教内科医生批判性地评估种族在肺功能测试中的作用
Ananya Bhatia-Lin1, Nirav Bhakta2, Neha Deshpande3
1Third-Year Resident, Department of Internal Medicine, University of Washington School of Medicine.
一个新的课程成功地训练了内部医学专科医生使用种族中立方程来解释螺旋计结果. 这项培训使提供者能够批判性地评估肺功能测试中的基于种族的临床算法.
科学领域:
- 肺部医学 肺部医学
- 医疗教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 种族特定的算法,如螺旋测量算法,传统上在医学中使用.
- 美国胸腔学会现在建议种族中立的参考方程,而不是种族特定的方程.
- 在已出版的课程中存在一个空白,用于解释以种族为基础的与种族中立方程的螺旋计.
研究的目的:
- 开发和评估内部医学专科医生解释螺旋计的课程.
- 解决关于基于种族的与种族中立的螺旋计参考方程的培训差距.
- 为医疗保健提供者提供以种族意识的方式解释肺功能测试的设备.
主要方法:
- 一个内科住院医生和一个肺部医生共同制定了课程.
- 通过视频会议向45名居民提供了一个长达一个小时的交互式教学演讲.
- 使用柯克帕特里克模型进行的测试前后调查评估了参与者的反应,学习和预期的行为变化.
主要成果:
- 在课程课程结束后,考试成绩显著改善 (科恩的d = 0.271.17).
- 该课程成功地让参与者对肺功能测试中的基于种族的解释进行了批判性评估.
- 38名参与者完成了预测试,24人完成了后测试.
结论:
- 开发的课程有效地提高了居民对螺旋计解释的理解.
- 该课程的结构可以适应其他基于种族的临床算法.
- 这项倡议促进了更加公平和种族意识的医疗实践.
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