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加强堕胎培训:军事居民教育中的扩张和疏散清单
Kiley Hunkler1, Carissa Pekny1, David Boedeker1
1Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.
Military medicine
|December 23, 2023
概括
一个标准化的检查清单和讲座显著提高了军事居民在执行扩张和疏散 (D&E) 程序方面的知识和舒适性. 这种培训对于在立法挑战中保持获得基本堕胎护理的机会至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 生殖健康 生殖健康
背景情况:
- 扩张和疏散 (D&E) 是一个安全的第二季度堕胎程序.
- 目前的立法和地理限制限制了对D&E服务的访问.
- 需要加强医疗保健提供者的堕胎培训.
研究的目的:
- 评估标准化讲座和检查清单对军事学员对D&Es的知识和舒适性的影响.
- 在军事医疗保健计划中提高D&E培训的质量.
主要方法:
- 开发了一个基于证据的D&E检查清单,涵盖设备,步骤和并发症.
- 在七个军事训练计划中向妇科住院医生发表讲座和检查清单.
- 评估住户的知识和舒适度,使用干预前和干预后的调查,使用利克特比例表和威尔科克森标志级别测试分析.
主要成果:
- 所有参与的居民都报告说,在干预后进行D&E的知识和舒适度增加了.
- 在设备知识 (平均差异1.44,P <0.001),程序步骤 (平均差异1.26,P <0.001) 和并发症管理 (平均差异1.33,P <0.001) 方面,注意到了显著的改进.
结论:
- 基于证据的检查清单有效地提高了居民对第二季度D&E的熟练程度和信心.
- 军事训练计划可以作为在后多布斯时代开发替代训练方法的模型.
- 开发临床培训的辅助是保持D&E程序能力的必要条件.
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