| 戴盈,高小燕,周艳,等.促进临床模拟教学中的卓越实践与反思性学习复盘框架结合情境模拟教学在临床技能教学中的应用实践[J].安徽医药,2025,29(9):1899-1903. |
| 促进临床模拟教学中的卓越实践与反思性学习复盘框架结合情境模拟教学在临床技能教学中的应用实践 |
| Application of the PEARLS debriefing framework combined with scenario simulation teaching in clinical skills education |
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| DOI：10.3969/j.issn.1009-6469.2025.09.043 |
| 中文关键词: 医院，教学 模拟培训 临床工作能力 卓越实践与反思性学习 复盘框架 情境模拟教学 住院医师 教学反馈 |
| 英文关键词: Hospitals,teaching Simulation training Clinical competence PEARLS Debriefing framework Scenario-based simulation teaching Resident physicians Teaching feedback |
| 基金项目:江苏省医院协会医院管理创新研究课题( JSYGY-3-2024-684)；南京医科大学教育研究课题( 2023ZC091)；南京医科大学附属泰州人民医院教学研究课题( JX-1-202301) |
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| 中文摘要: |
| 目的探讨促进临床模拟教学中的卓越实践与反思性学习( PEARLS)复盘框架结合情境模拟教学在临床技能教学中的应用效果。方法纳入 2023级临床专业在培住院医师 117人，采用随机数字表法分为对照组( 59人)和观察组( 58人)。对照组采用传统教学，观察组结合 PEARLS复盘框架进行情境模拟教学。采用 SPSS 29.0分析前后测数据，评估两组学员的临床技能操作的掌握情况。结果观察组在四大穿刺技能(胸腔穿刺、腹腔穿刺、腰椎穿刺、骨髓穿刺)操作流程规范性得分显著高于对照组( 97.00分比 87.00分， P<0.05)。此外，观察组学员在反思过程中表现出更强的批判性思维能力，显示出 PEARLS复盘框架的综合促进作用。结论 PEARLS复盘框架运用在临床技能情境模拟教学中能显著提升住院医师的临床技能水平，且该框架通过结构化反馈优化教学效果，为临床技能培训提供了新的教学思路和实践经验。 |
| 英文摘要: |
| Objective To explore the application effect of the PEARLS debriefing framework in clinical skills scenario simulation teaching.Methods A total of 117 resident physicians from the 2023 clinical cohort were enrolled and randomly assigned to either the observation group (n=58) or the control group (n=59). The control group received traditional teaching methods, while the observationgroup incorporated the PEARLS debriefing framework in their simulation-based training. SPSS 29.0 was used to analyze the pre-and post-test data, assessing the mastery of clinical skills by both groups.Results The observation group scored significantly higher thanthe control group in terms of the standardization of the four major puncture skills (Thoracentesis, Abdominocentesis, Lumbar Puncture,Bone Marrow Puncture) operation process (97.00 points vs. 87.00 points, P<0.05). In addition, the trainees in the observation groupdemonstrated stronger critical thinking abilities during the reflection process, indicating the comprehensive promoting effect of thePEARLS debriefing framework.Conclusions The PEARLS debriefing framework, when applied in clinical skills scenario simulationteaching, can significantly enhance the clinical skills of resident physicians. Moreover, this framework optimizes teaching effectivenessthrough structured feedback, providing new teaching ideas and practical experience for clinical skills training. |
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