The effect of simulation‐based education before a cadaver dissection course
The effect of simulation‐based education before a cadaver dissection course
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尸体解剖课程前模拟教育的效果
DOI：
10.1002/ase.2124
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发表时间：
2021
影响因子：
7.3
通讯作者：
Naito Munekazu
中科院分区：
文献类型：
--
作者：
Yakura Tomiko;Hatayama Naoyuki;Kawahara Chikako;Ohmichi Yusuke;Ohmichi Mika;Ban Nobutaro;Hirai Shuichi;Nakano Takashi;Naito Munekazu
虽然医学教育的方法不断演变，由于医学的发展，尸体解剖过程中仍然发挥着基础作用。尸体解剖课程让学生学习正确操作仪器，同时积极探索三维解剖结构。然而，夹层伴随着意外伤害的风险。近年来，尸体解剖课程的课程数量有所减少，而临床医学所需的知识量有所增加。模拟教育（SBE）已被证明是一种有效的教育方法，通过整合学习者的知识和技能来促进实践技能的发展。本研究旨在探讨在医学生报名参加尸体解剖课程之前，将SBE作为预备教育课程的效果。在本研究中，SBE假设实际的尸体解剖过程中进行的临床模拟中心。与2016年相比，2017年和2018年每1000小时尸体解剖过程的损伤率频率显著降低。实施SBE两年后，学生的平均自我效能感得分和笔试成绩显着增加，而自我满意度得分相对不变。结果表明，SBE的实施降低了伤害的发生率，提高了学生的整体自我效能感得分，并增加了书面考试成绩中明显的知识获取。因此，SBE作为一门预备教育课程，可以有效地促进后续尸体解剖基础课程中解剖技能和解剖知识的综合发展。
Although the methods for medical education continue to evolve due to the development of medicines, the cadaver dissection course still plays a fundamental role. The cadaver dissection course allows students to learn to handle instruments correctly while actively exploring three‐dimensional anatomy. However, dissection comes with the risk of accidental injury. In recent years, the number of classes offered for the cadaver dissection course has decreased while the amount of knowledge required in clinical medicine has increased. Simulation‐based education (SBE) has been proven to be an effective educational method that enhances the development of practical skills by integrating learners' knowledge and skills. This study aimed to investigate the effect of SBE as a preparatory education course when taken prior to a medical student's enrollment in the cadaver dissection course. In the present study, an SBE assuming practical cadaver dissection course was performed in the Clinical Simulation Center. The frequency of injury rates per 1000 h of cadaver dissection course was significantly less in 2017 and 2018 compared to that in 2016. Two years after the implementation of the SBE, average student self‐efficacy scores and written examination scores significantly increased, whereas self‐contentment scores were relatively unchanged. The results showed that the implementation of SBE decreased the incidence of injuries and improved students' overall self‐efficacy scores and increased acquisition of knowledge evident on written examination score. Therefore, SBE as a preparatory education course may effectively promote the combined development of dissection skills and anatomical knowledge in the subsequent fundamental cadaver dissection course.