改善居民医生病史和在具有挑战性的情况下的身体状况
Nicholas Rockwell1, Nancy M Tofil1, Chrystal Rutledge1
1Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
Journal of developmental and behavioral pediatrics : JDBP
|January 17, 2025
概括
模拟培训有效提高了医生住院人员在急性疾病期间管理患有自闭症谱系障碍 (ASD) 的儿童的能力,并保持长达六个月的技能. 既有意识的实践和传统的模拟方法都被证明是有益的.
科学领域:
- 医学教育 医学教育
- 儿科 儿科 儿科
- 自闭症谱系障碍管理管理
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童经常出现神经认知和行为挑战,使急性疾病管理复杂化.
- 有效的评估和沟通策略对于为这些脆弱患者提供最佳护理至关重要.
研究的目的:
- 为了评估基于模拟的教育在教医学员培训中对患有ASD的儿童经历急性疾病的最佳管理实践的有效性.
- 为了比较传统模拟与故意实践在提高居民技能方面的有效性.
主要方法:
- 开发了一个模拟课程,专注于评估有感官障碍的儿童.
- 第二年和第三年的儿科和内科-儿科住院医生被分配到有意识的实践,传统的模拟或对照组.
- 住院人员在基线,干预后2周和4~6个月使用感官评估工具进行评估.
主要成果:
- 与对照组相比,这两种模拟方法在治疗自闭症儿童方面显著提高了居民的表现.
- 在2周的随访期观察到评估和管理技能的改善,并保持了4-6个月.
- 在传统模拟和故意实践之间,在性能改善或保持方面没有发现显著差异.
结论:
- 基于模拟的教育,包括故意实践和传统方法,有效地提高了对有感觉和沟通障碍的儿童的评估和管理,包括急性疾病期间患有自闭症的儿童.
- 这些模拟方法可以提高医生学员在管理复杂儿科病例方面的技能和信心.
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