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对赞比亚的正式紧急医疗课程和培训进行需求评估
Sara Alavian1, Bassim Birkland2, Kephas Mwanza3
1Division of Emergency Medicine, Department of Medicine, McMaster University, Canada.
概括
在赞比亚开发紧急医疗 (EM) 需要解决关键差距. 关键需求包括正式的研究生培训,加强监督临床医生的资源,以及高急性,低发病率程序的具体培训.
科学领域:
- 全球健康 全球健康
- 紧急医疗 紧急医疗
- 医疗教育 医学教育
背景情况:
- 紧急医疗 (EM) 是赞比亚的一个新兴领域,国家兴趣日益增长.
- 加强EM需要识别当前的医疗保健供应缺口和晋升机会.
- 作为医学专业的正式承认仍在等待.
研究的目的:
- 为了描述赞比亚的EM景观.
- 识别紧急医疗服务的差距和晋升机会.
- 评估医生之间的EM培训和教学参与.
主要方法:
- 使用了一种经过修改的紧急护理评估工具.
- 收集关于EM培训,教学参与和EM核心功能 (频率,信心,重要性) 的表现的数据.
- 确定了执行EM功能的障碍.
主要成果:
- 大多数受访者是职业生涯早期的医生 (50岁以下) 参与教学,资源有限.
- 赞比亚一致同意在赞比亚需要正式的研究生EM培训.
- 最少执行和最不自信的功能是高敏度,低发病率 (HALO) 程序 (例如,手术呼吸道,心周).
结论:
- 常见的障碍包括缺乏物资,设备,药物以及医疗保健工作者培训不足.
- 对于EM课程的关键需求包括监督员的资源,HALO程序培训和赞比亚的正式研究生EM课程.
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