Kojima Taiki, Kawatsu Yuta
Department of Anaesthesiology, Aichi Children's Health and Medical Center, Aichi, Japan.
Division of Comprehensive Pediatric Medicine, Nagoya University Graduate School of Medicine, Aichi, Japan.
Turk J Anaesthesiol Reanim. 2023 Aug 18;51(4):341-346. doi: 10.4274/TJAR.2023.221166.
The Coronavirus disease-2019 (COVID-19) outbreak has deprived simulation-based medical education for health care workers. Attendees are strictly prohibited to converge at a simulation training venue because of the COVID-19 outbreaks. To address this issue, we developed a web-conference-style remote simulation program using demonstration video clips. This report introduced the method and described participants' satisfaction.
This preliminary survey study evaluated learners' satisfaction in multiple institutions. The Satisfaction Scale Questionnaire with High-Fidelity Clinical Simulation (SSHF) by a 5-degree scale was used to evaluate participants' satisfaction. The survey was conducted immediately after completing the simulation sessions.
Ten (100%) participants (7 anaesthesia individuals, 2 anaesthesia residents and 1 nurse anaesthetist) from nine institutions responded to the survey. All median values of the satisfaction scores were ≥4.0, whereas the median values of scores for environmental fidelity and psychological insecurity were 3.5 and 3.0, respectively (=0.005).
A web-conference-style remote simulation using demonstration video clips is a feasible method for conducting simulation-based medical education under COVID-19 that showed high satisfaction scores. Further, additional studies are required to explore the internal and external validity and the effectiveness of mastery learning.
2019年冠状病毒病（COVID-19）疫情使医护人员基于模拟的医学教育被迫中断。由于COVID-19疫情爆发，严格禁止参会者聚集在模拟训练场地。为解决这一问题，我们利用演示视频片段开发了一种网络会议式远程模拟程序。本报告介绍了该方法并描述了参与者的满意度。
这项初步调查研究评估了多机构学习者的满意度。采用5级量表的高保真临床模拟满意度量表问卷（SSHF）来评估参与者的满意度。调查在模拟课程结束后立即进行。
来自9个机构的10名（100%）参与者（7名麻醉专业人员、2名麻醉住院医师和1名麻醉护士）对调查做出了回应。满意度得分的所有中位数均≥4.0，而环境逼真度和心理不安全感得分的中位数分别为3.5和3.0（P=0.005）。
使用演示视频片段的网络会议式远程模拟是在COVID-19疫情下开展基于模拟的医学教育的一种可行方法，且显示出较高的满意度得分。此外，还需要进一步研究来探索其内部和外部效度以及掌握学习的有效性。
