以病人模擬器及標準化病人進行針對日常例行醫療個案之跨領域團隊合作調練

Background: Teamwork and communication contribute to successful clinical medical practice. Training in teamwork and communication, including teaching lectures; discussion and practice, has been adapted to interdisciplinary teamwork associated with anesthesia; emergency departments, and intensive care units. The aim of this study was to develop a new course of interdisciplinary teamwork training using human patient simulators and standardized patients when training for clinical daily practice. Methods: In April 2010; we started a series of interdisciplinary teamwork training courses at a single medical center. The contents of the training included medical simulations, feedback; and discussion. Both human patient simulators and standardized patients were used in the simulations. The participants included doctors, nurses; pharmacists; medical technologists; medical imagists; and respiratory therapists. Both teachers and students joined the course. After training, all the participants were asked to complete a questionnaire that included questions using Likert scales and short written assessments. Results: A total of 51 participants joined the training course. The response rate for the questionnaire was 100%. Overall; most of the participants (47 participants, 92.1%) were satisfied with the course. When the satisfaction levels of the teachers and students were compared; they were similar (p=0.437). However, the teachers’ satisfaction in terms of knowing the importance of teamwork was higher than that of the students (p=0.027). In addition; the teachers' satisfaction with the performance of the students was higher than of the students themselves (p=0.002). No difference in the satisfaction between physicians, nurses; pharmacists; medical technologists, medical imagists; and respiratory therapists was found (p=0.287). Conclusion: Both human patient simulators and standardized patients can be successfully applied to interdisciplinary teamwork training for clinical daily practice. Therefore, interdisciplinary teamwork training using both human patient simulators and standardized patients is a new and promising teaching model.