弥合差距:为高级实践临床医生评估心电图课程
Steven Lindsey1, Tim P Moran1, Meredith A Stauch2
1Emory University, Department of Emergency Medicine, Atlanta, Georgia.
The western journal of emergency medicine
|April 10, 2024
概括
高级实践提供者 (APP) 在完成紧急医疗基础 (FoEM) ECG I课程后,表现出更好的心电图 (ECG) 解释知识. 然而,这次培训并没有增加他们对接近医生进行复杂的心电图解释的信心.
科学领域:
- 医学教育 医学教育
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
背景情况:
- 在急诊室 (ED) 的高级实践提供者 (APP) 经常接受可变心电图 (ECG) 培训.
- 尽管有限的正规教育,APP可能是第一个解释ECG的人.
- 紧急医疗基金会 (FoEM) 为居民教育提供开放式课程.
研究的目的:
- 通过FoEM ECG I课程来增强APP ECG解释技能.
- 评估标准化的ECG课程对APP知识和信心的影响.
- 评估从课程中获得的ECG知识的长期保留.
主要方法:
- 一项涉及23个APP的干预前后研究在城市ED.
- 实施一个为期六个会议的虚拟,主动学习的FoEM ECG I课程.
- 通过15个问题多选项测试 (前,后,六个月后续) 和对态度和实践的调查来评估知识.
主要成果:
- 从测试前 (中位数9/15) 到测试后 (中位数12/15;P=.001) 的心电图知识得分显著改善.
- 6个月后的持续知识得分 (中位数为12/15;P=.30).
- 自我评估技能没有显著变化 (P=.06) 或咨询医生的可能性 (P=.16);对课程的满意度为91%.
结论:
- 该FoEM ECG课程有效地标准化和改进了APP ECG解释知识.
- 该课程并没有显著改变APP寻求医生指导ECG解释的意愿.
- 调查结果支持扩大正式的APPECG教育,使用标准化的课程.
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