相关实验视频
Updated: Jun 4, 2025

07:30
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
8.0K
耳鼻喉科居民教育:超越程序案例日志-一个10年的单一机构审查
Pauline P Huynh1, Benjamin D Malkin1, Kevin H Wang1
1Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.
概括
这项研究量化了居民看到的耳鼻喉诊断,发现耳鼻病,头瘤和鼻腔疾病是最常见的. 这些数据有助于评估临床能力的住院培训.
科学领域:
- 耳鼻喉科 - 头部和部外科 (OHNS)
- 医学教育 医学教育
- 临床实践 临床实践
背景情况:
- 耳鼻喉科住院培训需要全面接触各种患者诊断.
- 量化门诊临床经验对于评估住院准备度至关重要.
- 目前关于居民所遇到的诊断范围的数据有限.
研究的目的:
- 为了量化耳鼻喉科诊断的范围和频率,在耳鼻喉科-头部和部手术 (OHNS) 计划中,住院人员遇到.
- 建立一个基准来评估在研究生培训期间的门诊临床经验.
- 为课程制定提供信息,并确保居民获得足够的接触常见和关键诊断.
主要方法:
- 从2013年到2022年在一个机构对电子健康记录的回顾性审查.
- 包括连续5个毕业的居民队伍,分析住院人员是提供者或助理的临床接触.
- 根据医学研究生教育认证委员会OHNS里程碑2.0框架对诊断进行分类.
主要成果:
- 分析了25447次独特的临床接触,涉及10名住院人员10年.
- 在54.8%的遭遇中,居民是主要提供者.
- 最重要的诊断类别包括耳部疾病 (25.3%),头瘤 (14.8%) 和鼻腔疾病 (10.8%).
- 经常遇到的诊断包括术后护理,良性皮下质量,耳部感染,耳膜冲击和面骨折.
结论:
- 这项研究首次量化了OHNS住院诊所的经验.
- 调查结果强调需要更多的多机构数据来评估培训的非程序性方面的临床能力.
- 评估门诊诊断对于使住院教育与独立实践的要求保持一致至关重要.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
173
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
173
Tracheostomy Care I: Pre-procedural Steps
132
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
132
Endoscopic Studies II: Thoracocentesis
199
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
199
Tracheostomy Care II: Procedure
115
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
115
Tracheostomy Suctioning I: Pre-Procedural Steps
421
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
421
Tracheostomy Suctioning II: Procedure
165
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
165

