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不仅仅是一袋技巧 - 慢性下肢伤口愈合的课程方案
Enjae Jung1, Bryanna De Lima1, Alex G Ortega-Loayza1
1Oregon Health & Science University, Portland, Oregon, USA.
概括
医学学生在新的课程之后获得了治疗慢性下肢伤害 (CLEW) 的信心. 该计划改善了自我报告的知识,尽管外围动脉封闭性疾病模块需要进一步开发.
科学领域:
- 医学教育 医学教育
- 伤口愈合 治愈 伤口愈合
- 皮肤病学 皮肤病学
背景情况:
- 慢性伤口治疗给医疗保健带来了巨大的负担.
- 伤口愈合在美国医学院课程中没有得到充分的涵盖.
- 慢性下肢伤口 (CLEW) 往往遭受诊断延迟和不当的初始评估.
研究的目的:
- 开发和评估一个课程为医学学生的慢性下肢伤口愈合.
- 评估学生对伤口病因和管理的信心和知识的变化.
- 确定课程改进的领域,特别是管理特定疾病,如外围动脉封闭性疾病.
主要方法:
- 实施包括在线模块,多学科研讨会和临床年级医学学生在线图片在内的课程.
- 课程前和课后调查,以衡量自我报告的信心,描述伤口病因和选择伤口产品.
- 分析学生在线模块上的表现,包括那些专注于外围动脉封闭性疾病的模块.
主要成果:
- 在完成在线模块后,学生在所有伤口类型中报告了显著更高的信心 (p < 0.001).
- 最初的调查表明,学生对病因最有信心,对伤口产品选择最不自信.
- 对外围动脉封闭性疾病模块的性能始终低,表明需要有针对性的干预.
结论:
- 开发的CLEW治疗课程有效地提高了医学学生在治疗慢性伤口方面的自信.
- 课程的模块化方法显示出希望,但具体的疾病模块需要改进.
- 未来的研究应该集中在长期的知识保留和解决在慢性伤口护理潜在的学生偏见.
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