Silva Bruno Miguel, Norte Gustavo, Lito Pedro, Garcia Pedro
Medical Oncology Department, Hospital de Loures, Unidade Local de Saúde de Loures-Odivelas, Loures, PRT.
Pathophysiology Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisboa, PRT.
Cureus. 2024 Mar 16;16(3):e56278. doi: 10.7759/cureus.56278. eCollection 2024 Mar.
Simulation-based training has emerged as a vital component of healthcare education. This study aims to characterize Portuguese simulation centers concerning their geographic distribution and key features, providing stakeholders with valuable insights to inform strategic decisions.
A cross-sectional survey-based study was conducted over two years (2021-2023) to investigate the geographical dispersion and characteristics of simulation centers in Portugal. Descriptive statistics and thematic analysis were used to analyze data.
Twenty-three Portuguese simulation centers were included. Major urban areas and coastal regions bring together 20 simulation centers (86.96%). A large percentage (71.93%) of centers were affiliated with academic institutions, while five centers (21.74%) were clinically affiliated. Emergency care, Anesthesiology and Intensive Medicine, Pediatrics, and Gynecology and Obstetrics were identified as the national key areas of intervention.
Significant geographical disparity raises concerns about unequal access to professional training opportunities using simulation. Centers should be encouraged to incorporate developing technologies and innovative pedagogical methodologies and to expand their training repertoire into relatively uncharted territories.
Several issues have been identified within the national simulation network. Stakeholders and policymakers should prioritize equitable access, bolster the prevalence of clinical affiliated centers, foster innovation, and facilitate strategic coordination.
基于模拟的培训已成为医疗保健教育的重要组成部分。本研究旨在描述葡萄牙模拟中心的地理分布和关键特征，为利益相关者提供有价值的见解，以指导战略决策。
在两年（2021 - 2023年）期间进行了一项基于横断面调查的研究，以调查葡萄牙模拟中心的地理分布和特征。使用描述性统计和主题分析来分析数据。
纳入了23个葡萄牙模拟中心。主要城市地区和沿海地区集中了20个模拟中心（86.96%）。很大比例（71.93%）的中心隶属于学术机构，而五个中心（21.74%）隶属于临床机构。急诊护理、麻醉学与重症医学、儿科学以及妇产科学被确定为国家重点干预领域。
显著的地理差异引发了对利用模拟获得专业培训机会不平等的担忧。应鼓励各中心采用新兴技术和创新教学方法，并将其培训范围扩展到相对未知的领域。
在国家模拟网络中发现了几个问题。利益相关者和政策制定者应优先考虑公平获取，提高临床附属中心的比例，促进创新，并推动战略协调。
