关键词: curriculum development experiential learning interprofessional collaboration medical education simulation in medical education transitional year residency

来  源:   DOI:10.7759/cureus.64569   PDF(Pubmed)

Abstract:
BACKGROUND: This study describes a unique two-week simulation-based medical education (SBME) rotation for transitional year (TY) residents. During the rotation, residents are fully integrated into the simulation team, actively participating in clinically based interprofessional scenarios, procedural techniques, and mixed reality experiences. Residents also created and ran their own simulations while receiving content expert feedback. We evaluated the rotation\'s effectiveness in preparing TY graduates for their specific advanced residency track.
METHODS: A retrospective survey evaluated the experiences of 11 TY residents who participated in a unique two-week simulation rotation. The survey assessed residents\' perceptions of the program\'s value and skill development, course design, scenario relevance to future practice, and preparedness to develop future scenarios.
RESULTS: Residents (11 out of 12 residents, 92% response rate) overwhelmingly endorsed the simulation rotation (100% positive, 45.45% extremely valuable). The program demonstrably improved core clinical skills (100% reported improvement) and fostered self-efficacy for future practice. Scenario relevance was high (81.82% highly relevant). Collaboration and communication skills showed promise (72.73% positive) while highlighting a potential area for future refinement. Residents unanimously agreed on effective time allocation and the program\'s value for debriefing skills. Notably, 91% strongly supported residency-specific simulation training.
CONCLUSIONS: The two-week simulation was perceived by prior TY residents as valuable, with a majority finding the experience highly valuable across multiple survey questions. Residents overwhelmingly expressed a preference for residency-specific training, suggesting future development of specialty-tailored modules and enhanced debriefing sessions. The findings highlight the program\'s effectiveness and successful implementation into a TY residency curriculum.
摘要:
背景:这项研究描述了针对过渡年(TY)居民的独特的为期两周的基于模拟的医学教育(SBME)轮换。在旋转过程中,居民完全融入模拟团队,积极参与基于临床的跨专业方案,程序技术,和混合现实体验。居民还在接收内容专家反馈的同时创建并运行自己的模拟。我们评估了轮换在为TY毕业生准备特定的高级居留课程方面的有效性。
方法:一项回顾性调查评估了参加独特的两周模拟轮换的11名TY居民的经历。调查评估了居民对该计划价值和技能发展的看法,课程设计,与未来实践相关的场景,并准备制定未来的情景。
结果:居民(12名居民中有11名,92%的响应率)压倒性地认可了模拟轮换(100%肯定,45.45%极有价值)。该计划明显改善了核心临床技能(报告了100%的改善),并培养了未来实践的自我效能感。情景相关性高(81.82%高度相关)。协作和沟通技巧显示出希望(72.73%的积极),同时突出了未来改进的潜在领域。居民一致同意有效的时间分配和该计划对汇报技能的价值。值得注意的是,91%强烈支持针对居民的模拟训练。
结论:先前的TY居民认为为期两周的模拟很有价值,大多数人认为这种经验在多个调查问题中非常有价值。居民绝大多数表示倾向于进行针对居民的培训,建议未来开发专门定制的模块和增强的汇报会。调查结果强调了该计划的有效性和成功实施到TY居住课程中。
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