Title | State of Simulation in Healthcare Education: An Initial Survey in Beijing |
Authors | Zhao, Zichen Niu, Pengfei Ji, Xiang Sweet, Robert M. |
Affiliation | Univ Washington, WWAMI Inst Simulat Healthcare WISH, Seattle, WA 98195 USA. Peking Univ, Dept Gen Surg, Shougang Hosp, Beijing, Peoples R China. Peking Univ, Wujieping Urol Ctr, Shougang Hosp, Dept Urol, Beijing, Peoples R China. Univ Washington, WWAMI Inst Simulat Healthcare, Box 356410,1959 NE Pacific St, Seattle, WA 98195 USA. |
Keywords | China Curriculum Education Simulation training Survey Patient safety MEDICAL-EDUCATION SKILLS |
Issue Date | 2017 |
Publisher | JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS |
Citation | JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS.2017,21(1). |
Abstract | Background and Objectives: In 2013, medical error was the third leading cause of death in the United States.(1) In China, as in the case with the United States, training and assessment are developing as a strategy to reduce the occurrence of such errors. The objective of this study was to assess the current state of the use of simulation-based training in Beijing and to explore the barriers to further development. Methods: This study included hospitals in Beijing accredited by the Standardized Residency Training (SRT) program. The questionnaire was designed online and distributed to the SRT management departments by e-mail or instant message. Results: Thirty hospitals were invited to participate in this survey, and 15 responses were completed and met the inclusion criteria. Task trainers (15/15), full-scale mannequins (14/15), standardized patients (12/15), and virtual reality workstations (11/15) were the most common types of simulation modalities available for use. Among the given specialties for SRT, the availability of simulation courses was 2/2 for pediatric internal medicine, 1/1 for pediatric surgery, 10/11 for surgery, 11/14 for internal medicine, 7/9 for anesthesiology, 6/8 for emergency medicine, and 3/9 for obstetrics/gynecology. Of the 13 institutions with available simulation curricula, 12/13 had simulation focused on proficiency-based skill training, 11/13 had medical knowledge learning, 10/13 had skill competency assessment. The main targeted trainees in these hospitals were residents (or postgraduate residents) and medical students (or interns). The top 2 barriers were the shortage of sustainable financial resources (12/15) and advocacy from their institutional authorities (7/15). Conclusion: It is evident that there is a need for more development of training facilities, and for training the "trainers" and administrators. Financial funding, curricular design, and research seem to be crucial for building a long-term, sustainable, effective program. |
URI | http://hdl.handle.net/20.500.11897/476288 |
ISSN | 1086-8089 |
DOI | 10.4293/JSLS.2016.00090 |
Indexed | SCI(E) |
Appears in Collections: | 首钢医院 |