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Application and thinking of simulator teaching in clinical medical skills training |
ZHANG Jing1 RUI Na1 RAN Hong2 ZHANG Pingyang2▲ |
1.Teaching Affairs Office, Nanjing First Hospital, Nanjing Medical University Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China;
2.Department of Ultrasound Medicine, Nanjing Hospital, Nanjing Medical University Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China |
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Abstract Clinical medicine is a highly practical discipline. For a long time, clinical skills training of medical students has been carried out on patients by participating in the diagnosis and treatment process. However, as the scope of clinical practice of medical students is restricted by Law of the People’s Republic of China on Medical Practitioners, coupled with the influence of multiple factors such as the increasing awareness of patients’ rights protection and the tense relationship between doctors and patients in recent years, traditional teaching methods are often difficult to implement. If students stick to the learning approach mainly based on observation, the effect of clinical skills training is not very satisfactory. Simulator teaching has been promoted with the continuous development of electronic computer technology in medical education. In recent years, multi-functional system simulation or virtual training system simulators have been promoted, which are mainly used in ultrasound medicine, anesthesia, surgery, obstetrics, ophthalmology, etc. The application results show that the effect and advantages of simulator teaching to improve clinical skills training are affirmative, which can be promoted in application of multi-level trainees and multi-professions. However, it must be pointed out that simulator teaching is only a learning method, which has to be carried out on basis of the high-quality theoretical knowledge education. Standard teaching scheme and high quality plan execution are the core links of simulator teaching quality assurance, and the selection of specific teaching methods should be flexible.
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[1] 葛鹏,曹蕾,陈鑫,等.强化技能训练在临床医学实习生中的应用效果[J].临床医学研究与实践,2019,4(34):135- 136.
[2] 王云贵.我国医学生培养目标的实证研究[J].中国高等医学教育,2002(1):1-4.
[3] 吴静,李新华,王宪伟,等.全国高等医学院校大学生临床技能竞赛选手培训的实践与探索——湘雅经验分享[J].高等医学教育研究(电子版),2019,9(1):60-64
[4] 李菁,李航,杨莹韵,等.北京协和医院内科学系复合型精英医学人才培养探索[J].协和医学杂志,2022,13(1):46-50.
[5] 沈艳,刘岩岩,许碧云,等.医学生临床技能培训信息平台的构建和应用效果[J].中华医学教育探索杂志,2019, 18(9):897-902.
[6] 朱长举,高艳霞,袁丁,等.基于虚拟仿真技术的医学模拟教学法在急诊与灾难医学教学中的应用[J].中国卫生产业,2021,18(22):5-8.
[7] 秦皓,张波,王毓婧,等.微课程联合情景模拟在介入放射学教学中的应用[J].临床检验杂志(电子版),2020,9(1):162-163.
[8] 汤福想,刘玉玲,陈慧.多媒体结合病例情景模拟对妇产科医生教学质量的影响[J].山西卫生健康职业学院学报,2021,31(1):132-133.
[9] 赵漾,张汉滢,左友波,等.模拟器在经食管超声心动图教学中的应用[J].临床超声医学杂志,2020,22(10):793- 794.
[10] 娄智超,李旭,白冰,等.TTE模拟教学在麻醉专业住院医师基本超声技能教学中的应用[J].基础医学与临床,2016,36(3):427-432.
[11] 黄枭,林丹丹,孙祎,等.经食管超声模拟教学和临床实践在麻醉科医师培训中的评价[J].临床麻醉学杂志,2022, 38(1):107-109.
[12] 郭潇潇,郭立琳,魏统辉,等.模拟器教学在经胸超声心动图操作培训中的应用[J].基础医学与临床,2022,42(2):353-356.
[13] 勇强.PBL教学结合超声模拟系统及远程监控系统在超声教学中的应用[J].继续医学教育,2015,29(3):29- 30.
[14] 白冰,田园,张越伦,等.两种经胸心脏超声模拟器的教学效果比较[J].协和医学杂志,2020,11(2):231-234.
