Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial.
Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial.
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使用基于案例的虚拟模拟对住院医师进行教育可改善糖尿病管理：一项随机对照试验。
DOI：
10.1097/acm.0000000000000406
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Curran,DebraM
中科院分区：
文献类型：
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作者：
Sperl-Hillen,JoAnn;O'Connor,PatrickJ;Ekstrom,HeidiL;Rush,WilliamA;Asche,StephenE;Fernandes,OmarD;Appana,Deepika;Amundson,GeraldH;Johnson,PaulE;Curran,DebraM
PurposeTo测试一个虚拟的基于案例的模拟糖尿病教育干预（SimDE）开发教初级保健居民如何管理diabetes.Methodnineteen初级保健住院医师计划，341名志愿者居民在所有研究生年（PGY），被随机分配到一个SimDE干预组或对照组（CG）。基于Web的交互式教育干预使用计算机化的虚拟患者，他们通过编程模拟模型对提供者的行为做出反应。从2010年到2011年，在六个月的时间里，向SimDE居民分配了18个不同的学习案例（L案例）。使用四个虚拟评估案例（A案例）的表现，客观知识测试以及自我评估的糖尿病知识和信心的前后变化来评估影响。使用广义线性混合模型组比较进行了分析，控制居住计划内的居民和基线knows.ResultsThe居民适当实现A-情况下复合临床目标的葡萄糖，血压和血脂的百分比聚类如下：A-情况1：SimDE= 21.2%，CG= 1.8%，P=。002; A-病例2：SimDE= 15.7%，CG= 4.7%，P=. A-例3：SimDE= 48.0%，CG= 10.4%，P<0.05。001; A病例4：SimDE= 42.1%，CG= 18.7%，P=. 004. SimDE组的平均知识得分和自我评估的知识和信心的前后变化显着优于CG participator.ConclusionsA虚拟的情况下为基础的模拟糖尿病教育干预提高糖尿病管理技能，知识和信心的初级保健居民。
PurposeTo test a virtual case-based Simulated Diabetes Education intervention (SimDE) developed to teach primary care residents how to manage diabetes.MethodNineteen primary care residency programs, with 341 volunteer residents in all postgraduate years (PGY), were randomly assigned to a SimDE intervention group or control group (CG). The Web-based interactive educational intervention used computerized virtual patients who responded to provider actions through programmed simulation models. Eighteen distinct learning cases (L-cases) were assigned to SimDE residents over six months from 2010 to 2011. Impact was assessed using performance on four virtual assessment cases (A-cases), an objective knowledge test, and pre–post changes in self-assessed diabetes knowledge and confidence. Group comparisons were analyzed using generalized linear mixed models, controlling for clustering of residents within residency programs and differences in baseline knowledge.ResultsThe percentages of residents appropriately achieving A-case composite clinical goals for glucose, blood pressure, and lipids were as follows: A-case 1: SimDE= 21.2%, CG= 1.8%, P=. 002; A-case 2: SimDE= 15.7%, CG= 4.7%, P=. 02; A-case 3: SimDE= 48.0%, CG= 10.4%, P<. 001; and A-case 4: SimDE= 42.1%, CG= 18.7%, P=. 004. The mean knowledge score and pre–post changes in self-assessed knowledge and confidence were significantly better for SimDE group than CG participants.ConclusionsA virtual case-based simulated diabetes education intervention improved diabetes management skills, knowledge, and confidence for primary care residents.