模拟培训评估讨论中的前十个“做”与“不做”.pptVIP

The Top 10 Do’s and Don’ts of Simulation Debriefing模拟培训评估讨论中的前十个“做”与“不做” Paul E. Phrampus, MD Director, Peter M. Winter Institute for Simulation, Education and Research (WISER) Department of Anesthesiology University of Pittsburgh Do encourage reflections and self/ group insight鼓励思考和自我/小组的觉察力 Principles of adult learning 成人学习的原则 Allow to make cause and effect observations 允许创造起因并进行有效的观察 Don‘t stray from the curriculum不要偏离课程 Curriculum is designed to cover certain objectives 课程设计的目的是用来包含特定的目标 Time realities 时间现实 Deal with discussion tangents 处理更切题的讨论 Don‘t make it the instructor show不要把评估讨论过程当成一场导师个人秀 Don’t demonstrate how much you know 不要展示你知道有多少 Listen as much as talk 尽量多听少说 Understand perception and insight 理解、感知和洞察 Do stick to the debriefing objectives坚持评估讨论的目标 Important part of course integration 课程整合中最重要的部分 Each scenario is part of a bigger program 每一个病例都是一个越来越大的项目中的一部分 Do not gloss over obvious major errors不要掩饰明显的重大错误 But dont dwell on them if they are outside of main objectives 但是如果在主要目标之外的话就不要纠缠于它 Handle and move on 处理并继续 If group doesn’t recognize 如果小组没有认识到 Video Review 录像回放 Ask “what about when ……. Happened” 提问“当…的时候…发生了 Don‘t overuse video不要过度使用录像 Make sure Trainees know what happens to the video 确认学员知道录像中发生了什么 Very Time Consuming 很浪费时间 Sometimes essential 有时是必需的 Do refer to references and be matter of fact with corrective feedback参考阅读文献并成为纠正性反馈的事实依据 Address reason why something was not correct 理性陈述为什么不正确的理由 Do not portray emotions 不要情感用事 Do start positive / end positive正面开始/正面结束 Use Sandwich Technique 使用三明治技巧 Avoid concentrating only on corrective items 避免只集中于纠正事情上面 Do involve all members of the participating group into the discussion让所有的小组参与成员都参与到讨论中 Bring in the wallflowers 引进观察员角色 Consider scheduling group speaker 考虑安排小组发言者时间表 DON‘T allow members to attack each other不要让成员们相互攻击 Facilitated discussion 便利的讨论 Keep environment safe 保证环境的安全 Discuss expectations in orientation session 在课前熟悉的部分讨论对他们的期望 Summary and Questions总结和问题