A 1-Week Simulated Internship Course Helps Prepare Medical Students for Transition to Residency
A 1-Week Simulated Internship Course Helps Prepare Medical Students for Transition to Residency
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DOI：
10.1097/sih.0b013e3181cd0679
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发表时间：
2010-06-01
期刊：
影响因子：
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通讯作者：
Torsher, Laurence C.
中科院分区：
文献类型：
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作者：
Laack, Torrey A.;Newman, James S.;Torsher, Laurence C.
简介：从医学生到实习生的过渡本身就充满压力，对实习生和患者都有潜在的负面影响。方法：我们描述了实习训练营，这是一门创新课程，专门为四年级医学生从医学院过渡到实习生做好准备。实习训练营是一门为期 1 周的强化课程，模拟纵向患者护理场景，使用高保真医学模拟、标准化患者、程序性任务培训师和基于问题的学习来帮助学生运用知识并制定应对实习生所面临挑战的框架。结果：2007 年 3 月，12 名学生作为医学院最后一年的选修课参加了该课程，班上其他 28 名学生没有参加。实习开始后以及实习训练营结束后 5 至 7 个月，所有 40 名前学生都被要求完成一份有关实习准备情况的盲调查。调查的总体回复率为80%。在回答有关医学院培训最适合他们实习的方面的开放式问题时，89%（9 人中的 8 人）列出了“实习训练营”。第二高的回答（“副实习”）是由 45%（20 人中的 9 人）和 33%（9 人中的 3 人）的课程参与者给出的。讨论：实习训练营是一个独特的学习环境，被参与者认为是医学院教育的所有组成部分中对实习准备最有帮助的。 (Sim Healthcare 5:127-132, 2010)
Introduction: The transition from medical student to intern is inherently stressful, with potentially negative consequences for both interns and patients.Methods: We describe Internship Boot Camp, an innovative course specifically designed to prepare fourth-year medical students for the transition from medical school to internship. An intensive 1-week course, Internship Boot Camp has simulated, longitudinal patient-care scenarios that use high-fidelity medical simulation, standardized patients, procedural task trainers, and problem-based learning to help students apply their knowledge and develop a framework for response to the challenges they will face as interns.Results: In March 2007, 12 students participated in the course as an elective in their final year of medical school, and the other 28 students in their class did not. After beginning internship and 5 to 7 months after the completion of Internship Boot Camp, all 40 former students were asked to complete a blinded survey about their preparation for internship. The overall response rate for the survey was 80%. Of responders to an open-ended question about the aspects of medical school training that best prepared them for internship, 89% (8 of 9) of course participants listed "Internship Boot Camp." The next highest response ("subinternship") was given by 45% (9 of 20) of nonparticipants and 33% (3 of 9) of course participants.Discussion: Internship Boot Camp is a unique learning environment that is recalled by participants as the most helpful, of all components of their medical school education, in preparation for internship. (Sim Healthcare 5:127-132, 2010)