国临床试验注册处）。
Zotero 插件