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題 名 | 模擬醫學於急診醫學及災難醫學之運用=Application of Medical Simulation in Emergency and Disaster Medicine |
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作 者 | 曾理銘; | 書刊名 | 臺灣醫學 |
卷 期 | 19:4 2015.07[民104.07] |
頁 次 | 頁380-385 |
專 輯 | 模擬醫學 |
分類號 | 410.3 |
關鍵詞 | 臨床技能; 醫學教育; 醫學模擬; 急診醫學; 災難醫學; Clinical skills; Medical education; Medical simulation; Emergency medicine; Disaster medicine; |
語 文 | 中文(Chinese) |
中文摘要 | 傳統的急診專科醫師訓練,多依賴從處理真實病患狀況,不斷學習成長。這樣的方式雖然可以藉由實際的挑戰累積經驗,但對指導者來說,如何在病患安全及學習成效問取得平衡是一大難題。災難醫學以及罕見案例的訓練,則是另一個焦點。這些事件極少發生,或許在訓練期間從未過過,但一旦面對,卻又需要快速且正確的判斷處置。過去我們多使用經驗分享教學、桌上演練(tabletop exercise)、或演習的方式進行訓練。然而,臨場感不足是學員常反映的問題。近年來,藉由高擬真假人情境演練,我們讓急診醫護團隊,甚至科部之間,對許多重大傷病及特殊狀況的處置,提升效率。本文將分享模擬醫學訓練在急重症方面的經驗,同時也探討在災難演練的應用。 |
英文摘要 | Traditionally, the training of emergency physicians relies largely on dealing with real clinical problems and learning through experiences. Our residents accumulate a lot of experiences and knowledge; however, for the instructor, it might be difficult to find the balance between patient safety and adequate training. Disaster medicine and training for uncommon cases also gained attention. These events happen very rarely, might not even be encountered during training, but once it happens, rapid and correct management is critical. In the past, we used classroom sharing, tabletop exercise, and drills for training. Yet, trainees often complained that these programs lacked sense of reality. Recently, with the aid of high-fidelity medical simulator, we provided training programs to improve the ability of emergency department team to manage critical diseases and special conditions. We also held workshop to promote the efficiency of inter-department cooperation. This article describes our experience of medial simulation in emergency medicine and its applications in disaster medicine. |
本系統中英文摘要資訊取自各篇刊載內容。