发烧发作 团队学习 基于团队的学习
1Children's Hospital of Orange County, Department of Emergency Medicine, Orange, CA.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
这种改进的基于团队的学习 (mTBL) 有效地训练了急诊医生和儿科住院人员来管理发烧性发作. 会议结束后,居民改善了他们的实践,在咨询父母和确定发烧发作适当的炼中表现出舒适.
科学领域:
- 医学教育 医学教育
- 儿科急救医学 儿科急救医学
- 神经学 神经学
背景情况:
- 发烧性发作在5岁以下的儿童中很常见,通常需要急诊室的评估和父母的保证.
- 虽然大多数发烧发作是良性的,但细菌脑膜炎的风险虽然很低,但需要仔细评估.
- 目前的指导方针不再强调简单发烧的常规腰部穿刺,将重点转移到临床表现上.
研究的目的:
- 增强紧急医疗和儿科住院医生对管理发烧发作的信心.
- 为居民提供辅导父母在发烧发作复发和管理方面的技能.
- 为了使住院人员能够区分简单的发烧发作和需要进一步处理的发作,包括腰部穿刺.
主要方法:
- 为初级和高级居民实施了修改的基于团队学习 (mTBL) 的教育课程.
- 该mTBL格式包括一个简短的PowerPoint演示,随后是准备情况评估测试和小组申请练习.
- 参与者的学习和实践改进通过使用利克尔特等级和开放式问题进行会议后调查来评估.
主要成果:
- 该mTBL试点会议获得了高加权平均评分4.25分之5.
- 所有被调查的参与者都认为这次会议非常相关,有吸引力,并希望其重复.
- 居民表示实践改进,证实了教育内容的有效性.
结论:
- 该mTBL方法是教育居民发烧性管理的有效方法.
- 这次会议成功地提高了居民为家长提供咨询和确定发烧发作适当治疗方法的能力.
- 对未来会议的建议包括延长会议的持续时间,以便进行更深入的应用练习和讨论.
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