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医学生程序性学习中使用心理预演的认知模拟:一项叙述性综述

Cognitive Simulation Using Mental Rehearsal for Procedural Learning in Medical Students: A Narrative Review.

作者信息

Le Khang Duy Ricky

机构信息

Department of Surgery, Northeast Health Wangaratta, Wangaratta, VIC, Australia.

Department of General Surgical Specialties, The Royal Melbourne Hospital, Melbourne, VIC, Australia.

出版信息

J Med Educ Curric Dev. 2025 Feb 3;12:23821205251313728. doi: 10.1177/23821205251313728. eCollection 2025 Jan-Dec.

DOI:10.1177/23821205251313728
PMID:39906291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11792017/
Abstract

Mental rehearsal, defined as the deliberate cognitive rehearsal of tasks without action, is an emerging approach to procedural skills learning in healthcare education. In particular, mental rehearsal has been associated with durable improvement of complex skills in various fields such as aviation, high performance sports and surgery. Despite this, mental rehearsal-based practices in healthcare are challenged with mainly informal and highly heterogeneous practice. Given this, the efficacy of mental rehearsal in medical education remains poorly characterised. Furthermore, there is currently no evidence-based approach to integrating mental rehearsal in the medical curriculum, nor frameworks to guide development of mental rehearsal skills for students. This narrative review explores mental rehearsal in medical education and evaluates the current principles of mental rehearsal and how these can be applied to improve procedural skills learning for medical students.

摘要

心理预演被定义为对任务进行有意识的认知预演而不付诸行动,是医疗保健教育中一种新兴的程序技能学习方法。特别是,心理预演已与航空、高性能运动和外科手术等各个领域复杂技能的持久提升相关联。尽管如此,医疗保健领域基于心理预演的实践主要面临着非正式且高度多样化的实践挑战。鉴于此,心理预演在医学教育中的功效仍未得到充分描述。此外,目前尚无基于证据的方法将心理预演整合到医学课程中,也没有指导学生心理预演技能发展的框架。这篇叙述性综述探讨了医学教育中的心理预演,并评估了当前心理预演的原则以及如何应用这些原则来改善医学生的程序技能学习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be3/11792017/c7050da935e2/10.1177_23821205251313728-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be3/11792017/c7050da935e2/10.1177_23821205251313728-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be3/11792017/c7050da935e2/10.1177_23821205251313728-fig1.jpg

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本文引用的文献

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Incorporating Technology Adoption in Medical Education: A Qualitative Study of Medical Students' Perspectives.将技术应用融入医学教育:医学生观点的定性研究
Adv Med Educ Pract. 2024 Jul 2;15:615-625. doi: 10.2147/AMEP.S464555. eCollection 2024.
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Applications of natural language processing tools in the surgical journey.自然语言处理工具在手术过程中的应用。
Front Surg. 2024 May 17;11:1403540. doi: 10.3389/fsurg.2024.1403540. eCollection 2024.
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Principles of Effective Simulation-Based Teaching Sessions in Medical Education: A Narrative Review.
医学教育中基于模拟的有效教学课程原则:叙述性综述
Cureus. 2023 Nov 21;15(11):e49159. doi: 10.7759/cureus.49159. eCollection 2023 Nov.
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BMC Med Educ. 2021 Dec 4;21(1):598. doi: 10.1186/s12909-021-03023-w.
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A pre-clerkship simulation-based procedural skills curriculum: decreasing anxiety and improving confidence of procedural skill performance.基于模拟的临床实习前程序技能课程:减轻焦虑并提高程序技能操作的信心。
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