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虚拟仿真教考联动在住院医师规范化培训麻醉危机资源管理教学中的应用

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目的 研究基于aneSIM麻醉模拟操作系统结合NW13机械式困难气道管理模型的虚拟仿真教考联动模式在提升住院医师规范化培训学员危机管理能力的应用。方法 分别选取麻醉科进行住院医师规范化培训的2021年236名住培学员(189名非麻醉专业学员+47名麻醉专业学员)及2022年234名住培学员(184名非麻醉专业学员+50名麻醉专业学员)为对照组和试验组。对照组采用传统授课方式,试验组采用aneSIM麻醉模拟训练系统授课。两组成员均采用"表单大师"APP进行两次二维码线上理论考核及NW13机械式困难气道管理模型进行情景模拟操作训练及考核。采用SPSS 26。0进行t检验及卡方检验。结果 试验组住培学员第二次理论考核成绩、模拟考核焦虑程度和成绩、课程满意度、知识掌握度及能力提升度明显优于对照组住培学员(t=7。15,14。31,3。90,6。22,4。23,3。04;均P<0。05)。其中试验组非麻醉专业住培学员第二次理论考核成绩、模拟考核焦虑程度和成绩、课程教学满意度、知识掌握度及能力提升方面明显优于对照组非麻醉专业住培学员(t=7。77,5。43,3。09,5。26,3。82,2。19;均P<0。05)。同时试验组麻醉专业学员模拟考核成绩、课程教学满意度、知识掌握度及能力提升方面明显高于对照组麻醉专业学员(t=2。60,3。56,2。01,2。48;P=0。011,0。001,0。047,0。015)。结论 基于aneSIM麻醉模拟操作系统结合NW13机械式困难气道管理模型的虚拟仿真教考联动模式能够提升和检验住培学员困难气道管理及操作的能力,尤其适用于非麻醉专业住培学员教学,展现了其在麻醉危机资源管理教学中的应用价值。
Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training
Objective To investigate the application of virtual simulation-based teaching-examination linkage mode based on aneSIM anesthesia simulation system and NW13 difficult airway management model in improving the ability of anesthesia crisis resource management among trainees receiving standardized residency training.Methods A total of 236 trainees(189 trainees with non-anesthesia majors and 47 with anesthesia majors)who received standardized residency training in Department of Anesthesiology in 2021 were selected as control group,and 234 resident trainees(184 trainees with non-anesthesia majors and 50 with anesthesia majors)in 2022 were selected as observation group.The trainees in the control group received traditional theoretical teaching,and those in the observation group received teaching with the aneSIM system.The trainees in both groups received two sessions of online theoretical assessment through the QR code in Bangboss Application,as well as situational simulation training and assessment using the NW13 difficult airway management model.SPSS 26.0 was used to perform the t-test and the chi-square test.Results Compared with the control group,the observation group had a significantly higher score of the second theoretical assessment,significantly better degree of anxiety and score of simulation assessment,and significantly better knowledge mastery and ability improvement(t=7.15,14.31,3.90,6.22,4.23,3.04,all P<0.05).Compared with the control group in terms of the resident trainees with non-anesthesia majors,the observation group had a significantly higher score of the second theoretical assessment,significantly better degree of anxiety and score of simulation assessment,a significantly higher degree of satisfaction with teaching,and significantly better knowledge mastery and ability improvement(t=7.77,5.43,3.09,5.26,3.82,2.19,all P<0.05).Compared with the control group in terms of the resident trainees with anesthesia majors,the observation group had a significantly higher score of simulation assessment,a significantly higher degree of satisfaction with teaching,and significantly better knowledge mastery and ability improvement(t=2.60,3.56,2.01,2.48,P=0.011,0.001,0.047,0.015).Conclusions The mode of virtual simulation-based teaching-examination linkage based on the aneSIM anesthesia simulation system and NW13 difficult airway management model can examine and improve the abilities for difficult airway management and operation among resident trainees,especially those with non-anesthesia majors,thereby showing its application value in the teaching of anesthesia crisis resource management.

Virtual simulationDifficult airwayTeaching methodStandardized residency training

陈代宇、谭明河、王思琦、叶琳、吴彬、曹俊

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重庆医科大学附属第一医院麻醉科,重庆 400016

重庆医科大学教务处,重庆 400016

虚拟仿真 困难气道 教学方法 住院医师规范化培训

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(12)