分段式模拟训练在创伤急救一体化基本技能培训中的应用

Application of Multistage Simulated Method in Basic Skills Training for Integrated Emergency Care of Trauma

目的探讨分段式模拟训练法在外科住院医师创伤急救一体化基本技能培训中的应用效果。方法选取中南大学湘雅二医院住院医师规范化培训外科第三年学员40人,学员通过理论学习和考试、技能摸底考核后进入技能模拟培训,培训分为基础生命支持、创伤救护、团队复苏、综合应用四段,通过相应分段考核后进入下一段培训,全部通过后获得结业证。对培训前调查、结业考核和学员反馈进行分析。结果培训前学员对基础生命支持掌握程度较高,对创伤救护掌握欠佳,而团队复苏和综合应用技能严重欠缺。培训后考核合格率高于摸底考核合格率,各段技能均得到明显提高。结论分段式模拟训练法能显著提高外科住院医师创伤急救一体化基本技能。

Objective To explore the effect of multistage simulated method in basic skills training for integrated emergency care of trauma in standardized resident training. Methods 40 surgical students of the third year trainees at the standardized resident training of the Second Xiangya Hospital of Central South University were selected. Before entering skills simulated training, they were required to pass theoretical study and exam and had pre-training baseline examination. The skills training involved four stages basic life support, trauma care, resuscitation by team and integrated application. The students who passed the corresponding examination entered the next stage training. After passing all the examinations, the trainee would get the certificate. The pre-training survey, post-training examination and student feedback were analyzed. Results Pre-training students had a high degree of mastery of basic life support, poor mastery of trauma care, while resuscitation by team and integrated application skills were seriously defcient. The pass rate of post-training examination was signifcantly higher than that of baseline examination, and all the skills were significantly improved. Conclusion Multistage simulated training method can signifcantly improve the basic skills for integrated emergency care of trauma in standardized resident training.