模拟医学教育（SBME）通过高仿真模拟技术，为重症医学培训提供了安全、可控的学习环境，显著提升了医护人员的技术能力和非技术能力。本文基于Donabedian 模型（结构-过程-结果），系统分析了SBME 在香港重症医学培训中的应用经验。结构层面，香港通过建立高仿真模拟中心、培养专业师资和完善治理架构，为SBME 的实施提供了坚实基础。过程层面，SBME 课程设计强调逆向设计理论和任务中心化学习，结合多学科团队协作和结构化复盘，确保培训的有效性。结果层面，SBME 显著提升了学员的技术操作能力、团队协作能力和危机管理能力，同时改善了患者安全。香港的经验表明，SBME 的成功实施需要全面的结构支持、科学的课程设计和有效的反馈机制。本文还探讨了SBME 在内地的推广策略，建议结合本地需求，借鉴香港经验，推动重症医学教育的现代化发展。

Simulation-based medical education （SBME） utilizes high-fidelity simulation technology to provide a safe and controlled learning environment for critical care training，significantly enhancing both technical and non-technical skills of healthcare professionals.This paper systematically analyzes the application of SBME in critical care training in Hong Kong based on the Donabedian model （structureprocess-outcome）.At the structural level，Hong Kong has established high-fidelity simulation centers，developed specialized faculty，and refined governance frameworks to provide a solid foundation for SBME implementation.At the process level，SBME course design emphasizes backward design principles and taskcentered learning，integrating multidisciplinary team collaboration and structured debriefing to ensure training effectiveness.At the outcome level，SBME has significantly improved trainees' technical skills，teamwork，and crisis management abilities while also enhancing patient safety.Hong Kong's experience demonstrates that the successful implementation of SBME requires comprehensive structural support，scientifically designed curricula，and effective feedback mechanisms.This paper also explores strategies for promoting SBME in the Chinese mainland，recommending an approach that integrates local needs while drawing on Hong Kong's experience to advance the modernization of critical care medical education.