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Elizabeth D Moran¹, Deborah Hsu², Mary Wisbon³

¹Baylor College of Medicine, Houston, TX.

Pediatric emergency care

|May 6, 2025

概括

儿科急诊医学研究员很少执行所有必要的程序,在跟踪经验方面有显著的程序变化. 这凸显了改善课程和能力评估的需要.

科学领域:

医学教育医学教育
儿科急救医学儿科急救医学
临床技能培训临床技能培训

背景情况:

儿科急诊医学 (PEM) 奖学员需要程序经验才能具备能力,但罕见程序的机会有限.
在PEM中掌握技能所需的程序的确切数量仍未确定.
增加程序实践与医疗学员技能发展的改善有关.

研究的目的:

量化获得认可的儿科急诊医学计划的研究员所执行的程序的频率.
描述奖学金计划用于跟踪学员程序经验的当前方法.

主要方法:

在ACGME认可的PEM课程中研究员的回顾性,多中心,横截面研究 (2019年7月 - 2020年6月).
收集关于研究员/项目人口统计,自我报告的程序日志和电子医疗记录文件的数据.
根据医学研究生教育认证委员会 (ACGME) 清单标准化的程序.

主要成果:

来自11个项目的104名研究员提交了日志; 2个网站使用电子医疗记录跟踪.
最常见的手术:医疗/创伤复苏,手术镇静,输管.
最不常见的程序:鼻包装,心脏节奏;大多数程序都依赖于同伴的自我报告.

结论:

在培训期间,PEM研究员并没有一致记录所有ACGME要求的程序.
在PEM奖学金计划如何跟踪学员程序日志方面存在显著的变化.
调查结果表明需要加强教育课程和可能的ACGME程序列表修订.

关键词:

在ACGME的竞争力.儿科急诊医学研究员程序是指程序的过程.

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