目前正在讨论有效的心肺复苏教学的理想小组规模。当教师在技能练习期间无法纠正参与者的错误时,达到上限。这项模拟研究旨在在心肺复苏教学中定义此限制。
医学生作为模拟的基本生命支持课程参与者被指示做出三个不同的预定义的基本生命支持质量错误(例如,胸部按压太快)在7分钟内。基本生命支持教师被随机分为3-10名参与者。要求教师观察基本生命支持技能并纠正表现错误。主要结果是最大组大小,正确识别的参与者错误的百分比降至80%以下。
64名教师参加了每组八个。她们的平均年龄为41±9岁,33%为女性,中位[第25百分位数;第75百分位数]教学经验为6[2;11]年。在研究前一年,讲师教授了3[1;5]个心肺复苏课程。逻辑二项回归模型显示,对于大于6的组,正确识别的参与者错误的预测平均百分比下降到80%以下。
这项随机对照模拟试验揭示了随着小组规模的增加,教师检测基本生命支持性能错误的能力下降。使基本生命支持讲师能够纠正80%以上错误的最大组人数为6。因此,我们建议心肺复苏课程的教练与参与者的最大比例为1:6。
The ideal group size for effective teaching of cardiopulmonary resuscitation is currently under debate. The upper limit is reached when instructors are unable to correct participants\' errors during skills practice. This simulation
study aimed to define this limit during cardiopulmonary resuscitation teaching.
Medical students acting as simulated Basic Life Support course participants were instructed to make three different pre-defined Basic Life Support quality errors (e.g., chest compression too fast) in 7 min. Basic Life Support instructors were randomized to groups of 3-10 participants. Instructors were asked to observe the Basic Life Support skills and to correct performance errors. Primary outcome was the maximum group size at which the percentage of correctly identified participants\' errors drops below 80%.
Sixty-four instructors participated, eight for each group size. Their average age was 41 ± 9 years and 33% were female, with a median [25th percentile; 75th percentile] teaching experience of 6 [2;11] years. Instructors had taught 3 [1;5] cardiopulmonary resuscitation courses in the year before the
study. A logistic binominal regression model showed that the predicted mean percentage of correctly identified participants\' errors dropped below 80% for group sizes larger than six.
This randomized controlled simulation
trial reveals decreased ability of instructors to detect Basic Life Support performance errors with increased group size. The maximum group size enabling Basic Life Support instructors to correct more than 80% of errors is six. We therefore recommend a maximum instructor-to-participant ratio of 1:6 for cardiopulmonary resuscitation courses.