통합 환자 시뮬레이터를 활용한 훈련에 대한 체계적 고찰
A Systematic Review of Training That Use an Integrated Patient Simulator
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The purpose of this article is to systematically review the literature that describes training and assessment that use an integrated patient simulator (IPS). We also tried to determine how to train learners with simulators, plan, and perform research on simulator-based education. Literature searches were conducted to identify articles from PubMed, EMBASE, and KMbase that were related to training and assessment that use an IPS, published from January 1999 to September 2008. Forty articles met the criteria and were analyzed. The results were as follows: Studies on IPS are the most common in graduate medical education (GME). The impact of IPS-based education is relatively greater in GME versus undergraduate medical education (UME) or continuing medical education (CME). IPS research in GME is characterized by addressing the effectiveness of clinical application, the training of procedures, and algorithms,rather than knowledge or simple skills. And research design is more elaborate in GME than UME or CME. IPS training in CME focuses mostly on specific clinical skills. Most training sessions in UME are offered to groups, but assessment is performed for a single student. Also, inter‐rater reliability is checked unsatisfactorily in UME. IPS research in UME is characterized by limitations in design due to connections to the regular curriculum. According to findings above, we propose that: more detailed research design should be performed to overcome the limitations of UME research. For GME, increasing simulator-based training opportunities is desired, because its effectiveness and adaptability are relatively high.
Abstract
The purpose of this article is to systematically review the literature that describes training and assessment that use an integrated patient simulator (IPS). We also tried to determine how to train learners with simulators, plan, and perform research on simulator-based education. Literature searches were conducted to identify articles from PubMed, EMBASE, and KMbase that were related to training and assessment that use an IPS, published from January 1999 to September 2008. Forty articles met the criteria and were analyzed. The results were as follows: Studies on IPS are the most common in graduate medical education (GME). The impact of IPS-based education is relatively greater in GME versus undergraduate medical education (UME) or continuing medical education (CME). IPS research in GME is characterized by addressing the effectiveness of clinical application, the training of procedures, and algorithms,rather than knowledge or simple skills. And research design is more elaborate in GME than UME or CME. IPS training in CME focuses mostly on specific clinical skills. Most training sessions in UME are offered to groups, but assessment is performed for a single student. Also, inter‐rater reliability is checked unsatisfactorily in UME. IPS research in UME is characterized by limitations in design due to connections to the regular curriculum. According to findings above, we propose that: more detailed research design should be performed to overcome the limitations of UME research. For GME, increasing simulator-based training opportunities is desired, because its effectiveness and adaptability are relatively high.
참고문헌 (12)
- 김영민, "전문소생술 입문과정에서 환자시뮬레이션 교육방식에 따른 의과대학생들의 반응 및 과정 성취도 비교", 한국의학교육, 21(4), pp.353~363 (2009), 한국의학교육학회
- 박재현, "분만 시뮬레이터를 활용한 산부인과 임상실습 교육", Korean Journal of Obstetrics and Gynecology, 51(9), pp.950~956 (2008), 대한산부인과학회
- 김영민, "시뮬레이션을 이용한 종합적인 응급기도관리 교육과정의 개발 및 시범 적용", 대한응급의학회지, 18(1), pp.1~9 (2007), 대한응급의학회
- 백희진, "시뮬레이션을 이용한 응급실 위기관리 팀 훈련 프로그램의 개발 및 시범적용", 대한응급의학회지, 19(6), pp.603~610 (2008), 대한응급의학회
- Ericsson KA, "Deliberate practice and the acquistion and maintenanace of expert performance in medicine and related domains", Acad Med, 7(10), pp.70~81 (2004)
- Gall MD, "Educational research: an introduction. 7th ed" (2003), Longman
- Wayne DB, "McGaghie WC. Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice", J Gen Intern Med, 21, pp.251~256 (2006)
- Steadman RH, "Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills", Crit Care Med, 34, pp.151~157 (2006)
- Lee SK, "Trauma assessment training with a patient simulator: a prospective, randomized study", J Trauma, 55, pp.651~657 (2003)
- Issenberg SB, "Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review", Med Teach, 27, pp.10~28 (2005)
- Kim J, "A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: The University of Ottawa Critical Care Medicine, High-Fidelity Simulation, and Crisis Resource Management I Study", Crit Care Med, 34, pp.2167~2174 (2006)
- Murray DJ, "Acute care skills in anesthesia practice: a simulation-based resident performance assessment", Anesthesiology, 101, pp.1084~1095 (2004)