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Use of simulation-based medical training in Swiss pediatric hospitals: a national survey

机译:瑞士儿科医院基于模拟的医学培训的使用:一项全国调查

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Background Simulation-based medical training (SBMT) is a powerful tool for continuing medical education. In contrast to the Anglo-Saxon medical education community, up until recently, SBMT was scarce in continental Europe’s pediatric health care education: In 2009, only 3 Swiss pediatric health care institutions used SBMT. The Swiss catalogue of objectives in Pediatrics does not acknowledge SBMT. The aim of this survey is to describe and analyze the current state of SBMT in Swiss pediatric hospitals and health care departments. Methods A survey was carried out with medical education representatives of every institution. SBMT was defined as any kind of training with a mannequin excluding national and/or international standardized courses. The survey reference day was May 31st 2015. Results Thirty Swiss pediatric hospitals and health care departments answered our survey (response rate 96.8%) with 66.6% (20 out of 30) offering SBMT. Four of the 20 hospitals offering SMBT had two independently operating training simulation units, resulting in 24 educational units as the basis for our SBMT analysis. More than 90% of the educational units offering SBMT (22 out of 24?units) were conducting in-situ training and 62.5% (15 out of 24) were using high-technology mannequins. Technical skills, communication and leadership ranked among the top training priorities. All institutions catered to inter-professional participants. The vast majority conducted training that was neither embedded within a larger educational curriculum (19 out of 24: 79.2%) nor evaluated (16 out of 24: 66.6%) by its participants. Only 5 institutions (20.8%) extended their training to at least two thirds of their hospital staff. Conclusions Two thirds of the Swiss pediatric hospitals and health care departments are offering SBMT. Swiss pediatric SBMT is inter-professional, mainly in-situ based, covering technical as well as non-technical skills, and often employing high-technology mannequins. The absence of a systematic approach and reaching only a small number of healthcare employees were identified as shortcomings that need to be addressed.
机译:背景基于仿真的医学培训(SBMT)是继续医学教育的强大工具。与盎格鲁撒克逊医学教育界相比,直到最近,SBMT在欧洲大陆的儿科保健教育中仍然稀缺:2009年,只有3家瑞士儿科保健机构使用了SBMT。瑞士儿科目标目录不承认SBMT。这项调查的目的是描述和分析瑞士儿科医院和卫生保健部门的SBMT现状。方法对各机构的医学教育代表进行调查。 SBMT被定义为除国家和/或国际标准化课程外的任何带有人体模型的培训。调查的参考日是2015年5月31日。结果30所瑞士儿科医院和卫生保健部门回答了我们的调查(答复率为96.8%),其中有66.6%(30分之20)提供了SBMT。提供SMBT的20家医院中有4家拥有两个独立运行的培训模拟单元,因此有24个教育单元作为SBMT分析的基础。提供SBMT的教育单位中,超过90%(24个单位中的22个)进行了现场培训,而62.5%(24个单位中的15个)使用了高科技人体模型。技术技能,沟通和领导能力是培训的重中之重。所有机构均面向专业人士。绝大多数人所进行的培训既未嵌入较大的教育课程中(24个中的19个:79.2%),也没有被参与者评估(24个中的16个:66.6%)。只有5家机构(20.8%)将培训扩展到至少三分之二的医院工作人员。结论瑞士三分之二的儿科医院和卫生保健部门正在提供SBMT。瑞士儿科SBMT是跨行业的,主要在现场工作,涵盖技术和非技术技能,并且经常使用高科技人体模型。缺乏系统的方法,仅能覆盖少数医护人员的情况被认为是需要解决的缺陷。

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