超越发病率和死亡率会议:我们如何从特殊病例中学习?
Michael B Cohen1, Emily A Garvey2, Jocelyn L Kohn3
1Department of Otolaryngology-Head and Neck Surgery, Chobanian & Avedesian School of Medicine at Boston University, Boston, MA, USA.
The Annals of otology, rhinology, and laryngology
|October 1, 2024
概括
医生可以通过创新的可怕病例会议从具有挑战性的临床病例中吸取教训,其中包括超越传统发病率和死亡率审查的近乎失误,道德和法律困境. 这个论坛通过跨专业分享有影响力的病例来增强医学教育.
科学领域:
- 医学教育 医学教育
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床病例分析
背景情况:
- 医生遇到复杂的临床病例,包括近乎失误和道德困境,这通常不是在传统的发病率和死亡率 (M&M) 会议上提出的.
- 需要一个专门的教育论坛来讨论和分析这些超出标准M&M标准的具有挑战性的案例.
研究的目的:
- 介绍和评估"可怕病例会议"作为医生创新的教育论坛.
- 为分享和分析具有挑战性的临床病例提供一个平台,超出传统M&M会议的范围.
主要方法:
- 在2011年至2021年期间举办了11个区域和10个国家"耳鼻喉科可怕病例"会议和迷你研讨会.
- 根据专业,管理挑战和与M&M会议标准的比较,分析了187个提交的案例.
主要成果:
- 62%的案件涉及医疗问题,21%涉及法律问题,17%涉及道德困境.
- 医疗病例经常涉及呼吸道阻塞 (31%),神经损伤 (17%) 和恶性病 (17%).
- 49%的"可怕案例"符合M&M标准,而25%是近乎失误的,26%是伦理/法律困境,不能被归类为发病率,死亡率或近乎失误.
结论:
- 恐怖病例会议作为一个有价值的点对点学习论坛,用于有影响力的临床病例传播.
- 这个创新的格式捕捉了大量具有挑战性的案例,包括伦理和法律问题,这些问题往往被传统的M&M会议排除在外.
- 可怕病例模型可以扩展,涵盖更广泛的临床挑战,增强跨专业的医学教育.
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