Prioritization in medical school simulation curriculum development using survey tools and desirability function: a pilot experiment.
Prioritization in medical school simulation curriculum development using survey tools and desirability function: a pilot experiment.
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DOI：
10.1186/s41077-018-0061-x
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Franc JM
中科院分区：
文献类型：
--
作者：
Ingrassia PL;Barozza LG;Franc JM
在意大利，没有一个框架的程序技能，所有医学生应该能够在毕业时自主执行。这项研究旨在确定(1)一套基本的程序技能(2)哪些能力可以通过模拟来教授。计算每个程序的可取性分数，以确定进行模拟课程开发的最有效方式。诺瓦拉医学院开展了一项网络调查，调查人们对普通医疗程序的预期能力和自我认知能力。三组被招募：(1)教员，(2)刚开始实习的初级医生，(3)刚毕业的医学生。测量了教师表达的程序技能对独立实践的重要性程度，学习者（学生和初级医生）自我感知的掌握程度以及模拟训练对给定技术技能的适用性。期望函数用于设定未来学习的优先级。程序技能的整体平均预期能力水平为7.9/9。初级医生自我报告能力的平均水平为4.7/9，刚毕业的学生为4.4/9。根据期望功能，最优先的技能是放置导尿管、插入鼻胃管和切开引流浅表脓肿。本研究确定了教师认为重要的技术能力，并评估了初级医生和应届毕业生在执行这些技能时的自我感知信心水平。该研究还确定了通过模拟教学这些技能的感知效用。该研究优先考虑那些在预期能力和观察能力之间存在差距的技能，这些技能也被认为可以通过模拟教学。这使得以最有效的方式开发模拟课程成为当务之急。这种方法可能对其他中心的研究人员优先考虑模拟训练有用。
In Italy, there is no framework of procedural skills that all medical students should be able to perform autonomously at graduation. The study aims at identifying (1) a set of essential procedural skills and (2) which abilities could be potentially taught with simulation. Desirability score was calculated for each procedure to determine the most effective manner to proceed with simulation curriculum development. A web poll was conducted at the School of Medicine in Novara, looking at the level of expected and self-perceived competency for common medical procedures. Three groups were enrolled: (1) faculty, (2) junior doctors in their first years of practice, and (3) recently graduated medical students. Level of importance of procedural skills for independent practice expressed by teachers, level of mastery self-perceived by learners (students and junior doctors) and suitability of simulation training for the given technical skills were measured. Desirability function was used to set priorities for future learning. The overall mean expected level of competency for the procedural skills was 7.9/9. Mean level of self reported competency was 4.7/9 for junior doctors and 4.4/9 for recently graduated students. The highest priority skills according to the desirability function were urinary catheter placement, nasogastric tube insertion, and incision and drainage of superficial abscesses. This study identifies those technical competencies thought by faculty to be important and assessed the junior doctors and recent graduates level of self-perceived confidence in performing these skills. The study also identifies the perceived utility of teaching these skills by simulation. The study prioritizes those skills that have a gap between expected and observed competency and are also thought to be amenable to teaching by simulation. This allows immediate priorities for simulation curriculum development in the most effective manner. This methodology may be useful to researchers in other centers to prioritize simulation training.