Department of Infectious Diseases, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Respiratory Department, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Front Public Health. 2022 May 20;10:887405. doi: 10.3389/fpubh.2022.887405. eCollection 2022.
The need to develop the full range of knowledge, skills, and professionalism poses new challenges for pediatric cardiovascular education. This study aimed to investigate the effectiveness of a novel simulation curriculum with the segmented model for pediatric cardiovascular residents.
First, the simulation course was designed according to a prior survey and based on a human patient simulator setting. Then, another 55 residents were randomly selected and assigned to participate in a simulation course (about acute fulminant myocarditis in children), either in the experimental group or the control group. Taking full advantage of the simulation education, the simulation case in the experimental group was divided into three segments and included a micro-debriefing at the end of each segment. The three segments were independent but together formed the whole case. It was designed through three cycles of running and debriefing, and more challenging tasks were gradually proposed to residents. The case in the control group was not split and included only one case running and debriefing. The assessments of the residents' knowledge, skills, professionalism performance, and satisfaction feedback from residents were analyzed to evaluate the effectiveness of the course.
In total, 44 residents completed the whole experimental period, including 23 participants in the experimental group and 21 participants in the control group. The pre-course knowledge assessment scores of the two groups were comparable, while the mean post-course score in the experimental group was 82.61 ± 17.38, which was significantly higher than that in the control group (50.48 ± 18.57, < 0.01). The mean skills assessment score of residents in the experimental group was 84.17 ± 6.01, which was significantly higher than the control group (54.50 ± 5.72, < 0.01). In terms of the professionalism assessment, the residents in the experimental group achieved better performance than those in the control group in all aspects (respect, privacy, communication, responsibility, and cooperation) ( < 0.05). Satisfaction feedback from residents showed that self-confidence regarding knowledge mastery in the experimental group was significantly higher than that in the control group ( < 0.05), while there were no significant differences in the evaluations of the teacher's performance ( > 0.05).
The novel simulation curriculum with the segmented model helps residents achieve better performance in terms of knowledge, skills, and professionalism while improving self-confidence. It has some value in pediatric cardiovascular education and is worthy of further promotion.
儿科心血管教育需要发展全面的知识、技能和专业素养，这带来了新的挑战。本研究旨在调查一种新型模拟课程在儿科心血管住院医师中的效果，该课程采用分段模式。
首先，根据一项前期调查，按照人体患者模拟器设置设计模拟课程。然后，随机选择另外 55 名住院医师，分为实验组和对照组，分别参加模拟课程（关于儿童暴发性心肌炎）。充分利用模拟教育，实验组的模拟病例分为三个部分，每个部分结束后进行微型讨论。三个部分是独立的，但共同构成了整个病例。该病例通过三轮运行和讨论设计，向住院医师逐步提出更具挑战性的任务。对照组的病例不分段，仅运行和讨论一个病例。分析住院医师的知识、技能、专业表现评估以及住院医师的满意度反馈，以评估课程的效果。
共有 44 名住院医师完成了整个实验周期，实验组有 23 名参与者，对照组有 21 名参与者。两组的课前知识评估得分相当，而实验组的课后平均得分（82.61 ± 17.38）明显高于对照组（50.48 ± 18.57，<0.01）。实验组住院医师的技能评估平均得分为 84.17 ± 6.01，明显高于对照组（54.50 ± 5.72，<0.01）。在专业表现评估方面，实验组在尊重、隐私、沟通、责任和合作等方面的表现均优于对照组（<0.05）。住院医师的满意度反馈显示，实验组对知识掌握的自信明显高于对照组（<0.05），而对教师表现的评价无显著差异（>0.05）。
新型模拟课程采用分段模式，有助于住院医师在知识、技能和专业素养方面取得更好的成绩，同时提高自信心。它在儿科心血管教育中有一定的价值，值得进一步推广。
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