Application of medical simulation in standardized training of anesthesia residents
Objective To investigate the effectiveness of medical simulation for improving the quality of standardized residency training during clinical anesthesia rotation.Methods Thirty-six newly admitted anesthesia residents in 2019 were randomly divided into control group and simulation training group,with 18 people in each group.During a week of admission training,the control group learned theoretical knowledge such as sterile techniques,and observed practical videos about central venous puncture,tracheal intubation,spinal puncture,nerve block,and other skills;and the simulation training group practiced the above skills with intelligent medical simulators in the simulation operating room.After a month of rotation,the trainees were assessed on sterile techniques,invasive procedures,and humanistic care,and questionnaires were used to survey the self-rated and teacher-rated scores of their performance.SPSS 22.0 was used to perform the t test and χ2 test.Results The simulation training group was superior to the control group in terms of the operating processes of tracheal intubation,deep vein puncture,and spinal puncture[(74.16±2.35)vs.(76.05±1.89);(20.22±1.43)vs.(18.61±1.78);(23.17±0.78)vs.(21.11±1.13)],the overall scores of deep vein puncture and spinal puncture[(22.78±1.68)vs.(20.83±1.42);(23.28±0.75)vs.(21.83±1.09)],and the hand-eye coordination and operating time of nerve block[(15.78±1.38)vs.(14.33±1.51);(15.28±1.30)vs.(13.39±1.40)].Conclusions Medical simulation training can significantly improve the post competencies of anesthesia residents to enter clinical rotation,which is worth further promotion.
Medical simulationStandardized training of residentsPost competency
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NSTL
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