Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence.
Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence.
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DOI：
10.1097/acm.0b013e318217e119
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发表时间：
2011-06
期刊：
影响因子：
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通讯作者：
Wayne DB
中科院分区：
文献类型：
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作者：
McGaghie WC;Issenberg SB;Cohen ER;Barsuk JH;Wayne DB
本文介绍了传统临床教育对技能习得目标的有效性与模拟医学教育（SBME）与刻意练习（DP）的比较。这是一个跨越20年的定量元分析，从1990年到2010年。采用了包括3个文献数据库、12个检索词和4个纳入标准的检索策略。四名作者独立检索和评审文章。提取主要结果测量值来计算效应量。在鉴定的3742篇文章中，14篇符合纳入标准。评价中小企业教育与传统临床医学教育比较效果的14项研究的总效应值为0.71（95%可信区间为0.65-0.76;P < 0.001）。虽然本荟萃分析中分析的报告数量较少，但这些结果表明，在实现特定临床技能习得目标方面，具有DP的中小企业教育优于传统的临床医学教育。SBME是一项复杂的教育干预措施，应在培训场所仔细引入并严格评估。需要进一步研究将中小企业企业和DP纳入医学教育，以扩大其力量、效用和成本效益。
This article presents a comparison of the effectiveness of traditional clinical education toward skill acquisition goals versus simulation-based medical education (SBME) with deliberate practice (DP). This is a quantitative meta-analysis that spans twenty years, 1990 to 2010. A search strategy involving three literature databases, 12 search terms, and four inclusion criteria was used. Four authors independently retrieved and reviewed articles. Main outcome measures were extracted to calculate effect sizes. Of 3,742 articles identified, 14 met inclusion criteria. The overall effect size for the 14 studies evaluating the comparative effectiveness of SBME compared to traditional clinical medical education was 0.71 (95% confidence interval, 0.65–0.76; P < .001). Although the number of reports analyzed in this meta analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals. SBME is a complex educational intervention that should be introduced thoughtfully and evaluated rigorously at training sites. Further research on incorporating SBME with DP into medical education is needed to amplify its power, utility, and cost-effectiveness.