Trauma training in simulation: Translating skills from SIM time to real time
Trauma training in simulation: Translating skills from SIM time to real time
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DOI：
10.1097/ta.0b013e31816275b0
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发表时间：
2008-02-01
影响因子：
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通讯作者：
Krummel, Thomas
中科院分区：
文献类型：
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作者：
Knudson, M. Margaret;Khaw, Linda;Krummel, Thomas
背景：培训外科住院医师及时管理危重患者是一项重大挑战。模拟可能在这个教育过程中的作用，但只有当它可以证明，在模拟环境中学到的技能转化为现实生活中的创伤situations.Methods增强性能：一个五部分，基于创伤的课程是专门为这项研究。中级外科住院医师被随机分配接受教学讲座（LEC）的方式或使用人类行为模拟器（UPS）的课程。在培训结束时进行书面学习目标测试。每个参与的住院医生进行的前四次重大创伤复苏都在急诊室的录像带上拍摄下来，并由两名经验丰富的法官进行评分，他们对培训方法不知情。由法官使用的评估工具包括两个初始创伤评估或治疗技能（第一部分）和危机管理技能（第二部分），以及一个整体得分（差/失败，足够，或优秀）的评价。结果：两组居民收到几乎相同的分数培训后的书面测试。第一部分的平均SIM和LEC评分在两组之间也相似。然而，SIM卡培训的居民收到了较高的整体分数和较高的分数，第二部分危机管理技能相比，LEC组，这是最明显的分数收到的团队合作category（p=0.04）.Conclusions：创伤课程，将模拟显示承诺在发展危机管理技能，是至关重要的评估危重病人。
Background: Training surgical residents to manage critically injured patients in a timely fashion presents a significant challenge. Simulation may have a role in this educational process, but only if it can be demonstrated that skills learned in a simulated environment translate into enhanced performance in real-life trauma situations.Methods: A five-part, scenario-based trauma curriculum was developed specifically for this study. Midlevel surgical residents were randomized to receiving this curriculum in didactic lecture (LEC) fashion or with the use of a human performance simulator (UPS). A written learning objectives test was administered at the completion of the training. The first four major trauma resuscitations performed by each participating resident were captured on videotape in the emergency department and graded by two experienced judges blinded to the method of training. The assessment tool used by the judges included an evaluation of both initial trauma evaluation or treatment skills (part I) and crisis management skills (part II) as well as an overall score (poor/fail, adequate, or excellent).Results: The two groups of residents received almost identical scores on the posttraining written test. Average SIM and LEC scores for part I were also similar between the two groups. However, SIM-trained residents received higher overall scores and higher scores for part II crisis management skills compared with the LEC group, which was most evident in the scores received for the teamwork category (p=0.04).Conclusions: A trauma curriculum incorporating simulation shows promise in developing crisis management skills that are essential for evaluation of critically injured patients.