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基于模拟的肾脏病学学习

Simulation-based learning in nephrology.

作者信息

Maisons Valentin, Lanot Antoine, Luque Yosu, Sautenet Benedicte, Esteve Emmanuel, Guillouet Erwan, François Hélène, Bobot Mickaël

机构信息

Service de Néphrologie, CHU de Tours, Tours, France.

U1246, INSERM, SPHERE, Université de Tours, Université de Nantes, Tours, Nantes, France, INI-CRCT, France.

出版信息

Clin Kidney J. 2024 Mar 12;17(4):sfae059. doi: 10.1093/ckj/sfae059. eCollection 2024 Apr.

Abstract

Simulation is a technique to replace and amplify real experiences with guided ones that evoke or replicate substantial aspects of the real world in a fully interactive fashion. In nephrology (a particularly complex specialty), simulation can be used by patients, nurses, residents, and attending physicians alike. It allows one to learn techniques outside the stressful environment of care such as central venous catheter placement, arteriovenous fistula management, learning about peritoneal dialysis, or performing a kidney biopsy. Serious games and virtual reality are emerging methods that show promise. Simulation could also be important in relational aspects of working in a team or with the patient. The development of simulation as a teaching tool in nephrology allows for maintaining high-quality training for residents, tailored to their future practice, and minimizing risks for patients. Additionally, this education helps nephrologists maintain mastery of technical procedures, making the specialty attractive to younger generations. Unfortunately, the inclusion of simulation training programmes faces occasional logistical or funding limitations that universities must overcome with the assistance and innovation of teaching nephrologists. The impact of simulation-based teaching on clinical outcomes needs to be investigated in clinical studies.

摘要

模拟是一种用引导式体验来替代和放大真实体验的技术,这些引导式体验以完全互动的方式唤起或复制现实世界的重要方面。在肾脏病学(一个特别复杂的专业领域)中,患者、护士、住院医师和主治医生都可以使用模拟技术。它使人们能够在护理的压力环境之外学习技术,如中心静脉导管置入、动静脉内瘘管理、了解腹膜透析或进行肾活检。严肃游戏和虚拟现实是显示出前景的新兴方法。模拟在团队合作或与患者合作的关系方面也可能很重要。将模拟作为肾脏病学教学工具的发展,有助于为住院医师提供高质量的培训,使其适应未来的实践,并将患者风险降至最低。此外,这种教育有助于肾脏病学家保持对技术程序的掌握,使该专业对年轻一代具有吸引力。不幸的是,纳入模拟培训项目偶尔会面临后勤或资金限制,大学必须在肾脏病学教学专家的协助和创新下加以克服。基于模拟的教学对临床结果的影响需要在临床研究中进行调查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7864/11053359/f213c9b5071e/sfae059fig1g.jpg

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