Medical safety education and practical training provided for medical students using skills laboratory and multidisciplinary clinical scenarios

我科将团队学习引入三、四年级临床学科，目的是：1)模拟学生对医疗服务提供者可能误判的事项进行临床判断，如检查、诊断和治疗的选择；2)根据这种经验推广医疗安全知识。此外，我们还翻新了手术室和ICU，使学生能够在临床环境中接受基于模拟的培训。考虑到医疗安全，我们还创建了一个多学科临床情景，例如处理病房发生的快速医疗变化(例如，心肺骤停)和举行遗传咨询，并将该情景介绍给高级欧安组织(实践检查)，该情景在第6年进行。所有考试都被录制下来，根据预先设定的评估项目进行评分，并用于确定学生的毕业情况。

Our department introduced team-based learning to the third- and fourth-year clinical subjects, in order to: 1) simulate students in making clinical judgments on matters likely to be misjudged by healthcare providers, such as the selection of examination, diagnosis, and treatment; and 2) promote knowledge on medical safety based on such an experience.In addition, we renovated our operation rooms and ICU to enable students to receive simulation-based training in clinical settings. We also created a multidisciplinary clinical scenario in consideration of medical safety, such as dealing with rapid medical changes occurring on wards (e.g., cardiopulmonary arrest) and holding genetic consultations, and introduced the scenario to Advanced OSCE (practical examination) that is carried out during the 6th year. All examinations are videotaped, scored based on pre-established evaluation items, and used in determining students' graduation.