高级泌尿外科实战训练营:一门基于模拟训练的课程,旨在提高四年级医学生的操作能力。

Advanced Urology Boot Camp: A Simulation-based Curriculum to Enhance Fourth-year Medical Student Procedural Competency.

作者信息

Stout Megan, Ballinger Jennifer, Posid Tasha, Lee Cheryl, Cooper John, Rose Justin, Bellows Fara

机构信息

Department of Urology, The Ohio State University Medical Center, Columbus, Ohio.

出版信息

Urol Pract. 2023 Mar;10(2):196-200. doi: 10.1097/UPJ.0000000000000379. Epub 2023 Jan 24.

Abstract

INTRODUCTION

Simulation-based medical education continues to gain popularity as the clinical environment requires exemplary patient safety while simultaneously maximizing the learner's educational experience. There is a current lack of urology-focused medical student education curricula in the literature. Here, we present the findings of a didactic and simulation-based medical student advanced "urology boot camp" curriculum, which was designed for learners interested in pursuing careers in urology.

METHODS

Twenty-nine fourth-year urology-dedicated medical students completing their subinternship at our institution during the 2018-2019 academic year participated in an advanced hands-on simulation "boot camp," which taught both simple and advanced Foley catheter placement, manual and continuous bladder irrigation, and diagnostic cystoscopy. Knowledge acquisition was assessed through quizzes administered before and after completing electronic modules, and a post-simulation survey assessing learners' confidence in their knowledge and skill set, as well as their satisfaction with the curriculum.

RESULTS

Medical students demonstrated significant gains in knowledge from pre-test (mean 73.7%) to post-test (mean 94.5%, < .001), which was consistent across each simulation procedure. Participants self-reported significant improvement in confidence with the procedures from before to after the educational intervention ( < .001). Students also found the curriculum to be beneficial to their understanding of the subject matter ( < .001), would recommend this curriculum to other medical students ( < .001), and thought it better prepared them to meet expected ACGME (Accreditation Council for Graduate Medical Education) milestones ( < .001).

CONCLUSIONS

Findings from our advanced "boot camp" simulation curriculum demonstrated successful gains in knowledge and confidence following learning modules and hands-on simulation, indicating that this type of educational intervention could be beneficial in improving exposure to skills and developing confidence prior to urology internship and junior residency.

摘要

引言

随着临床环境要求具备模范的患者安全水平,同时最大限度地提升学习者的教育体验,基于模拟的医学教育越来越受欢迎。目前文献中缺乏以泌尿外科为重点的医学生教育课程。在此,我们展示了一项基于理论教学和模拟的医学生高级“泌尿外科新兵训练营”课程的研究结果,该课程是为有志于从事泌尿外科职业的学习者设计的。

方法

2018 - 2019学年在我们机构完成临床实习的29名四年级泌尿外科专业医学生参加了一个高级实践模拟“新兵训练营”,该训练营教授了简单和高级的Foley导尿管置入、手动和持续膀胱冲洗以及诊断性膀胱镜检查。通过在完成电子模块前后进行的测验评估知识获取情况,并通过模拟后调查评估学习者对其知识和技能的信心,以及他们对课程的满意度。

结果

医学生在预测试(平均73.7%)到后测试(平均94.5%,<0.001)中知识有显著提高,这在每个模拟程序中都是一致的。参与者自我报告在教育干预前后对这些操作的信心有显著提高(<0.001)。学生们还发现该课程有助于他们理解主题内容(<0.001),会向其他医学生推荐该课程(<0.001),并认为它能更好地帮助他们达到预期的毕业后医学教育认证委员会(ACGME)的要求(<0.001)。

结论

我们的高级模拟“新兵训练营”课程研究结果表明,在学习模块和实践模拟后,知识和信心有了成功提升,这表明这种类型的教育干预可能有助于在泌尿外科实习和初级住院医师培训前增加技能接触并培养信心。

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