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年轻成人细菌性脑膜炎伴脑水肿:医学生模拟病例。

Bacterial Meningitis With Cerebral Edema in a Young Adult: A Simulation Case for Medical Students.

机构信息

Third-Year Medical Student and Simulation Fellow, Alabama College of Osteopathic Medicine.

Instructor of Primary Clinical Skills, Alabama College of Osteopathic Medicine.

出版信息

MedEdPORTAL. 2023 Oct 27;19:11354. doi: 10.15766/mep_2374-8265.11354. eCollection 2023.

DOI:10.15766/mep_2374-8265.11354
PMID:37900702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10603216/
Abstract

INTRODUCTION

Simulation in the preclinical medical education setting is a beneficial tool for students to develop clinical skills, supplement preexisting knowledge, and prepare for clinical rotations and beyond. We detail the complete simulation scenario, including a participant postresponse questionnaire, of a 28-year-old male who developed bacterial meningitis after experiencing an upper respiratory infection in the days prior.

METHODS

Simulation fellows and faculty at the Alabama College of Osteopathic Medicine created a simulation scenario pertaining to bacterial meningitis. The scenario utilized a high-fidelity patient simulator, one standardized participant for patient voiceover, one standardized participant as a patient family member, and one standardized participant as a physician consultant on an as-needed basis. Sixteen preclinical medical students from various specialty interest groups were recruited to participate in the scenario and complete the postscenario questionnaire.

RESULTS

The simulation scenario was well received by the participants, and 15 of 16 completed the postscenario questionnaire. Ninety-three percent strongly agreed the simulation was a valuable clinical experience. Additionally, 73% of participants strongly agreed that the simulation experience was realistic, 80% strongly agreed that it tested their clinical reasoning ability, and 53% strongly agreed it was appropriate for their level of clinical knowledge.

DISCUSSION

Medical simulation is a valuable educational tool tailored to maximize student learning and supplement the traditional didactic curriculum. The successful development and implementation of our meningitis simulation case further supports the continued use of medical simulation in the preclinical setting.

摘要

简介

在临床前医学教育环境中进行模拟是学生发展临床技能、补充现有知识以及为临床实习和以后的学习做准备的有益工具。我们详细介绍了一个完整的模拟场景,包括参与者的反应后问卷调查,该场景涉及一名 28 岁男性,他在前几天上呼吸道感染后患上细菌性脑膜炎。

方法

阿拉巴马骨科医学院的模拟研究员和教师创建了一个与细菌性脑膜炎相关的模拟场景。该场景使用了高保真患者模拟器、一个标准化的参与者作为患者旁白、一个标准化的参与者作为患者家属,以及一个标准化的参与者作为医生顾问,根据需要进行咨询。从不同专业兴趣小组招募了 16 名临床前医学生参与该场景并完成了情景后问卷调查。

结果

模拟场景受到了参与者的好评,16 名参与者中有 15 名完成了情景后问卷调查。93%的参与者强烈认为模拟是一种有价值的临床体验。此外,73%的参与者强烈认为模拟体验很真实,80%的参与者强烈认为它检验了他们的临床推理能力,53%的参与者强烈认为它适合他们的临床知识水平。

讨论

医学模拟是一种有价值的教育工具,可以最大限度地提高学生的学习效果,并补充传统的理论课程。我们成功开发和实施的脑膜炎模拟案例进一步支持了在临床前环境中继续使用医学模拟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa1b/10603216/43862ea71e31/mep_2374-8265.11354-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa1b/10603216/43862ea71e31/mep_2374-8265.11354-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa1b/10603216/43862ea71e31/mep_2374-8265.11354-g001.jpg

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