ABSTRACT
Objective To improve the first-aid ability of emergency residents by using simulated clinical practice skills training combined with scenario analysis in standardized residency training. Methods 218 residents who participated in standardized residency training in Shengjing Hospital of China Medical University were randomly distributed to two groups. The experimental group (n=134) was trained with the teaching methods of simulated clinical practice skills training combined with scenario analysis; the control group (n=84) was trained with traditional teaching methods combined with teaching video. The theoretical test scores and clinical practice skills results of the two groups were compared, and a questionnaire survey was also conducted after comparing the two teaching modes. T test and rank-sum test were performed by using SPSS 19.0. Results There was no significant difference in the theoretical test scores between the experimental group (85.27 ±5.59) and the control group (84.11 ±7.43) (P>0.05). However, the clinical practice skills scores of the experimental group (89.42±6.63) were significantly higher than those of the control group (71.36±4.41) (P<0.05), which showed the statistical significance. Student's satisfactions with teachers and teaching methods in the experimental group were 70.90% and 80.60%, respectively, which were extremely higher than those in the control group (23.81% and 33.33%). Student's satisfaction with self-learning in the experimental group (64.93%) was significantly higher than that in the control group (39.29%). Conclusions The application of simulated clinical practice skills training combined with scenario analysis could improve the first-aid ability of emergency residents. This teaching method is expected to be applied in standardized residency training in emergency medicine in the future.
ABSTRACT
On the basis of qualitative and quantitative surveys of some institutions providing community health service in the three cities of Chengdu, Shenyang and Shanghai and in light of some relevant data and literature, the paper, using the method of scenario analysis, identifies 9 key events that affect the current development of community health service. These include: establishment and perfection of a training system, establishment of a fundraising and compensation system, definition of serviee functions, stability and implementation of polieies, establishment of a management system, establishment and operation of a management information system, perfection of the internal operating mechanism, establishment of an orderly competition mechanism, and establishment of a meehanism of coordination with and support from various community sections. The paper also constructs 3 scenarios of future development, viz. scenarios of optimism, no sudden change and pessimism, thus providing basis for formulating further strategies of sustainable community health service development.