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Simulation-based mastery learning in gastrointestinal endoscopy training

World Journal of Gastrointestinal Endoscopy 2022年第9期14卷 512-523页

作者： Hasan Maulahela Nagita Gianty Annisa Tiffany Konstantin Ari Fahrial Syam Roy Soetikno Department of Internal Medicine Gastroenterology DivisionFaculty of Medicine University of Indonesia-Cipto Mangunkusumo General Central National HospitalJakarta 10430Indonesia Tiffany Konstantin Faculty of MedicineUniversity of IndonesiaJakarta 10430Indonesia

Simulation-based mastery learning(SBML)is an emerging form of competencybased training that has been proposed as the next standard method for procedural task training,including that in gastr-ointestinal *** basic gastrointestinal endoscopy training relies on the number of procedures performed,and it has been criticized for its lack of objective standards that result in variable skills among trainees and its association with patient safety ***,incorporating simulators into a competency-based curriculum seems ideal for gastrointestinal endoscopy *** curriculum for SBML in gastrointestinal endoscopy is currently being developed and has promising potential to translate into the clinical *** the present apprenticeship model of“see one,do one,teach one,”SBML integrates a competency-based curriculum with specific learning objectives alongside simulation-based *** allows trainees to practice essential skills repeatedly,receive feedback from experts,and gradually develop their abilities to achieve ***,trainees and trainers need to understand the learning targets of the program so that trainees can focus their learning on the necessary skills and trainers can provide structured feedback based on the expected *** addition to learning targets,an assessment plan is essential to provide trainees with future directions for their improvement and ensure patient safety by issuing a passing ***,the SBML program should be planned and managed by a specific team and conducted within a developed and tested *** review discusses the current state of gastr-ointestinal endoscopy training and the role of SBML in that field.

关键词： Simulation training Education Endoscopy mastery learning Competency-based education Curriculum

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基于循证评估的新开发模拟器针灸技能测量:一项效度研究

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World Journal of Acupuncture-Moxibustion 2022年第4期32卷 298-304页

作者：谢素君王政周颖芳拉尔斯·孔格万赖思琪曹喜俊万幸胡赟方芳黄康柏张梁庄珣广州中医药大学广州510006 广东省模拟医学研究院广州510620 广州医科大学附属第三医院广州510150 哥本哈根大学模拟医学研究院哥本哈根DK2100 广州中医药大学第二附属医院广州510120 南京医科大学附属逸大医院南京211000 广州中医药大学第一附属医院广州510405

Objective:Acupuncture is an efficient treatment modality for many different training,but the technique can be challenging to *** of the different acupuncture points can now be practiced in a standardized and patient-safe simulation-based *** aim to gather additional evidence regarding simulation-based training of acupuncture skills and hope that the simulation-based test developed and will be used for simulation-based mastery learning in future ***:The aim of this study was to develop a test of acupuncture skills using the TCM(Traditional Chinese Medicine) Meridians & Acupoints Anatomy Teaching Platform and gather validity evidence using Messick’s *** medical students without prior experience in acupuncture(n=43),intermediate medical students who had finished the mandatory acupuncture course(n=24),and skilled acupuncture doctors(n=17) were included in the ***-hundred and seven acupuncture points were presented to the participants in identical randomized order and they were asked to identify each point by touching the correct anatomical location on the *** simulator automatically registered the accuracy of participants’ ***:The reliability of the final test(66 acupuncture points) was at a high level with a Cronbach’s alpha of 0.98 and only 16 acupuncture points were needed to ensure a reliability of *** test could discriminate significantly between all three groups and a credible pass/fail-score of 34 points was determined which resulted in eight out of 43(19%) novices passing the test and only two out of 17(12%)experienced failing the *** consequences were statistically significant(P <0.001).Conclusion:Based on Messick’s framework we demonstrated strong validity evidence for a newly developed simulation-based test of acupuncture points localization *** test can be used as an aid to decide when trainees are ready to progress to more advanced training and clinical prac

关键词： Acupuncture Simulation Assessment Validity mastery learning

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