为儿科急诊医学学员提供及时的程序培训:一个随机的教育干预试验
Jheanelle McKay1, Mollie Wasserman2, Michael C Monuteaux3
1Department of Pediatric Emergency Medicine Joe DiMaggio Children's Hospital Hollywood Florida USA.
AEM education and training
|June 26, 2023
概括
正在时间 (JIT) 培训显著提高了儿科住院医生在外周静脉注射 (PIV) 导管安置和袋口罩通风 (BMV) 的程序技能. 这种训练提高了表现,但没有影响知识或信心.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 程序技能模拟程序技能模拟
背景情况:
- 儿科住院医生需要熟练掌握外围静脉注射 (PIV) 导管安置和袋口罩通风 (BMV) 等程序.
- 对这些技能的临床经验可能很少,并且与正规教学脱节.
- 准时培训 (JIT) 提供了一个潜在的解决方案,以提高技能获取和打击学习衰退.
研究的目的:
- 评估JIT培训对儿科住院医生在PIV安置和BMV方面的表现的影响.
- 评估JIT培训对居民对这些程序的知识和信心水平的影响.
主要方法:
- 居民接受了基线培训,然后随机分配接受PIV或BMV的JIT培训.
- 联合实验室培训包括一个简短的视频和辅导练习 (<5分钟).
- 程序性能通过视频录制的模拟被盲目调查员得分来评估;知识和信心被测量在干预前和后.
主要成果:
- 联合实验室培训显著改善了PIV安置 (87%对70%) 和BMV (83%对57%) 的程序性能.
- 这些改善在统计学上是显著的 (p < 0.001),并且在调整之前的临床经验后仍然存在.
- 在JIT培训组和对照组之间没有观察到知识或信心的显著差异.
结论:
- 在模拟环境中,JIT培训有效地提高了儿科住院医生在PIV安置和BMV中的程序性表现.
- 该研究没有发现与JIT培训相关的知识或信心得分有所改善.
- 建议进行进一步的研究,以确定观察到的性能益处是否转化为临床实践.
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