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创伤护理教育中的差异:在国家创伤系统中对ATLS课程的观察研究

Ilan Y Mitchnik¹, Stav Regev², Avraham I Rivkind³

¹Israel Defense Force Medical Corps, Tel Hashomer, Ramat Gan, Israel; Department of Military Medicine, Hebrew University, Jerusalem, Israel; Military Medical Academy, Israel Defense Force, Negev, Israel.

|June 16, 2023

概括

创伤中心水平显著影响高级创伤生命支持 (ATLS) 课程的成功和可访问性. 存在教育差异,需要针对性地分配资源给较低级别的创伤中心和早期职业生涯的居民.

科学领域:

医学教育医学教育
创伤外科手术创伤外科
医疗保健的不平等医疗保健的不平等

背景情况:

创伤系统和创伤中心水平的差异可能会对患者的治疗结果产生负面影响.
高级创伤生命支持 (ATLS) 计划是改善创伤护理的关键标准,特别是在低级系统中.
这项研究调查了国家创伤系统内ATLS培训的潜在教育差距.

研究的目的:

检查高级创伤生命支持 (ATLS) 课程可访问性和成功率的差异.
确定影响外科住院生和研究员ATLS课程表现的因素.
为了比较1级创伤中心 (L1TC) 和非1级医院 (NL1H) 之间的教育经验.

主要方法:

一项前性观察性研究,涉及588名参与ATLS课程的外科住院医生和研究员.
在国家创伤系统中,比较L1TC (n=7) 和NL1H (n=23) 之间的课程可访问性和通过率.
分析与ATLS课程成果相关的人口和培训特定因素.

主要成果:

与NL1H相比,L1TC的学生的ATLS通过率比NL1H高10% (p=0.003).
创伤中心水平独立地与通过ATLS课程的更高几率相关 (OR=1.925).
对于L1TC和成人创伤专业的学生来说,ATLS课程的可访问性明显更高,而NL1H则偏爱早期培训居民.

结论:

创伤中心水平是ATLS课程成功的重要决定因素,无论其他学生因素如何.
在L1TC和NL1H之间存在ATLS访问的教育差异,特别是在核心创伤计划和早期学员中.
建议针对性教育资源用于较低级别的创伤中心,特定的创伤专业,以及在早期研究生培训中的居民.

关键词:

先进的创伤生命支持创伤生命支持继续医学教育继续医学教育.不平等的差异差异的差异一级创伤中心1级创伤中心创伤教育中的创伤

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