Application of situational simulation combined with the debriefing-GAS method in the teaching of prenatal genetic counseling
Objective To investigate the application effect of situational simulation combined with the Debriefing-GAS method in the teaching of prenatal genetic counseling.Methods A total of 30 medical students of the five-and eight-year programs in the classes of 2017 and 2018 who received genetic counseling training in The First Affiliated Hospital of Sun Yat-sen University from May 2021 to May 2022 were selected as research subjects,and situational simulation combined with the debriefing-GAS method was used for the teaching of prenatal genetic counseling.Assessment was performed by the teacher to evaluate the change in genetic counseling abilities during the teaching process,and a questionnaire survey was conducted to investigate the degree of satisfaction with teaching among the students.SPSS 26.0 software was used for data analysis;normally distributed continuous data were expressed as mean±standard deviation,non-normally distributed continuous data were expressed as Md(P25,P75),and categorical data were expressed as frequency and rate;the paired samples t-test was used for comparison of assessment scores before and after teaching.Results After teaching,there were significant increases in the assessment scores of genetic counseling[(74.5±18.6)points vs.(87.2±14.5)points,t=4.10,P＜0.001]and comprehensive abilities such as clinical ability[(35.4±9.6)points vs.(41.1±6.9)points,t=3.72,P=0.001],doctor-patient communication[(17.5±4.6)points vs.(20.8±3.8)points,t=4.34,P＜0.001],professional literacy[(11.0±2.5)points vs.(12.5±2.3)points,t=2.89,P=0.007],teamwork[(3.5±1.0)points vs.(4.2±0.8)points,t=3.67,P=0.001],and organizational effectiveness[(7.1±2.0)points vs.(8.3±1.7)points,t=2.94,P=0.006].The questionnaire survey showed that the degree of satisfaction among students was rated above satisfaction for the reasonability of the implementation process and links of genetic counseling teaching[3.0(3.0,4.0)points],teaching quality[3.5(3.0,4.0)points],whether the teaching model could effectively increase the interest and initiative in learning[4.0(3.0,4.0)points],the improvement in theoretical knowledge[4.0(3.0,4.0)points],communication skills in genetic counseling[3.0(3.0,4.0)points],and the understanding of related techniques and application prospect[3.0(3.0,4.0)points].However,two students(6.7%)thought that this teaching model could not efficiently reach teaching objectives,since the teaching process was slightly complicated.Conclusions Situational simulation combined with the debriefing-GAS method has achieved a good effect in the teaching of prenatal genetic counseling and can help undergraduates to master the theoretical knowledge of prenatal genetic counseling and improve their comprehensive clinical abilities,with a relatively high degree of satisfaction,and therefore,it holds promise for clinical application.
DebriefingGenetic counselingFetal medicineSimulation-based medical educationTeaching reform
NETL
NSTL
万方数据
