Association of the Number of a Simulation Faculty With the Implementation of Simulation-Based Education
Association of the Number of a Simulation Faculty With the Implementation of Simulation-Based Education
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DOI：
10.1097/sih.0000000000000360
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发表时间：
2019-08-01
影响因子：
2.4
通讯作者：
Honda, Hideki
中科院分区：
文献类型：
--
作者：
Takahashi, Jin;Shiga, Takashi;Honda, Hideki
介绍虽然实施基于模拟的教育（SBE）是必不可少的急诊医学住院医师计划（EMRP），鲜为人知的是，与其程度的SBE实施EMRP的相关因素。因此，本研究的目的是调查与实施SBE的EMRP相关的因素。我们假设模拟教师的数量与SBE实施的程度有关。方法我们进行了一项多中心，横断面调查的SBE实施急诊医学住院医师教育，在大东京地区，日本认可的EMRP。调查问题的主题包括院校特点和模拟教育在其中的地位。为了分析与SBE实施相关的因素，我们将具有强大SBE实施的EMRP定义为每年模拟时间超过10小时的EMRP。结果158名被调查者中有115名获得了有效的问卷答复，总应答率为73%。在做出回应的EMRP中，32%的人报告说他们的年度模拟时间超过10小时。在未调整的分析中，拥有模拟器在急诊科与非鲁棒SBE实施显着相关，但模拟教师的数量显着相关。在调整拥有模拟器在急诊科，模拟课程的存在，并存在基于模拟的形成性或综合评估，我们观察到一个强大的SBE实施与模拟教师的数量（单位比值比= 1.33; 95%置信区间= 1.10-1.60）。结论据我们所知，这是第一个日本的研究表明，在一个程序的模拟教师的数量是独立的与一个强大的SBE实施。
Introduction Although the implementation of simulation-based education (SBE) is essential for emergency medicine residency programs (EMRPs), little is known about the factors associated with its degree of SBE implementation in EMRPs. Therefore, this study aimed to investigate factors associated with SBE implementation in EMRPs. We hypothesized that the number of the simulation faculty was associated with the degree of SBE implementation. Methods We conducted a multicenter, cross-sectional survey on SBE implementation in emergency medicine resident education, in accredited EMRPs in the Greater Tokyo area, Japan. Survey question themes included institutional characteristics and the status of simulation education in them. For analyzing factors associated with SBE implementation, we defined EMRPs with a robust SBE implementation as those having an annual simulation time exceeding 10 hours. Results The survey response rate was 73% (115/158). Of the EMRPs that responded, 32% reported that their annual simulation time was more than 10 hours. In the unadjusted analysis, possession of a simulator in the emergency department was significantly associated with nonrobust SBE implementation, but the number of the simulation faculty was significantly associated. On adjusting for possession of a simulator in the emergency department, presence of simulation curriculum, and presence of simulation-based formative or comprehensive assessment, we observed an association of robust SBE implementation with a number of the simulation faculty (unit odds ratio = 1.33; 95% confidence interval = 1.10-1.60). Conclusions To our knowledge, this is the first Japanese study to demonstrate that the number of the simulation faculty at a program is independently associated with a robust SBE implementation.