关于模拟培训的总体概念

1、General Concepts in Simulation关于模拟培训的总体概念关于模拟培训的总体概念Paul E. Phrampus, MDDirectorPeter M. Winter Institute for Simulation, Education and Research (WISER)Department of AnesthesiologyUniversity of PittsburghDo you agree that this is simulation?您认同这是在做模拟培训吗？Do you agree that this is simulation?您认同这是在做模拟

2、培训吗？Do you agree that this is simulation?您认同这是在做模拟培训吗？Do you agree that this is simulation?您认同这是在做模拟培训吗？Do you agree that this is simulation?您认同这是在做模拟培训吗？Do you agree that this is simulation?您认同这是在做模拟培训吗？TESTING测试测试TEACHING教学教学What can you do with Simulation?您认同这是在做模拟培训吗？What is Driving All of This

3、?是什么促使前面情况的出现？Demand for Healthcare Practitioners对专业医务人员的需求Healthcare Education Resources医学教学资源Demand ForPERFECTIONIn Healthcare对专业医疗水平进一步完善完善的需要PLUS 另外PLUS 还有Whats the Ultimate Goal?最终目标是？Expert Curriculum专业化课程专业化课程Best Practices最好的练习最好的练习Teach 教学教学ASSESS 评估评估Expert curriculum + Competent facilitat

4、or = Standardized Experience 专业化课程专业化课程+ 标准、熟练的模型操作标准、熟练的模型操作=标准化练习标准化练习The Job of Healthcare Educators医学教育者的工作Psychomotor Skills心理技能Communications Skills沟通能力Professionalism Skills专业技能Decision Making做决断Base Knowledge基础知识Teamwork Skills团队工作技能MULTIPLE CHOICE TEST KNOWLEDGE DOES NOT EQUAL CLINICAL PERF

5、ORMANCE理论知识不等同于临床表现WE NEED TO KNOW MORE!我们需要懂得更多 Basic Components of Successful Simulation Program成功的模拟课程的构成成功的模拟课程的构成High Volume Reliability?大批量的可靠性？Instructor Number 1导师 数量 1Instructor Number 2导师 数量 2Instructor Number 3导师 数量 3High Volume Reliability大批量的可靠性Measure HereInstructor Number 1导师 数量1Instr

6、uctor Number 2导师 数量 2Instructor Number 3导师 数量 3Simulation and Level of Training模拟培训和培训水平 For Students? 对于本科生意味着？ Standardize the experience 标准化经验 Build Base Knowledge 巩固基础知识 Introduce Clinical Variability 介绍临床变化 Allow for repetitive practice to increase retention 重复练习增加记忆 Some psychomotor skills dev

7、elopment 某些心理活动技能的发展 Introduce team conecpts 介绍团队概念 For Post Graduates? 对于研究生意味着？ Standardizing the experience 进一步标准化经验 Clinical Supplement + + + 临床应用+ Procedural Mastery 熟练操作流程 Continue to build base knowledge 继续巩固基础知识 Increase mastery of team functions 增加团队合作熟练度Simulation and Level of Training模拟培训

8、和培训水平Simulation for Residents?模拟培训对于住院医师意味着？Entering Student进入学生中间New Resident新住院医Program Objectives Met(Graduation)满足教学计划目标（本科生）IndependentClinician独立的临床医生Simulation For Practicing Professionals?模拟培训对于专业医生意味着？ Maintenance of Competence 临床能力的维持 Base Knowledge Maintenance 基础知识的维持 Clinical Track Recor

9、d (Quality Assurance) 临床追踪记录（确保质量） Experience 经验 Currency of Knowledge 知识的融会贯通 Therapeutic advances 治疗的进展 Skills / Procedures 技能/流程ON Going Clinical Competency临床能力的晋级Clinical Problem临床问题ProvideCare提供治疗提供治疗Knowledge AExperience经验Knowledge BBase Knowledge基础知识Decisions决断Knowledge CSimulation Exposure模拟

10、探索Monitoring 监控监控Quality of Care 护理质量Experience / ExposureSo, how do we tie it all together?那么，我们如何把所有因素捆绑在一起Curriculum model- expert content, competent facilitator课本模式专业化课程内容，熟练的模型操作者Best practices in simulation用模拟培训做最好的练习The changing learner学习者的逐步改变 Technology advances科技的进步Understanding and addressing barriers理解和表达障碍Adult learning principles成人学习原则Summary概述 De