跨专业团队模拟培训在医学生危机资源管理学习中的应用研究

Study on Application of Interprofessional Team Simulation Training in Crisis Resource Management Learning for Medical Students

摘要: 目的：探索跨专业团队模拟培训(IPTS)在医学生危机资源管理(CRM)能力培养中的应用效果，为医学教育教学改革提供实证依据。方法：选取新疆医科大学第三临床医学院2024级麻醉学、护理学专业临床实习阶段本科生80名，随机分为实验组(n = 40)与对照组(n = 40)。实验组采用IPTS模式，围绕手术室心搏骤停、火灾、术后窒息3类标准化危机场景开展月度培训；对照组采用传统专业内独立培训模式。通过跨专业学习准备情况量表(RIPLS)、团队评估量表(TAS)及临床危机处置考核，对比两组培训前后的能力差异，采用SPSS 26.0软件进行统计学分析。结果：培训后，实验组RIPLS总分(82.35 ± 5.12)显著高于对照组(65.78 ± 6.23)，TAS总分(58.63 ± 4.27)显著高于对照组(42.15 ± 5.31)，临床危机处置考核合格率(95.0%)显著高于对照组(67.5%)，差异均有统计学意义(P < 0.05)。结论：IPTS能有效提升医学生的CRM能力、跨专业协作意识与临床危机处置实战水平，可作为医学生CRM培养的优选教学模式。

Abstract: Objective: To explore the application effect of interprofessional team simulation training (IPTS) in cultivating crisis resource management (CRM) competence among medical students, and to provide empirical evidence for the reform of medical education and teaching. Methods: A total of 80 undergraduate students majoring in Anesthesiology and Nursing at the clinical internship stage from Grade 2024 of The Third Clinical Medical College of Xinjiang Medical University were randomly divided into an experimental group (n = 40) and a control group (n = 40). The experimental group adopted the IPTS mode, with monthly training carried out around three standardized crisis scenarios: intraoperative cardiac arrest, operating room fire, and postoperative asphyxia. The control group received traditional independent training within a single major. Differences in competence between the two groups before and after training were compared using the Readiness for Interprofessional Learning Scale (RIPLS), Team Assessment Scale (TAS), and clinical crisis management assessment. Statistical analysis was performed using SPSS 26.0 software. Results: After training, the total RIPLS score of the experimental group (82.35 ± 5.12) was significantly higher than that of the control group (65.78 ± 6.23); the total TAS score (58.63 ± 4.27) was significantly higher than that of the control group (42.15 ± 5.31); the pass rate of clinical crisis management assessment (95.0%) was significantly higher than that of the control group (67.5%). All differences were statistically significant (P < 0.05). Conclusion: IPTS can effectively improve medical students’ CRM competence, interprofessional collaboration awareness and practical ability of clinical crisis management, and can be used as a preferred teaching mode for CRM training of medical students.