Костадин Кетев1,3, Мирослава Бошева2,3, Благой Маринов1,4 , Милена Сандева1,5
1. Медицински Симулационен Тренировъчен Център, НИМУ – Пловдив 2. Катедра по Педиатрия и Медицинска Генетика, Медицински Университет – Пловдив 3. Клиника по Педиатрия, УМБАЛ „Свети Георги” – Пловдив 4. Катедра по Патофизиология, Медицински Университет – Пловдив 5. Катедра Акушерски Грижи, Медицински Университет – Пловдив
Резюме
Налице е промяна в традиционният модел на обучение по медицина. Все повече намаляват възможностите за обучение директно върху пациент, защото се обръща все по-голямо внимание на неговата безопасност. Използването на симулационно обучение в педиатрията нараства през последните десетилетия, като фактор за това е и стремежа на медицинските университети да интегрират този тип обучения и да бъде измерена ефективността им. Представяме философията на въведените пет основни модела на симулационно обучение, като се спираме на ефективността им в педиатрията. Ясно се очертава тенденцията, че в бъдеще във всички медицински специалности ще се изисква оценяване базирано на симулация, като мерило за компетентност и запазване на знанията и уменията.
Ключови думи: медицинско образование, симулационно обучение в педиатрията
Библиография
- Jones F, Passos-Neto CE, Braghiroli OFM. Simulation in Medical Education: Brief history and methodology. Principles and Practice of Clinical Research. 2015;1(2).
- Bradley P. The history of simulation in medical education and possible future directions. Medical Education. 2006;40(3).
- Pazin Filho A, Romano MMD. Simulação: aspectos conceituais. Medicina (Ribeirão Preto). 2007;40(2):167-70.
- Cho SJ. Debriefing in pediatrics. Korean journal of pediatrics. 2015;58(2):47.
- Ziv A, Ben-David S, Ziv M. Simulation based medical education: an opportunity to learn from errors. Medical teacher. 2005;27(3):193-9.
- Ziv A, Small SD, Wolpe PR. Patient safety and simulation-based medical education. Medical teacher. 2000;22(5):489-95.
- Hamstra SJ, Brydges R, Hatala R, Zendejas B, Cook DA. Reconsidering fidelity in simulation-based training. Academic medicine. 2014;89(3):387-92.
- Lopreiato JO, Sawyer T. Simulation-Based Medical Education in Pediatrics. Academic Pediatrics. 2015;15(2):134-42.
- Barsuk JH, Cohen ER, Caprio T, McGaghie WC, Simuni T, Wayne DB. Simulation-based education with mastery learning improves residents’ lumbar puncture skills. Neurology. 2012;79(2):132-7.
- Barsuk JH, McGaghie WC, Cohen ER, Balachandran JS, Wayne DB. Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. Journal of hospital medicine: an official publication of the Society of Hospital Medicine. 2009;4(7):397-403.
- Lane JL, Ziv A, Boulet JR. A pediatric clinical skills assessment using children as standardized patients. Archives of pediatrics & adolescent medicine. 1999;153(6):637-44.
- Hubal RC, Schwetzke H. Lessons Learned in Modeling Virtual. Medicine Meets Virtual Reality 11: NextMed: Health Horizon. 2003;94:127.
- Biese KJ, Moro‐Sutherland D, Furberg RD, Downing B, Glickman L, Murphy A, et al. Using screen‐based simulation to improve performance during pediatric resuscitation. Academic Emergency Medicine. 2009;16:S71-S5.
- Jewkes F, Phillips B. Resuscitation training of paediatricians. Archives of disease in childhood. 2003;88(2):118-21.
- Hunt EA, Patel S, Vera K, Shaffner DH, Pronovost PJ. Survey of pediatric resident experiences with resuscitation training and attendance at actual cardiopulmonary arrests. Pediatric Critical Care Medicine. 2009;10(1):96-105.
- McKittrick J, Allen M, Kinney S, Lima S. The first 3 minutes: effective team paediatric resuscitation training. Pediatric Critical Care Medicine. 2014;15(4_suppl):16.
- Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatric Critical Care Medicine. 2011;12(1):33-8.
- Gaies MG, Landrigan CP, Hafler JP, Sandora TJ. Assessing procedural skills training in pediatric residency programs. Pediatrics. 2007;120(4):715-22.
- Overly FL, Sudikoff SN, Shapiro MJ. High-fidelity medical simulation as an assessment tool for pediatric residents’ airway management skills. Pediatric emergency care. 2007;23(1):11-5.
- Thomas SM, Burch W, Kuehnle SE, Flood RG, Scalzo AJ, Gerard JM. Simulation training for pediatric residents on central venous catheter placement: a pilot study. Pediatric Critical Care Medicine. 2013;14(9):e416-e23.
- Eppich WJ, Adler MD, McGaghie WC. Emergency and critical care pediatrics: use of medical simulation for training in acute pediatric emergencies. Current opinion in pediatrics. 2006;18(3):266-71.
- Jankouskas T, Bush MC, Murray B, Rudy S, Henry J, Dyer AM, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simulation in Healthcare. 2007;2(2):96-101.
- Figueroa MI, Sepanski R, Goldberg SP, Shah S. Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatric cardiology. 2013;34(3):612-9.
- Cheng A, Donoghue A, Gilfoyle E, Eppich W. Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatric Critical Care Medicine. 2012;13(2):197-203.
- Ojha R, Liu A, Rai D, Nanan R. Review of simulation in pediatrics: the evolution of a revolution. Frontiers in pediatrics. 2015;3:106.
- Blackwood J, Duff JP, Nettel-Aguirre A, Djogovic D, Joynt C. Does teaching crisis resource management skills improve resuscitation performance in pediatric residents? Pediatric Critical Care Medicine. 2014;15(4):e168-e74.
- Cheng A, Lang TR, Starr SR, Pusic M, Cook DA. Technology-enhanced simulation and pediatric education: a meta-analysis. Pediatrics. 2014;133(5):e1313-e23.
Адрес за кореспонденция:
Medical Simulation Training Center, NIMU – Plovdiv
15A, “Vasil Aprilov”, Bldv.
4000, Plovdiv
Bulgaria
e-mail: kostadin.ketev@mu-plovdiv.bg

