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门诊阻塞对肺重症监护员门诊培训经验的影响
Kathleen A McAvoy1, Katherine A Gielissen2, Jennifer D Possick1
1Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut; and.
ATS scholar
|July 26, 2024
概括
实施专门的门诊病房显著改善了肺部和重症监护医学 (PCCM) 的同事培训. 奖学员报告说,他们在门诊肺部医学中对独立实践的满意度和准备程度更高.
科学领域:
- 医学教育 医学教育
- 肺部医学 肺部医学
- 临界护理医学 临界护理医学
背景情况:
- 研究生医学教育认证委员会要求PCCM研究员在3年内有7%的门诊时间.
- 一项多机构调查显示,只有47%的PCCM研究员认为他们的门诊培训足够.
- "x+y"安排模式,分离住院和门诊轮换,被内科住院所采用,以加强门诊教育.
研究的目的:
- 评估专用门诊隔离对PCCM研究员门诊肺部药物暴露的影响.
- 评估同学和教师对外科医疗教育质量认知的变化.
主要方法:
- 一个学术PCCM奖学金在2021-2022学年实施了四个为期2周的门诊病房.
- 这些区块包括纵向诊所,亚专科诊所和专门的教育半天.
- 研究员和教师在干预前和干预后进行了调查,研究员参加了重点小组.
主要成果:
- 每位研究员的肺部亚专科诊所数量和多样性显著增加 (P < 0.01).
- 干预后,研究员报告了对门诊教育,准备和分专科暴露的更高满意度 (P < 0.05).
- 教师对其他门诊教育的满意度也增加了 (P < 0.05).
结论:
- 门诊区块结构通过增加暴露和专注的教学来增强PCCM的门诊培训.
- 关键特征包括分离诊所,扩大肺部暴露,有意识的练习机会和教师参与.
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