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过度拥挤,寄宿和医生选对居民教育的影响:范围审查
Jeffery Hill1, Grace Hickam2, Jazmyn Shaw1
1University of Cincinnati Cincinnati Ohio USA.
AEM education and training
|May 16, 2025
概括
紧急部门 (ED) 过度拥挤对居民教育产生了负面影响,尽管对可测量的伤害的证据不一致. 本综述探讨了在ED拥挤的情况下的教育成果和医生选模型.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 众所周知,急诊室 (ED) 过度拥挤和患者登机会对患者的护理产生负面影响.
- 这些条件对居民教育的影响得到了较少的研究关注.
研究的目的:
- 对ED过度拥挤对教育影响的文献进行范围审查.
- 总结当前的研究成果,并确定未来调查的差距.
- 探索过度拥挤的定义,研究的教育成果,医生选 (PIT) 模型的影响以及对过度拥挤的教育反应.
主要方法:
- 在多个数据库 (Medline,Embase,ERIC,MedEdPortal,Web of Science,Google Scholar) 中进行了全面的文献搜索.
- 数据提取是由两个作者独立进行的.
- 根据对范围审查的最佳实践建议,进行了定量和定性综合.
主要成果:
- 从2570篇文章的初始搜索中,有14篇文章符合纳入标准.
- 文献表明ED过度拥挤对居民教育的负面影响,但这并没有始终转化为明显负面的教育成果.
- 评估的教育成果包括居民的生产力,程序经验,培训期间的考试成绩和感知到的教学质量.
- 医生在位 (PIT) 模型被发现改变了住院医生看到的患者的类型和数量.
结论:
- 本范围审查综合了关于ED过度拥挤,登机和PIT模型对教育影响的当前文献.
- 这些发现提供了背景,并突出了未来研究这些教育影响的领域.
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