The application of Scenario simulation teaching method in residents undergoing standardized clinical training program
情景模拟教学法在住院医师规范化培训教学中的应用研究

摘要

目的 系统评价情景模拟教学法在住院医师规范化培训教学中的应用效果。方法 通过系统检索在2022年6月前所有公开发表的，关于住院医师规范化培训教学中比较情景模拟教学法与传统教学方法的随机对照研究，进行文献质量评价后，应用Meta分析的方法分析学生理论成绩、实践成绩和学生满意度的差异。结果 纳入RCT研究文献 8篇，共纳入研究对象513人，结果显示：情景模拟教学法与传统教学方法相比，学生的理论成绩［MD=2.97，95%CI（0.80，5.13），P=0.007］、实践成绩［MD=4.45，95%CI（3.09，5.8），P<0.00001］、和对教学的满意度［MD=4.36，95%CI（2.03，9. 36），P=0.0002］均显著提高。结论 在我国住院医师规范化培训教学中应用情景教学法较传统教学方法具有一定的优势，能够提高学生的成绩及满意度。

Abstract

Objective To explore the difference between Scenario simulation teaching and Lecture-based learning methods in residents undergoing standardized clinical training program.
Methods: All publicly published randomized controlled studies which contain the comparison between scenario simulation teaching and traditional teaching methods on residents undergoing standardized clinical training program with publishing date before Jun, 2022 were systematic retrieved. Then the students' theoretical scores, practical scoresand degree of satisfaction were analyzed bymeta analysis.
Results: A total of 8 randomized controlled trials were included in this study, with a total of 513 students. The results showed that students in the Scenario simulation teaching group had significantly better results in the basic theory score[MD=2.97，95%CI(0.80，5.13), P=0.007] the clinical skill score [MD=4.45, 95%CI(3.09, 5.8), P<0.00001], teaching satisfaction [MD=4.36, 95%CI(2.03, 9.36), P=0.0002] than those in the Lecture-based learning method.
Conclusion  : The Scenario simulation teaching may have some advantages over the Lecture-based learning method in terms of the basic theory score, the clinical skill score and teaching satisfaction.