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设计法国急诊住院医师基于模拟的课程内容:德尔菲法。

Designing simulation-based curriculum content for emergency medicine residents in France: a Delphi method.

机构信息

Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, UMR-S 1136, AP-HP, Hôpital Saint-Antoine, Service d'Accueil des Urgences, Paris, France.

Sorbonne Université, GRC 14, BIOFAST, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France.

出版信息

BMC Med Educ. 2024 Aug 26;24(1):924. doi: 10.1186/s12909-024-05901-5.

Abstract

BACKGROUND

The value of simulation in emergency medicine is indisputable because it allows training and acquisition of many technical and non-technical skills (TS and NTS). In France, there are no curriculum regarding the use of simulation as a teaching tool during emergency medicine residency. The aim of this study was to design the content of a national simulation-based curriculum for emergency medicine residency programs.

METHODS

The Delphi method was conducted between March and June 2022. The questionnaire was divided into three sections: TS, NTS and clinical situations as starting points (SSPs). A panel of emergency physicians' experts on simulation education was established. An online survey was conducted in which they were asked to score, on a four-point Likert scale, the suitability of skills and SSPs to be taught through simulation courses during the emergency medicine residency. The questionnaire was revised between each round following comments or suggestions for additional items from the experts.

RESULTS

Sixty-six experts completed the Delphi process. The initial questionnaire included 64 TS, 37 NTS and 103 SSPs. The experts' comments led to the addition of 12 TS, 24 NTS and 6 SSPs. Consensus was obtained after three rounds. The experts selected 24 TS and 20 NTS to be taught as a priority through simulation during the emergency medicine residency, and 15 SSPs to be used in priority.

CONCLUSION

With a Delphi method, French experts in simulation-based emergency medicine education have selected 24 technical and 20 non-technical skills to be taught as a priority with simulation-based training to emergency medicine residents.

摘要

背景

模拟在急诊医学中的价值是不可争议的,因为它允许培训和获得许多技术和非技术技能(TS 和 NTS)。在法国,没有关于在急诊住院医师培训期间使用模拟作为教学工具的课程。本研究的目的是为急诊住院医师培训计划设计一个基于模拟的全国课程内容。

方法

德尔菲法于 2022 年 3 月至 6 月进行。问卷分为三个部分:TS、NTS 和临床情况作为起点(SSP)。成立了一个模拟教育急诊医师专家小组。进行了在线调查,要求他们对通过模拟课程在急诊住院医师培训中教授技能和 SSP 的适宜性进行四点李克特量表评分。在每轮之间,根据专家的意见或建议添加其他项目对问卷进行了修订。

结果

66 名专家完成了德尔菲法流程。初始问卷包括 64 项 TS、37 项 NTS 和 103 项 SSP。专家的意见导致增加了 12 项 TS、24 项 NTS 和 6 项 SSP。经过三轮投票达成了共识。专家们选择了 24 项 TS 和 20 项 NTS 作为急诊住院医师培训中通过模拟优先教授的内容,以及 15 项 SSP 作为优先使用的内容。

结论

通过德尔菲法,法国模拟急诊医学教育专家选择了 24 项技术和 20 项非技术技能,作为通过模拟培训优先教授急诊住院医师的内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b92/11348525/74d45a130d0d/12909_2024_5901_Fig1_HTML.jpg

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