评估儿科牙科居民镇静技巧和对模拟的信心:一个试点研究
Marlee G Hansen1, Janice A Townsend2, Kimberly J Hammersmith3
1Dr. Hansen is a director, Dental Health Center, St. Luke's Hospital/Unity Point Health, Cedar Rapids, Iowa.
Pediatric dentistry
|October 31, 2023
概括
镇静模拟提高了居民对知情同意和应急管理的信心. 然而,居民们仍然觉得自己没有为关键情况做好准备,这凸显了对技能保留最佳模拟频率的进一步研究的需要.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训基于模拟的培训
- 麻醉学 麻醉学
背景情况:
- 基于模拟的培训对于开发临床技能至关重要.
- 在程序模拟中评估居民的表现和自我效率对于有效的学习至关重要.
- 与镇静相关的紧急情况需要居民必须掌握的特定管理技能.
研究的目的:
- 在与镇静相关的模拟练习中评估住院人员的表现和自我有效性.
- 确定居民对镇静紧急情况的准备能力的具体信心和缺陷领域.
- 为麻醉住院医生制定最佳模拟课程提供信息.
主要方法:
- 一项试点研究涉及麻醉住院人员接受知情同意和镇静紧急模拟.
- 性能被客观地测量,并使用模拟前后问卷评估自我有效性.
- 用描述性和非参数统计分析来解释数据.
主要成果:
- 住院自效率在模拟后显著增加 (18%至42.7%,P<0.001).
- 二年生比第一年生表现更好,特别是在知情同意模拟中 (P<0.02).
- 居民认为沟通技巧是需要改进的领域,并报告说在紧急模拟期间在知识,问题解决和团队合作方面没有充分准备.
结论:
- 模拟训练有效地提高了居民对知情同意和管理某些镇静紧急情况的信心.
- 居民们认为,他们对应对与镇静相关的关键事件的准备能力存在差距.
- 需要进一步的研究来确定最佳的镇静应急模拟频率,以确保技能保留.
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