模拟医学教育临床指南

A. Bottrighi, G. Molino, Luca Piovesan, P. Terenziani
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引用次数: 2

摘要

众所周知,在医疗保健环境中,教育是一项具有挑战性的任务,正在引入几种新的方法来补充“传统”学习。特别是,基于(i)模拟和(ii)临床实践指南的方法的重要性正在不断增长。虽然到目前为止,这些方法都是单独开发的,但在本文中,我们提出了第一种利用技术(i)和(ii)进行医学教育的方法。实际上,临床实践指南编码了最佳医疗实践,并且与模拟技术相结合,适合教授患者“如何操作”,但不需要“身体上”对真实患者进行操作。在本文中,我们提出了这样一种新的方法,基于GLARE- edu,这是一个独立于领域的指导方针管理系统眩光(指南获取,表示和执行)的教育扩展。glre - edu可用于“模拟”GL“最佳实践”对(模拟)患者的直接应用,或提供“第二意见”模拟:学生必须指出他将如何治疗(真实的或虚构的)患者,该系统用于向学生指出他在哪里遵循了GL的建议,在哪里违反了GL的建议。
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Simulating Clinical Guidelines for Medical Education
Education is notoriously a challenging task in the healthcare context, where several new methodologies are being introduced to complement "traditional" learning. In particular, the importance of approaches based on (i) simulation and on (ii) clinical practice guidelines is continuously growing. While until now such approaches have been developed separately, in this paper we propose the first approach to education in medicine exploiting both techniques (i) and (ii). Indeed, clinical practice guidelines encode the best medical practices, and, in conjunction with simulation techniques, are suitable to teach "how to operate" on patients, but without the need of "physically" having\acting on real patients. In this paper, we propose such a new methodology, based on GLARE-Edu, an educational extension of GLARE (Guideline Acquisition, Representation and Execution), a domain-independent system for the management of GLs. GLARE-Edu can be used to "simulate" the direct application of GL "best practices" to a (simulated) patient or to provide a "second opinion" simulation: a student must indicate how s\he would treat a (real or invented) patient, and the system is used to indicate to the student where s\he has followed the recommendations of the GL, and where s\he has violated them.
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