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介绍重症监护的有效性 在急诊医学课程的实施中,在对重症监护感兴趣的学员中,重症监护的有效性
Matthew M T Carvey1, Ava A Omidvar2, Elias E Wan3
1Department of Emergency Medicine, MetroHealth/Cleveland Clinic Foundation, Cleveland, Ohio.
The Journal of emergency medicine
|May 28, 2024
概括
一个新的重症监护课程有效地提高了医学学生对紧急医学的理解和信心. 这种新的方法既有利于有或没有先前重症监护经验的学生.
科学领域:
- 紧急医疗 紧急医疗
- 关键护理医学 关键护理医学
- 医疗教育 医学教育
背景情况:
- 紧急医生和实习生管理重症患者,通常超出初始时间,因为ED登机.
- 需要一个标准化的课程来解决医学生在重症监护中的教育差距.
研究的目的:
- 评估针对医学三年级和四年级学生的新型重症监护课程的可行性和有效性.
- 确定课程是否增加了对重症监护原则的理解.
主要方法:
- 开发了一个为期2个月的重症监护课程,并进行了两次试点 (2022-2023年).
- 该课程的目标是通过美国紧急医疗学院/住院和学生协会对关键护理感兴趣的医学学生.
- 课程前后的评估测量了理解的变化,主要结果是复合分数.
主要成果:
- 51名学生完成了试点项目,78.4%在第四年完成了试点项目.
- 学生从课前 (中位数3) 到课后 (中位数9) 的综合分数显著改善,p=0.015.
- 该课程受益于有或没有先前重症监护经验的学生.
结论:
- 新的重症监护课程对三年级和四年级的医学学生是有效的.
- 该课程增强了对重症监护基础的信心和理解.
- 需要进一步的研究来评估概括性和知识保留.
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