%0期刊文章%@ 2369- 3762% I JMIR出版物%V 8%卡塔尔世界杯8强波胆分析 N 2% P e33565% T COVID-19期间传统床边教学的替代方案:高保真模拟研究A Ajab,Shereen Pearson,Emma Dumont,Steven Mitchell,Alicia Kastelik,Jack Balaji,Packianathaswamy,A Hepburn,David + Hull York医学院，Hull University Teaching Hospitals NHS Trust, Allam Medical Building, Hull, HU6 7RX, 44 1482875875，shereen.ajab@nhs.net %K模拟%K高保真%K低保真%K COVID-19 %K床边教学%K本科医学教育%K保真%K医学教育%K医学生%K回顾%K创新%K风险%K设计%K实施%D 2022 %7 9.5.2022 %9原始论文%J JMIR医学教育%G英语%X背景:床边教学是医学教育的组成部分，一直被强调用于提高临床和沟通技能，以及临床推理。尽管床边教学具有显著优势，但其在医学教育中的使用一直在下降，而COVID-19又增加了额外的挑战。由于病毒暴露风险、患者与学生互动减少以及病房关闭，大流行导致床边教学机会大幅减少。因此，教育工作者被要求在教学方法上进行创新，从而使用在线学习、社交媒体平台和模拟。基于模拟的教育允许在低风险的环境中学习，并提供了经过深思熟虑的重复实践和案例标准化的机会。结果表明，与传统教学方法相比，基于模拟的培训可以增加学生的信心，提高临床诊断率，并提高技能和知识的保留。目的:在赫尔约克医学院心肺病房关闭期间，为了减轻COVID-19对三年级学生床边教学的影响，设计并实现了一个基于高保真模拟的传统床边教学模型。教学课程的目标是使学生能够使用SimMan 3G在covid -19安全的环境中进行病史记录和重点心肺临床检查。 Methods: Four clinical teaching fellows with experience of simulation-based medical education scripted histories for 2 common cardiorespiratory cases, which were asthma and aortic stenosis. The simulation sessions were designed for students to take a focused cardiorespiratory history and clinical examination using SimMan 3G. All cases involved dynamic vital signs, and the simulator allowed for auscultation of an ejection systolic murmur and wheezing in accordance with the cases chosen. Key aspects of the pathologies, including epidemiology, differential diagnoses, investigations, and management, were summarized using an interactive PowerPoint presentation, followed by a debriefing session. Results: In total, 12 third year medical students undertook the sessions, and overall feedback was highly positive. Of the 10 students who completed the feedback questionnaires, 90% (n=9) felt more confident in their clinical examination skills following the teaching; 100% (n=10) of the students responded that they would recommend the session to a colleague; and implementation of regular simulation was frequently requested on feedback. These results are in keeping with the current literature. Conclusions: Bedside teaching continues to face ongoing challenges from the COVID-19 pandemic as well as declining patient recruitment and fluctuations in clinical findings. The support for simulation-based medical education is derived from high-quality studies; however, studies describing the use of this technology for bedside teaching in the undergraduate curriculum are limited. The authors describe a highly effective teaching session amid the pandemic, which allowed for maintenance of staff and student safety alongside continued education during a challenging time for educators globally. %M 35404828 %R 10.2196/33565 %U https://mededu.www.mybigtv.com/2022/2/e33565 %U https://doi.org/10.2196/33565 %U http://www.ncbi.nlm.nih.gov/pubmed/35404828