在医疗学员中,心脏听力技巧
Neil S Zhang1, Joy Y Yang2, Joshua I Goldhaber1
1Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
American heart journal
|March 17, 2025
概括
在11年的时间里,医疗学员表现出心脏听觉技能的下降. 这一基本技能需要重新关注和改进教学策略,以确保其保存和增强.
科学领域:
- 医学教育 医学教育
- 心脏病学 心脏病学
- 临床技能评估 临床技能评估
背景情况:
- 人们越来越担心医生的心脏听力能力可能会下降.
- 之前的研究还没有对医疗学员这些关键技能的变化进行纵向评估.
研究的目的:
- 评估医疗学员心脏听力技能的长期变化.
- 在心脏听力模拟试验中量化表现的时间趋势.
主要方法:
- 在11年的时间里,使用了一种重复的横截面研究设计.
- 实习生 (医学学生,住院医生,心脏病学研究员) 完成了模拟测试,识别了预先录制的心脏声音和声.
- 使用线性回归分析来评估测试成绩的时间趋势.
主要成果:
- 总共分析了411个模拟测试.
- 总体测试得分显示,统计学上显著下降每年0.15分 (P=0.003).
- 心脏病学研究员和住院医生表现优于医学学生,但所有组都显示出技能下降的趋势.
结论:
- 在研究期间,在学术医疗中心的医疗学员中,心脏听觉技能下降.
- 在内科医生和心脏病学研究员中也可能发生类似的下降.
- 迫切需要加强策略来教导和保持心脏听觉能力.
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