基于对产科紧急情况的模拟训练在产科/妇科住院:一项全国性的调查
António De Pinho1,2, João Bernardes1,3, Ana Reynolds1,3
1Department of Gynecology-Obstetrics and Pediatrics, Faculty of Medicine, University of Porto, Porto, Portugal.
概括
基于模拟的培训,用于葡萄牙的产科紧急情况,揭示了关键的差距. 住院人员在罕见但危及生命的场景中接受不充分的培训,这影响了临床准备.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 紧急医疗 紧急医疗
背景情况:
- 基于模拟的培训对于管理产科紧急情况至关重要.
- 评估当前的培训需求对于居住计划至关重要.
研究的目的:
- 评估葡萄牙妇产科医生住院课程中用于产科紧急情况的基于模拟培训的范围.
- 确定关键产科情景的培训缺口.
主要方法:
- 葡萄牙 Ob/Gyn 居民的横截面调查 (2023年).
- 雪球采样和自己设计的问卷.
- 描述性统计和比较分析 (χ2,费舍尔精确测试).
主要成果:
- 97名居民参与,占全国队列的33.6%.
- 平均训练时间:13.8小时;常见的情景包括正常分娩,真空/,后.
- 代表性不足的场景 (<5%):受影响的胎儿头部,DIC,羊水栓塞,多创伤;为罕见的紧急情况保持低的现实生活.
结论:
- 在用于产科紧急情况的基于模拟的培训中存在显著的差距.
- 培训缺陷包括对指导方针不熟悉,技术技能差,以及团队合作.
- 拟议的战略旨在加强住院培训,以改善患者的治疗结果.
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