在紧急医疗培训计划中,居民对首席投诉的临床暴露存在实质性的差异
Corlin M Jewell1, Amy T Hummel1,2, Dann J Hekman1
1University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin.
The western journal of emergency medicine
|February 7, 2025
概括
紧急医疗人员在培训期间看到的患者首席投诉 (CC) 发生了显著的变化. 这突出了临床暴露的潜在差距,并表明需要在紧急医疗住院计划的课程改革.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 临床实践 临床实践
背景情况:
- 紧急医疗 (EM) 住院培训的标准化是常见的,但首席投诉 (CC) 暴露缺乏定义的标准.
- 临床暴露的这种变化可能导致居民准备的差异.
- 识别CC的变化对于评估EM住院培训的充分性至关重要.
研究的目的:
- 调查紧急医疗 (EM) 住院人员中首席投诉 (CC) 暴露的变化程度.
- 确定居民在培训期间遇到的CC类型和频率是否存在实质性差异.
- 为潜在的课程改革提供信息,旨在标准化EM住院的临床暴露.
主要方法:
- 在2016-2021年期间毕业的EM居民的回顾性观察研究.
- 分析了228,916个患者遭遇,分为20个临床领域.
- 用于比较居民中最常见的十大CC域名的描述性统计.
主要成果:
- 总共分析了69名住院人员和228,916名患者的接触.
- 居民平均遇到了3323个不同的病例.
- 在CC领域观察到显著的四分位数间变化,特别是腹部/胃肠道,肌肉骨和创伤性疾病.
结论:
- 在一个紧急医疗 (EM) 学术课程内,住院人员遇到的患者主要投诉 (CC) 存在实质性的差异.
- 这种变化凸显了居民临床经验中的潜在不平等.
- 调查结果表明,需要重新评估和可能改革EM居住课程,以确保全面接触各种CC.
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