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Simulation in undergraduate medical education: bridging the gap between theory and practice.

机译：本科医学教育模拟：弥合理论与实践之间的鸿沟。

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OBJECTIVE: To evaluate the use of simulation-based teaching in the medical undergraduate curriculum in the context of management of medical emergencies, using a medium fidelity simulator. DESIGN: Small groups of medical students attended a simulation workshop on management of medical emergencies. The workshop was evaluated in a post-course questionnaire. SUBJECTS: All Year 4 medical students allocated to the resuscitation rotation during the first half of 2002. MAIN OUTCOME MEASURES: Student perceptions of learning outcomes, the value of the simulation in the undergraduate curriculum and their self-assessed improved mastery of workshop material. RESULTS: A total of 33 students attended the workshop and all completed questionnaires. Students rated the workshop highly and found it a valuable learning experience. In all, 21 (64%) students identified teamwork skills as key learning points; 11 (33%) felt they had learnt how to approach a problem better, particularly in terms of using a systematic approach, and 12 (36%) felt they had learnt how to apply their theoretical knowledge in a clinical setting better. All 33 students were positive about the use of simulation in their training; 14 students wrote that simulation should be used more or should be mandatory in training; 5 students commented positively on the realism of the learning experience and a further 5 said they valued the opportunity to learn new skills in a safe environment. CONCLUSION: This study demonstrates that medical students value simulation-based learning highly. In particular, they value the opportunity to apply their theoretical knowledge in a safe and realistic setting, to develop teamwork skills and to develop a systematic approach to a problem. A medium fidelity simulator is a valuable educational tool in medical undergraduate education.
机译：目的：使用中等逼真度模拟器，评估在医学突发事件管理背景下医学本科课程中基于模拟的教学的使用。设计：一小群医科学生参加了有关医疗紧急情况管理的模拟研讨会。讲习班在课后问卷中进行了评估。主题：2002年上半年，所有4年级医学生都分配了复苏轮换。主要观察指标：学生对学习成果的认知，模拟在本科课程中的价值以及他们的自我评估提高了对车间材料的掌握程度。结果：共有33名学生参加了研讨会并完成了所有问卷调查。学生们对研讨会的评价很高，并发现它是宝贵的学习经验。共有21位（64％）学生将团队合作技能确定为关键学习点; 11（33％）认为他们已经学会了如何更好地解决问题，特别是在使用系统方法方面; 12（36％）认为他们已经学会了如何在临床环境中更好地运用其理论知识。所有33名学生都对模拟在培训中的使用持肯定态度; 14名学生写道，模拟应该更多地使用或在训练中必须使用模拟; 5名学生对学习体验的真实性给予了积极评价，另外5名学生则表示他们重视在安全的环境中学习新技能的机会。结论：本研究表明医学生高度重视基于模拟的学习。他们特别珍惜在安全和现实的环境中运用其理论知识，发展团队合作技能以及开发解决问题的系统方法的机会。中等逼真度模拟器是医学本科教育中宝贵的教育工具。

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