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21世纪门诊环境中基于模拟的教育发展历程:一项范围综述

What Happened to Simulation-Based Education in Outpatient Setting in The 21 Century: A Scoping Review.

作者信息

Barzegar Marziyeh, Boushehri Elham, Amini Mitra, Faghihi Seyed Aliakbar, Zarifsanaiey Nahid, Daneshvar Mahdieh

机构信息

Clinical Education Research Center, Department of Medical Education, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Medical Education, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

J Adv Med Educ Prof. 2024 Apr 1;12(2):69-78. doi: 10.30476/JAMP.2023.100297.1885. eCollection 2024 Apr.

Abstract

INTRODUCTION

Simulation-based education (SBE) is an instructional approach that aims to accurately recreate real-life scenarios and engage learners in the practical application of lesson content. By replicating critical elements of clinical situations, SBE facilitates a deeper understanding and better preparation for managing such conditions in actual clinical practice. SBE offers promising prospects for improving medical education and patient care in various settings, such as outpatient clinics. Therefore, this scoping review aims to determine to what extent the most effective components and standards of the simulation have been considered in outpatient education.

METHODS

The present scoping review adheres to the guidelines outlined in the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist" and the "Joanna Briggs Institute (JBI) Reviewers' Manual". This review focused on articles that specifically focused on the use of simulation in outpatient education. Google Scholar, PubMed, Scopus, Embase, and ERIC were searched for keywords related to simulation, ambulatory care, outpatient clinics, and medical education from January 1, 2001, to August 12, 2023.

RESULTS

The search indicated 513 articles, which were narrowed down by title and abstract relatedness. Twenty-nine articles entered the study's second phase, and after reviewing their full text, nine articles that explicitly reported simulation use in outpatient education remained. Based on the findings of eligible articles, the ten most frequent components of SBE that should be considered and followed discussed. These features were training facilitators, pre-briefing sessions, the type of simulation techniques, the site of simulation participation, the simulation duration, unit of participation, extent of direct participation, Simulation fidelity, feedback, and debriefing and reflection.

CONCLUSION

SBE is a contemporary method of practical training for medical students that involves realistic modeling or simulation of clinical situations. It enhances learning effectiveness and provides a safe, educational atmosphere for teaching and learning. Designing simulations adhering to established standards and carefully considering essential components improves efficiency and effectiveness.

摘要

引言

基于模拟的教育(SBE)是一种教学方法,旨在准确重现现实生活场景,并让学习者参与课程内容的实际应用。通过复制临床情况的关键要素,SBE有助于更深入地理解并更好地为在实际临床实践中处理此类情况做好准备。SBE在改善各种环境(如门诊诊所)中的医学教育和患者护理方面具有广阔前景。因此,本范围综述旨在确定门诊教育中在多大程度上考虑了模拟的最有效组成部分和标准。

方法

本范围综述遵循《系统评价和元分析扩展的范围综述首选报告项目(PRISMA-ScR)清单》和《乔安娜·布里格斯研究所(JBI)审稿人手册》中概述的指南。本综述聚焦于专门关注模拟在门诊教育中应用的文章。在谷歌学术、PubMed、Scopus、Embase和教育资源信息中心(ERIC)中搜索了2001年1月1日至2023年8月12日与模拟、门诊护理、门诊诊所和医学教育相关的关键词。

结果

搜索结果显示有513篇文章,通过标题和摘要相关性进行筛选后数量减少。29篇文章进入研究的第二阶段,在审阅其全文后,剩下9篇明确报告在门诊教育中使用模拟的文章。根据符合条件文章的研究结果,讨论了应考虑和遵循的SBE的十个最常见组成部分。这些特征包括培训促进者、预简报会、模拟技术类型、模拟参与地点、模拟持续时间、参与单位、直接参与程度、模拟逼真度、反馈以及汇报与反思。

结论

SBE是一种针对医学生的当代实践培训方法,涉及对临床情况进行逼真建模或模拟。它提高了学习效果,并为教学提供了一个安全的教育氛围。按照既定标准设计模拟并仔细考虑基本组成部分可提高效率和效果。

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