McGraw Robert, Newbigging Joey, Blackmore Elizabeth, Stacey Matthew, Mercer Colin, Lam Wilson, Braund Heather, Gilic Fil
Department of Emergency Medicine, Queen's University, Kingston Health Sciences Centre, Kingston, ON, USA.
Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada.
CJEM. 2023 May;25(5):378-381. doi: 10.1007/s43678-023-00495-1. Epub 2023 May 3.
Emergency airway management requires the simultaneous coordination of clinical reasoning and therapeutic interventions in the complex and time-sensitive setting of emergency resuscitation. The cognitive demand associated with these situations is invariably high and must be taken into consideration when designing training programs for this core professional competency. The four-component instructional design model (4C/ID), based on cognitive load theory, was used to develop a 1-year longitudinal airway management curriculum for Emergency Medicine residents. The simulation-based curriculum was designed with the goal of facilitating the construction and automation of schemas by individual residents in preparation for the high cognitive demand associated with emergency airway management in the clinical environment.
紧急气道管理需要在紧急复苏这种复杂且对时间敏感的环境中，同时协调临床推理和治疗干预措施。与这些情况相关的认知需求始终很高，在设计针对这一核心专业能力的培训项目时必须予以考虑。基于认知负荷理论的四组件教学设计模型（4C/ID），被用于为急诊医学住院医师制定一项为期一年的纵向气道管理课程。基于模拟的课程设计目标是，促进个体住院医师构建并自动化图式，为临床环境中与紧急气道管理相关的高认知需求做好准备。