[15] 张明亮,郭伟,刘先富,等.乳房触诊模拟器和真实患者在乳腺外科临床教学中的应用及探讨[J].齐齐哈尔医学院学报,2018,39(19):2332-2334.
[16] 陈元贵,施敏凤,周铁.自制腹腔镜穿刺模拟器在外科基本操作教学中的应用研究[J].继续医学教育,2021, 35(6):27-28.
[17] 王磊,宋健,陈思阳,等.前列腺电切模拟器在泌尿外科教学中的应用[J].继续医学教育,2016,30(9):13-15.
[18] 何竑超,王佳玉,黄芳,等.基于经尿道手术模拟器的系统培训在泌尿外科膀胱镜操作临床教学中的应用[J].中国毕业后医学教育,2021,5(5):455-458,467.
[19] 朱一辰,张健,林俊.电脑膀胱镜模拟器在住院医师膀胱镜检查培训中的教学作用[J].中国病案,2018,19(5):83-86.
[20] 王黎洲,蒋天鹏,周石.ANGIO Mentor血管介入手术模拟器在进修医师教学中的应用[J].中国医药指南,2015, 13(10):275-276.
[21] 来志超,邱宸阳,赵哲维,等.血管腔内模拟器教学提升医学生的血管外科学操作技能及兴趣[J].基础医学与临床,2018,38(6):890-894.
[22] 韩冰莎,冯光,李娇,等.血管介入模拟器workshop联合案例教学法在神经介入教学实践中的效果评价[J].介入放射杂志,2021,30(3):304-3073.
[23] 张海玲,陈志龙,王芳,等.模拟人在产科住院医师规范化培训中的应用[J].中国继续医学教育,2021,13(12):69-72.
[24] 李从青,许有江,卫兵,等.腹腔镜模拟器训练在妇科腹腔镜技能操作教学中的应用[J].现代医药卫生,2017, 33(4):1251-1253.
[25] 张丹丹,李佳,张明杰,等.基于“Miller金字塔”原理的分层教学模式在妇科腹腔镜模拟教学中的应用[J].中国医学教育技术,2022,36(1):71-74.
[26] 方碧妹,周曼萍,付霞霏.模拟虚拟技术在宫腔镜教学中的应用[J].中国医学教育技术,2021,35(2):241-244.
[27] 顾怡明,张杰.纤维支气管镜模拟器教学在住院医师规范化培训中的应用价值[J].中国病案,2018,19(2):99- 101.
[28] 张健,董莹,蒋惠中,等.医学模拟教学联合PBL等教学方法在白内障手术培训中的应用[J].医学研究生杂志,2022,51(1):153-156.
[29] 陈国兵,龚美玲,张艺馨,等.使用SimMan 3G模拟人对住院医师开展心肺复苏情景模拟教学的研究[J].医学教育管理,2019,5(1):74-78.
[30] 梁博,刘鹏,黄艳,等.高仿真腹腔镜模拟教学培训体系在普外科临床教学中的应用[J].中国当代医药,2022, 29(24):142-144,149.
[31] 莫小亮,曾雅畅,覃桂荣,等.腹腔镜模拟训练系统在妇科研究生培养中的应用研究[J].中国医药科学,2020, 10(22):231-233,237.
[32] 敖晓晓,谭利平,万秋凤,等.PBL联合模拟人在儿科急诊住培教学中的应用[J].中国继续医学教育,2021,13(17):23-27.
[33] 张璐,闫蓉,陈兵.情景模拟教学在心肺复苏临床技能课中的应用研究[J].中国医药科学,2021,11(15):80- 82,161.
[34] 黄静,谢文杰,薛恩生.超声模拟人在超声专业住院医师规范化培训中的应用[J].临床超声医学杂志,2020, 22(4):314-315.
[35] 苏成磊,燕宪亮.模拟人联合动物疾病模型在心肺复苏培训中的应用[J].中国急救复苏与灾害医学杂志,2020, 15(3):358-360. |
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