评估初级医学学习者在住院老年医疗咨询服务中的临床脆弱性评分
Gerontology & geriatrics education
|September 3, 2023
概括
初级医学学员在临床虚弱度量表 (CFS) 评分上表现出相当大的一致性,但仅限于医学学生时表现出适度的一致性. 这凸显了对受训人员改善脆弱性评估培训的需要.
科学领域:
- 老年医学 老年医学
- 医学教育 医学教育
- 临床评估 临床评估
背景情况:
- 临床脆弱度量 (CFS) 是综合老年病评估 (CGAs) 的组成部分.
- 初级医务实习生进行CGA和CFS评分,但他们与专家评级人员的协议尚未建立.
- 慢性疲劳症得分显著影响患者护理途径.
研究的目的:
- 为了评估由初级医疗学员与老年病学子专业住院医生相比,由初级医疗学员分配的CFS分数的评审者间一致性.
- 为了确定患者的特征是否会影响协议水平.
- 为提高脆弱性评估培训的潜在干预措施提供信息.
主要方法:
- 从2019年4月至6月的CGAs和CFS分数的回顾性图表审查.
- 一位老年病学子专业的住院医生被分配了追溯的CFS分数.
- 科恩和康格的卡帕统计用于衡量评价者之间的一致性.
- 一般化的线性模型评估了患者特征对同意的影响.
主要成果:
- 观察到对CFS得分的实质性总体评审者间一致性.
- 对于PGY1居民来说,协议仍然很大,但对于医学学生来说,协议减少到适度.
- 医学学生评估了43%的患者,而PGY1s评估了57%.
结论:
- 虽然整体CFS得分显示了大量的同意,但医学学生的同意显著下降.
- 这强调了有针对性的教育干预措施的必要性,以提高学员早期脆弱性评估技能.
- 标准化CFS培训对于在老年护理中的一致应用至关重要.
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