通过基于同伴教育的游戏化模拟加强儿科住院医师培训。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S518814
Marco Scaglione, Andrea Calandrino, Laura Puzone, Giovanni Bottino, Alessio Conte, Pasquale Striano, Mohamad Maghnie
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引用次数: 0

摘要

临床轮转时间的减少,特别是在新生儿重症监护病房(NICU)和儿科急诊室(ER)等高需求儿科专科,突出了需要创新方法来加强儿科住院医师教育。2019年对意大利儿科住院医师项目的一项调查显示,大多数住院医师每年接受的模拟培训时间不到5小时,66%的人没有参加任何模拟活动。此外,热那亚大学的儿科急诊室轮转时间也显著减少——在过去四年中,日间轮转减少了29%,夜间轮转减少了60%。这些挑战强调了以模拟为基础的课程对于解决临床暴露差距的重要性。本研究提出了热那亚大学开发的基于游戏化模拟的课程,旨在提高儿科住院医生的技术和非技术能力,同时补偿减少的临床暴露。课程跨度为五年,第一年侧重于气道管理、血管通路和诊断技术等基础技能。2年级引入了更高级的场景,如新生儿复苏,休克管理和心脏骤停,而3-5年级的高潮是涉及复杂创伤和危机资源管理的高保真模拟。在整个项目中,游戏化元素,如徽章、排行榜和基于团队的奖励,提高了参与度、积极性和参与度。这些元素提供反馈并促进进步,加强居民对掌握技术技能和非技术能力的承诺,如团队合作、领导和决策。通过将基于模拟的培训与游戏化相结合,该课程提供了一种创新的住院医师教育方法,为儿科住院医师应对现实世界的挑战做好准备,并培养高风险儿科护理的基本技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Enhancing Pediatric Residency Training Through Peer-Education Based Gamified Simulation.

Enhancing Pediatric Residency Training Through Peer-Education Based Gamified Simulation.

The reduction in clinical rotation hours, particularly in high-demand pediatric subspecialties such as Neonatal Intensive Care Units (NICU) and Pediatric Emergency Rooms (ER), has highlighted the need for innovative approaches to enhance pediatric residency education. A 2019 survey of Italian pediatric residency programs revealed that most residents receive fewer than five hours of simulation-based training annually, with 66% participating in no simulation activities. Additionally, pediatric ER rotation hours have seen significant reductions-daytime rotations decreased by 29%, while nighttime rotations were reduced by 60% over the past four years at the University of Genoa. These challenges emphasize the importance of simulation-based curricula to address gaps in clinical exposure.This study presents a gamified simulation-based curriculum developed at the University of Genoa, designed to improve both technical and non-technical competencies among pediatric residents while compensating for reduced clinical exposure. The curriculum spans five years, with Year 1 focusing on foundational skills such as airway management, vascular access, and diagnostic techniques. Year 2 introduces more advanced scenarios like neonatal resuscitation, shock management, and cardiac arrest, while Years 3-5 culminate in high-fidelity simulations involving complex trauma and crisis resource management.Throughout the program, gamification elements such as badges, leaderboards, and team-based rewards enhance engagement, motivation, and participation. These elements provide feedback and foster progression, reinforcing residents' commitment to mastering technical skills and non-technical competencies like teamwork, leadership, and decision-making. By combining simulation-based training with gamification, this curriculum offers an innovative approach to residency education, preparing pediatric residents for real-world challenges and developing essential skills for high-stakes pediatric care.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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