模擬醫學在臨床技能訓練之應用

面對醫學教育面臨的挑戰，醫學模擬是解決目前困境的重要方法。透過醫學模擬，一方面可以提供學員有系統性的整合課程，提高學習效率；另一方面可以保障病人安全，提升醫療品質；此外醫學模擬也提供客觀的評核方式，作為臨床訓練評估的依據。醫學模擬的方式包括概念式的情境模擬、虛擬病人實境、部分技能模擬訓練、高擬真假人情境模擬等。各種方式各有其適當的教育目標、使用時機及所需要的資源。目前醫學模擬已經廣泛應用在醫學教育、技能訓練、表現評估、研究用途、儀器測試等領域。隨著科技的進展，醫學模擬在臨床技能的訓練上有更廣泛深入的應用，另一方面更需搭配整合性的課程規劃及師資培訓，才能讓醫學模擬教育的成果落實在學習的成效上。

關鍵字

臨床技能；醫學教育；醫學模擬

並列摘要

Medical simulation is one of the important solutions to current challenges in medical education. Through medical simulation, structured curriculum can be provided to trainees comprehensively. Patient safety can be ensured and quality of medical services can be promoted at the same time. In addition, medical simulation provides objective evaluation methods for clinical training assessment. Medical simulation includes concept simulation, virtual patient simulation, part-task training, and high-fidelity patient simulation. Each kind of simulation has its own proper learning objectives, indications, and required resources. Currently medical simulation is widely applied in medical education, skills training, performance assessment, research, and equipment testing. With advances of technology, there are wider and deeper applications of medical simulation in clinical skills training. However, it should be supplemented by comprehensive curriculum design and faculty development to consolidate the learning effectiveness of medical simulation.

並列關鍵字

clinical skills ； medical education ； medical simulation

參考文獻

Gaba DM: The future vision of simulation in health care. Qual Saf Health Care 2004;13:i2-10.

Gordon JA, Oriol NE, Cooper JB: Bringing good teaching cases "to life": a simulator-based medical education service. Academic Medicine 2004;79:23-7.

Kneebone R, Nestel D, Yadollahi F, et al: Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI). Med Educ 2006;40:1105-14.

Gallagher AG, Cates CU: Approval of virtual reality training for carotid stenting: what this means for procedural-based medicine. JAMA 2004;292:3024-6.

Berkenstadt H, Ziv A, Gafni N, et al: Incorporating simulation-based objective structured clinical examination into the Israeli National Board Examination in Anesthesiology. Anesth Analg 2006;102:853-8.

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范綱翔、范圭玲、顏廷聿、李孟旃、陳宗虢、曹伯年、黃筱芳、温淑如（2021）。縮短急重難症病童轉院流程準備時間。台灣醫學，25(1)，136-150。https://doi.org/10.6320/FJM.202101_25(1).0015

楊芷菡、范圭玲、吳美華（2019）。運用高擬真情境模擬教學提升兒童加護病房新進護理師之急救能力品質。台灣醫學，23(1)，84-96。https://doi.org/10.6320/FJM.201901_23(1).0013

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蔣秀容、顧艷秋、王珮珩、黃鳳玉、陳菁菁、吳淑君（2017）。護理人員接受情緒困擾護理技術稽核之成效初探。榮總護理，34(1)，29-39。https://doi.org/10.6142/VGHN.34.1.29

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模擬醫學在臨床技能訓練之應用

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