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通过基于模拟的学习(SBL)提高放射肿瘤学勾画技能:一种使用ADDIE模型的五步实用方法。

Enhancing Radiation Oncology Delineation Skills Through Simulation-Based Learning (SBL): A Five-Step Practical Approach Using the ADDIE Model.

作者信息

Attallah Hany S, Abdelghani Rania, Hamed Omayma

机构信息

Radiation Oncology, AFCM, Cairo, Egypt.

Radiation Oncology, Maadi Military Hospital, Cairo, Egypt.

出版信息

J Cancer Educ. 2025 May 15. doi: 10.1007/s13187-025-02637-8.

DOI:10.1007/s13187-025-02637-8
PMID:40374852
Abstract

Simulation of radiotherapy treatment setup is an integral part of the daily radiation oncology practice. Hence, simulation-based learning (SBL) plays a critical role in radiation oncology resident training. Such practical training approach enhances the precision of tumor delineation and the organs at risk (OARs), thus, directly influencing treatment efficacy and patient safety. Our review explores the application of the ADDIE (analysis, design, development, implementation, and evaluation) model in developing and implementing an SBL program of delineation skills training for the radiation oncologists. In this review, we discussed the phases of the ADDIE model as follows: analysis to determine the skills gap, design to tailor the training program to incorporate the advanced technology methods, development targets creating practical case scenarios and assessment tools, implementation assures the real-time feedback and the model-based debriefing sessions, and finally evaluation phase that employs the Kirkpatrick model. The application of the ADDIE model in SBL emphasizes that the training aligns with the educational needs. This enhances the clinical performance, and consequently, improves patient outcomes in radiation oncology. Applying the ADDIE model in SBL achieves the educational needs in radiation oncology delineation skills training, which will lead to enhance the clinical performance.

摘要

放射治疗设置的模拟是日常放射肿瘤学实践中不可或缺的一部分。因此,基于模拟的学习(SBL)在放射肿瘤学住院医师培训中起着关键作用。这种实践培训方法提高了肿瘤勾画和危及器官(OARs)的精度,从而直接影响治疗效果和患者安全。我们的综述探讨了ADDIE(分析、设计、开发、实施和评估)模型在开发和实施针对放射肿瘤学家的勾画技能培训SBL计划中的应用。在本综述中,我们对ADDIE模型的各个阶段进行了如下讨论:分析以确定技能差距,设计以定制培训计划以纳入先进技术方法,开发目标是创建实际案例场景和评估工具,实施确保实时反馈和基于模型的汇报环节,最后是采用柯克帕特里克模型的评估阶段。ADDIE模型在SBL中的应用强调培训要符合教育需求。这提高了临床性能,进而改善了放射肿瘤学中的患者治疗结果。在SBL中应用ADDIE模型满足了放射肿瘤学勾画技能培训中的教育需求,这将有助于提高临床性能。

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本文引用的文献

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The Kirkpatrick Model: A Tool for Evaluating Educational Research.柯克帕特里克模型:一种评估教育研究的工具。
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A Conceptual Framework for Instructional Design of a High Acuity and Low Occurrence Event - Simulation Based Education Training of Residents, Medical Students, and Nurses in Anaphylaxis Utilizing Curated Educational Theories.
基于精选教育理论的高敏锐度低发生率事件教学设计概念框架——针对住院医师、医学生和护士的过敏反应模拟教育培训
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Education in Radiation Oncology-Current Challenges and Difficulties.放射肿瘤学教育——当前的挑战与困难
Int J Environ Res Public Health. 2022 Mar 22;19(7):3772. doi: 10.3390/ijerph19073772.
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SIMBA: using Kolb's learning theory in simulation-based learning to improve participants' confidence.SIMBA:运用科尔布学习理论于模拟教学中,以提升参与者的信心。
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Nurs Educ Perspect. 2021;42(3):162-164. doi: 10.1097/01.NEP.0000000000000624.
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Simulation as More Than a Treatment-Planning Tool: A Systematic Review of the Literature on Radiation Oncology Simulation-Based Medical Education.模拟不仅仅是一种治疗计划工具:放射肿瘤学基于模拟的医学教育文献的系统评价。
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Kirkpatrick's Evaluation of Simulation and Debriefing in Health Care Education: A Systematic Review.柯克帕特里克对医疗保健教育中模拟与反馈的评估:一项系统评价。
J Nurs Educ. 2018 Jul 1;57(7):393-398. doi: 10.3928/01484834-20180618-03.
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Uncertainties in volume delineation in radiation oncology: A systematic review and recommendations for future studies.放射肿瘤学中体积勾画的不确定性:系统评价及对未来研究的建议。
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