在乌干达进行多模式支气管镜培训的纵向研究
Dipan N Karmali1, A Christine Argento2, Bruce Kirenga3,4
1Division of Pulmonary and Critical Care, University of Miami Health System, Miami, Florida.
ATS scholar
|August 4, 2023
概括
这项研究表明,一项纵向,多模式的灵活支气管镜培训计划改善了乌干达医生的技能. 该培训在资源较少的环境中提高了知识和程序能力.
科学领域:
- 肺部病理学 肺部病理学
- 医学教育 医学教育
- 全球健康 全球健康
背景情况:
- 灵活的支气管镜对于诊断和管理肺部疾病至关重要.
- 低收入和中等收入国家 (LMICs) 面临着有限的支气管镜检查能力所带来的挑战.
- 2019年,在乌干达坎帕拉启动了一项灵活支气管镜培训计划,随后是为期2年的多式联络课程.
研究的目的:
- 在LMIC中评估一项纵向多模式支气管镜培训计划的有效性.
- 评估乌干达医生的知识保留和程序能力.
- 确定后续课程对新参与者和回归参与者的有效性.
主要方法:
- 乌干达和美国肺病学家共同开发了一套多式课程.
- 培训包括讲座,模拟和对新生和以前受过培训的医生进行监督.
- 通过12个问题多选题考试评估知识,并使用支气管镜技能和任务评估工具 (BSTAT) 测量程序能力.
主要成果:
- 在2022年,参与者 (n=11) 在培训后的平均考试成绩有所改善 (43.9到59.8,P=0.008),尽管低于2019年的成绩 (90.8).
- 参与者的平均BSTAT分数 (n=8) 在2019年 (72.1) 和2022年 (75.2) 之间保持相似,表明持续的程序能力 (P=0.38).
结论:
- 一个纵向多模式支气管镜课程可以有效地提高医生在LMICs的能力.
- 这种培训方法提供了一个可扩展的模型,用于改善资源有限的环境中的肺部医疗保健.
- 持续的熟练程度表明了持续的价值,多模式培训干预措施.
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