南非妇科紧急情况管理的基本步骤 (ESMOE) 麻醉学培训模块:德尔菲研究
Engela Kuün1, Sandra Spijkerman
1From the Department of Anaesthesiology, University of Pretoria, Pretoria, Gauteng, South Africa.
Anesthesia and analgesia
|December 24, 2024
概括
强制性基本步骤在管理产科紧急情况 (ESMOE) 麻醉培训是推的,更新与混合学习和内容反映南非的主要原因孕产妇死亡率与可持续发展目标3保持一致的内容.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 麻醉学 麻醉学
背景情况:
- 南非 (SA) 努力实现联合国可持续发展目标3 (SDG3) 的孕产妇死亡率目标,大多数死亡发生在地区和区域医院.
- 限定的麻醉专家数量导致全科医生提供麻醉护理,监督不足.
- 2008年引入的"管理产科紧急情况的基本步骤" (ESMOE) 培训计划,旨在减轻孕产妇死亡率,由于提供不一致和内容过时,需要进行修订.
研究的目的:
- 收集专家意见,以修订ESMOE麻醉模块的规定,教学和内容.
- 加强南非实习生对产科麻醉的培训.
- 根据SDG3.3,为减少孕产妇死亡率的战略提供信息.
主要方法:
- 一个三轮修改的Delphi技术,涉及匿名在线问卷.
- 专家使用利克尔特尺度对当前和建议的学习成果,教学和监管方面进行了评分.
- 共识被定义为≥70%的同意,并提出详细建议的开放式问题.
主要成果:
- 71%的专家完成了第一轮,其中94%完成了后续轮.
- 除了两个问题以外,所有问题都达成了共识,支持强制性ESMOE麻醉培训.
- 专家们一致同意保留当前的学习成果,结合新的基于常见的孕产妇死亡原因的学习成果,并采用混合学习模式.
结论:
- 应强制参加ESMOE麻醉模块,使用混合学习方法为数字本地实习生.
- 内容必须更新,以解决南非地区孕产妇死亡的主要原因,与SDG3保持一致.
- 考虑国家产科麻醉指南和改善培训对齐对于增强麻醉工作人员至关重要.
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