模拟训练在麻醉师实习教学中的作用:双向调查

K. BIELKA, YU. KUCHYN, G POSTERNAK, B. SAVCHENKO
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 The purpose of the study was to determine the role of simulation training in the teaching of anesthesiologist interns.
 Materials and method. A prospective audit was conducted at the Department of Surgery, Anesthesiology and Intensive Care of the O.O. Bogomolets National Medical University in the period from April to June 2023. Interns of the 2nd year of training in 2023 in the speciality «Anesthesiology and intensive care» were trained in a 1-day simulation training «Critical incidents during anaesthesia\". We examine data (lower-level outcomes) assessing the role of simulation training on learning outcomes and willingness to work independently from the perspective of interns and faculty using an anonymous questionnaire at the end of the training.
 Results: the audit included 36 responses from interns and 10 from teachers. Many intern doctors noted an increase in their motivation to study, achievement of educational goals and correction of errors as a result of debriefing thanks to the conducted simulation training. Intern doctors noted that such training was very close to real conditions, it increased confidence in working with patients and readiness for emergencies, helped identify knowledge gaps and was more effective compared to traditional training (lectures, seminars). The results of the teachers' survey confirm the importance of simulation training as an effective means of training interns, which ensures the achievement of educational goals without risks for patients, accelerates the process of acquisition of competencies by learners, increases their motivation to study and objectively reflects the level of skills and knowledge of interns.
 Conclusions. Our research has proven that simulation training should be a mandatory component of the training program of the clinical internship in the speciality «Anesthesiology and intensive care» with an increase in their share in the training program of specialists. Creating conditions of mutual trust between interns and teachers is the key to the social mission of ensuring the quality of postgraduate education. Conducting a debriefing after working out each simulation scenario lays the foundation for the formation of critical thinking in future doctors and helps to avoid mistakes in real clinical practice.
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引用次数: 0

摘要

重新开始在现代麻醉师实习培训体系中,模拟训练正成为实现教育目标的一种日益普遍的工具。模拟确保了专业能力的获得,而不会对患者造成伤害的风险,使教师能够客观地评估每个实习生的专业培训水平。随着越来越多地使用模拟技术,越来越需要审查教师与实习生之间互动的传统方法。 本研究旨在探讨模拟训练在麻醉医师实习教学中的作用。 材料和方法。在2023年4月至6月期间,对O.O. Bogomolets国立医科大学外科、麻醉学和重症监护系进行了前瞻性审计。2023年麻醉学和重症监护专业第二年培训的实习生接受了为期一天的模拟培训“麻醉期间的关键事件”。我们检查数据(较低水平的结果),从实习生和教师的角度评估模拟培训对学习成果和独立工作意愿的作用,在培训结束时使用匿名问卷。 结果:共收到实习生反馈36份,教师反馈10份。许多实习医生注意到,由于进行了模拟培训,他们的学习动机增加了,实现了教育目标,并纠正了错误。实习医生指出,这种培训非常接近实际情况,增强了与病人一起工作的信心,增强了对紧急情况的准备,有助于确定知识差距,与传统培训(讲座、研讨会)相比更有效。教师调查结果证实了模拟培训作为实习生培训的有效手段的重要性,它既保证了教育目标的实现,又不给患者带来风险,加速了学习者能力习得的过程,增加了学习者学习的动机,客观地反映了实习生的技能和知识水平。 结论。我们的研究已经证明,模拟训练应该成为«麻醉学和重症监护»专业临床实习培训计划的强制性组成部分,并增加他们在专家培训计划中的份额。创造实习生与教师之间相互信任的条件,是保证研究生教育质量这一社会使命的关键。制定出每个模拟场景后进行述职,为未来医生批判性思维的形成奠定基础,有助于避免在实际临床实践中出现错误。 研究生水平的系统模拟训练对改善实际临床实践结果的作用可能是进一步研究的主题。
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THE ROLE OF SIMULATION TRAINING FOR TEACHING (IN TEACHING) ANESTHESIOLOGIST INTERNS: A TWO-WAY SURVEY
Resume. In the modern system of training intern anesthesiologists, simulation training is becoming an increasingly common tool for achieving educational goals. The simulation ensures the acquisition of professional competencies without the risk of harm to the patient and enables teachers to objectively assess the level of professional training of each intern. There is a growing need to review traditional approaches to the interaction between a teacher and an intern with the increasing use of simulation technologies. The purpose of the study was to determine the role of simulation training in the teaching of anesthesiologist interns. Materials and method. A prospective audit was conducted at the Department of Surgery, Anesthesiology and Intensive Care of the O.O. Bogomolets National Medical University in the period from April to June 2023. Interns of the 2nd year of training in 2023 in the speciality «Anesthesiology and intensive care» were trained in a 1-day simulation training «Critical incidents during anaesthesia". We examine data (lower-level outcomes) assessing the role of simulation training on learning outcomes and willingness to work independently from the perspective of interns and faculty using an anonymous questionnaire at the end of the training. Results: the audit included 36 responses from interns and 10 from teachers. Many intern doctors noted an increase in their motivation to study, achievement of educational goals and correction of errors as a result of debriefing thanks to the conducted simulation training. Intern doctors noted that such training was very close to real conditions, it increased confidence in working with patients and readiness for emergencies, helped identify knowledge gaps and was more effective compared to traditional training (lectures, seminars). The results of the teachers' survey confirm the importance of simulation training as an effective means of training interns, which ensures the achievement of educational goals without risks for patients, accelerates the process of acquisition of competencies by learners, increases their motivation to study and objectively reflects the level of skills and knowledge of interns. Conclusions. Our research has proven that simulation training should be a mandatory component of the training program of the clinical internship in the speciality «Anesthesiology and intensive care» with an increase in their share in the training program of specialists. Creating conditions of mutual trust between interns and teachers is the key to the social mission of ensuring the quality of postgraduate education. Conducting a debriefing after working out each simulation scenario lays the foundation for the formation of critical thinking in future doctors and helps to avoid mistakes in real clinical practice. The role of systematic simulation training at the postgraduate level to improve outcomes in real clinical practice may be the subject of further research.
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