实习生教育课程标准化中央静脉导管修复的标准化
Marina Reppucci1, Connor Prendergast2, Katherine Flynn2
1Department of General Surgery, The Mount Sinai Hospital, New York, NY, USA.
BMC medical education
|December 20, 2023
概括
一个新的教育课程标准化了儿童手术学员的中央静脉导管 (CVC) 修复,提高了他们的舒适度和知识. 这种标准化并没有影响复杂率,如重复修复或感染.
科学领域:
- 儿科手术 儿科手术
- 医学教育 医学教育
- 血管接入装置 血管接入装置
背景情况:
- 中枢静脉导管 (CVC) 对儿科患者至关重要,但容易出现整体性并发症.
- 床边修复可以延长CVC的寿命,但技术的变化可能会导致重复干预和中线相关血流感染 (CLABSI).
研究的目的:
- 评估标准化的教育课程对儿科外科培训生的舒适性和能力在进行道 CVC 维修方面的影响.
- 评估这项标准化培训对心脏病维修和CLABSI率的影响.
主要方法:
- 从2020年11月到2022年1月为轮换实习生实施了专门的视听和实践教育课程.
- 培训人员的舒适度和CVC维修经验在培训前和培训后被评估.
- 修复和并发症数据在课程实施前后进行了比较.
主要成果:
- 培训后,受训者报告在心血管维修的所有方面,舒适度显著提高 (p < 0.001).
- 在课程引入后,CVC修复率或CLABSI率没有观察到统计学意义上的差异.
- 大多数受训者 (79.6%) 在接受培训之前没有CVC维修经验.
结论:
- 一个标准化的教育课程有效地提高了儿科手术学员的知识和舒适度与道 CVC 修复.
- 通过教育可以实现CVC维修技术的标准化,从而有可能减少实践的变化.
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