文章基本信息

标题：Learning curves and long-term outcome of simulation-based thoracentesis training for medical students
本地全文：下载
作者：Guanchao Jiang ; Hong Chen ; Shan Wang 等
期刊名称：BMC Medical Education
印刷版ISSN：1472-6920
出版年度：2011
卷号：11
期号：1
页码：1-7
DOI：10.1186/1472-6920-11-39
出版社：BioMed Central
摘要：Simulation-based medical education has been widely used in medical skills training; however, the effectiveness and long-term outcome of simulation-based training in thoracentesis requires further investigation. The purpose of this study was to assess the learning curve of simulation-based thoracentesis training, study skills retention and transfer of knowledge to a clinical setting following simulation-based education intervention in thoracentesis procedures. Fifty-two medical students were enrolled in this study. Each participant performed five supervised trials on the simulator. Participant's performance was assessed by performance score (PS), procedure time (PT), and participant's confidence (PC). Learning curves for each variable were generated. Long-term outcome of the training was measured by the retesting and clinical performance evaluation 6 months and 1 year, respectively, after initial training on the simulator. Significant improvements in PS, PT, and PC were noted among the first 3 to 4 test trials (p 0.05). Clinical competency in thoracentesis was improved in participants who received simulation training relative to that of first year medical residents without such experience (p < 0.05). This study demonstrates that simulation-based thoracentesis training can significantly improve an individual's performance. The saturation of learning from the simulator can be achieved after four practice sessions. Simulation-based training can assist in long-term retention of skills and can be partially transferred to clinical practice.
关键词：Medical Student;Performance Score;Procedure Time;Simulation Training;Senior Resident