实施跨学科程序课程课程
Bryce Montane1, Abey Abraham2, Sergio Bustamante2
1Internal Medicine, Washington University School of Medicine, St. Louis, USA.
Cureus
|October 9, 2023
概括
在跨学科的手术课程之后,内科住院医生几乎翻了一番他们的手术量,并获得了信心,特别是在输管方面. 这凸显了合作培训在提高程序技能的价值.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
背景情况:
- 内科住院计划在提供足够的程序培训方面面临挑战.
- 改善居民对实践手术的准入对于发展临床能力至关重要.
研究的目的:
- 评估跨学科程序课程对居民程序量和信心的影响.
- 评估一套旨在增强内科医生程序技能的新课程.
主要方法:
- 开发了一个跨学科程序课程 (IDPC),包括模拟课程和监督的程序轮换.
- 来自多个专业 (脏病学,心脏病学,麻醉学,干预放射学) 的住院医生参与了.
- 在课程前和课程后的调查中,测量了程序数量和利克特尺度的信心水平.
主要成果:
- 共有16名住院医生参与,在课程前进行了176项手术,在课程后进行了343项手术,几乎使程序量翻了一番.
- 对输内管 (94%的住户) 的信心显著改善,中心线 (63%) 和动脉线 (44%) 的信心显著增加.
- 该课程表明,对气道输管的信心有统计学上显著的改善 (p=0.0006).
结论:
- 合作,跨学科的培训有效地增加了居民的程序量和信心.
- 开发的课程易于实施,并满足居民对改善程序性访问的需求.
- 通过结构化,多专业的合作,可以实现增强的程序培训,特别是用于输管.
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