Department of Anesthesiology, The Affiliated Hospital of Beihua University, Jilin City, Jilin Province 132000, China.
The Affiliated Hospital of Beihua University, Jilin City, Jilin Province 132000, China.
J Healthc Eng. 2022 Apr 21;2022:8163546. doi: 10.1155/2022/8163546. eCollection 2022.
Anesthesiology is a subject with strong practicality and application. Undergraduate anesthesiology teaching needs to strike a balance between theoretical knowledge, clinical skill training, and clinical thinking development. Clinical probation and practice are an important part of undergraduate anesthesia teaching. Traditional clinical teaching uses real patients for demonstration and training, but as patients become more self-protective and less cooperative, there are not enough patients for clinical skill training. Simulation is to teach medical scenes in real life under the control of standardized technical guidelines and parameters. Since then, with the rapid development of computer technology, simulation technology and simulation teaching have been greatly developed and are more and more used in clinical teaching, skill evaluation, and scientific research. This study explores the effective methods of clinical teaching in anesthesiology by comparing the effectiveness of traditional teaching methods and simulation teaching methods in undergraduate clinical teaching. It is difficult to combine theory and practice in first aid, which does not allow them to directly receive and deal with emergency medical treatment and resuscitation. In China's current medical environment and patients' high demand for medical services, it is imperative to vigorously carry out simulated medical education. In the eastern part of Inner Mongolia, according to the advantages of teaching hospitals, our hospital took the lead in carrying out the simulation education project, which is still in the exploratory stage and not systematic enough. This study will help us to better carry out simulation teaching and improve the clinical skills of medical students in the future. . The student group and class took the advanced simulator training as the experimental group, applied the advanced integrated simulator and other systems of the Norwegian company, referred to the international guidelines for cardiopulmonary resuscitation and cardiovascular first aid in 2005, and practiced in the emergency department during the clinical internship and "emergency clinical simulation training" course. The course includes basic life support, advanced life support, and comprehensive training of CPR (cardiopulmonary resuscitation) and endotracheal intubation. . The passing rate of simulated first aid practice was 94.4%; 100% of the students think it is necessary to set up the course, 91% of the students think it is practical, 91% of the students think the course content is reasonable and perfect, and 77%-100% of the students think the course has improved their first aid operation ability, comprehensive application of knowledge, and clinical thinking ability. . Carrying out the course of "clinical simulated first aid training" through the advanced simulator system can effectively improve the interns' clinical first aid operation ability, teamwork ability, and self-confidence, improve the students' clinical thinking and judgment ability, and improve the service level to patients.
麻醉学是一门实践性和应用性很强的学科。本科麻醉学教学需要在理论知识、临床技能培训和临床思维发展之间取得平衡。临床实习和实践是本科麻醉教学的重要组成部分。传统的临床教学使用真实患者进行演示和培训,但由于患者越来越自我保护和不合作,临床技能培训的患者数量不足。模拟是在标准化技术指南和参数的控制下教授现实生活中的医疗场景。此后,随着计算机技术的快速发展,模拟技术和模拟教学在临床教学、技能评估和科学研究中得到了极大的发展和应用。本研究通过比较传统教学方法和模拟教学方法在本科临床教学中的效果,探讨麻醉学临床教学的有效方法。急救很难将理论与实践相结合,这使得他们无法直接接受和处理急救和复苏。在中国目前的医疗环境和患者对医疗服务的高要求下,大力开展模拟医学教育势在必行。在内蒙东部,我院根据教学医院的优势,率先开展模拟教育项目,但仍处于探索阶段,不够系统。本研究将有助于我们更好地开展模拟教学,提高未来医学生的临床技能。学生组和班级采用先进的模拟训练作为实验组,应用挪威公司的先进综合模拟器和其他系统,参考 2005 年心肺复苏和心血管急救国际指南,在临床实习期间和“急诊临床模拟培训”课程中在急诊室进行实践。该课程包括基础生命支持、高级生命支持以及心肺复苏术和气管插管的综合培训。模拟急救实践的通过率为 94.4%;100%的学生认为有必要设置该课程,91%的学生认为该课程实用,91%的学生认为课程内容合理完善,77%-100%的学生认为该课程提高了他们的急救操作能力、综合运用知识的能力和临床思维能力。通过先进的模拟器系统开展“临床模拟急救培训”课程,能有效提高实习生的临床急救操作能力、团队协作能力和自信心,提高学生的临床思维和判断能力,提高对患者的服务水平。