从战场到床边:通过修改的Delphi方法优先考虑军事医生助理的程序技能和能力期望
Robyn L Chalupa1, Lenard W Tol2, Ryan A McMahon2
1US Army Medical Center of Excellence, Fort Sam Houston, TX 78234, United States.
Military medicine
|May 28, 2025
概括
经过奖学金培训的医生助理 (PA) 预计将掌握18种用于驻军和部署环境的外科技能. 外科医生的期望与医学研究生教育认证委员会的里程碑一致,以获得最佳的患者护理.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医生助理研究 医生助理研究
背景情况:
- 美国陆军-贝勒大学医学博士在医生助理研究一般外科课程培训PA在广泛的临床,程序和操作技能.
- 对未来的军事冲突而言,有效的医疗提供者利用对于预计的高伤亡和有限资源的军事冲突至关重要.
- 这项研究评估了奖学金培训的军事PA是否符合驻军和部署环境中的外科医生期望.
研究的目的:
- 优先考虑在整体外科中接受过奖学金培训的医生助理 (PA) 的基本技能.
- 建立外科医生对PA能力水平的期望,无论是在驻军还是部署的军事环境中.
- 确保PA培训与现代军事医疗行动的要求保持一致.
主要方法:
- 德尔菲方法被采用,以达成共识,优先考虑的技能和PA的绩效水平.
- 调查采用5分利克尔特尺度,以衡量驻军和部署环境中技能表现的一致性.
- 医学研究生教育认证委员会 (Accreditation Council for Graduate Medical Education) 的手术里程碑被用来定义患者评估,手术内和术后护理的预期能力水平.
主要成果:
- 在18个基本技能上达成共识,这些技能适用于驻军和部署的军事环境.
- 外科医生期望PAs在患者评估和决策方面达到2.7的平均能力水平.
- 根据手术里程碑,预期的手术内和术后患者护理能力水平分别为2.5和2.8,根据手术里程碑.
结论:
- 专家的共识为改进PA培训课程和能力评估提供了基础.
- 将PA培训与军事外科医生的期望保持一致,可以提高在冲突地区为专业间的团队合作做好准备.
- 毕业生将能够更好地管理在资源有限,高伤亡的军事场景中手术患者护理.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
15.1K
09:01Development of an Audio-based Virtual Gaming Environment to Assist with Navigation Skills in the Blind
Published on: March 27, 2013
14.9K
相关概念视频
Expected Value
7.4K
The expected value is known as the "long-term" average or mean. This means that over the long term of experimenting over and over, you would expect this average. The expected average is represented by the symbol μ. It is calculated as follows:
7.4K
Determination of Expected Frequency
2.6K
Suppose one wants to test independence between the two variables of a contingency table. The values in the table constitute the observed frequencies of the dataset. But how does one determine the expected frequency of the dataset? One of the important assumptions is that the two variables are independent, which means the variables do not influence each other. For independent variables, the statistical probability of any event involving both variables is calculated by multiplying the individual...
2.6K
Expected Frequencies in Goodness-of-Fit Tests
7.2K
A goodness-of-fit test is conducted to determine whether the observed frequency values are statistically similar to the frequencies expected for the dataset. Suppose the expected frequencies for a dataset are equal such as when predicting the frequency of any number appearing when casting a die. In that case, the expected frequency is the ratio of the total number of observations (n) to the number of categories (k).
7.2K
Blind Procedures
13.4K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
13.4K
Factors Influencing Attraction V: Social Skills
746
Social skills play a crucial role in shaping interpersonal interactions and enhancing individuals' ability to navigate various social environments successfully. These skills contribute to personal and professional success, influencing how others perceive and treat individuals. High social skills provide distinct advantages in numerous settings, including romantic relationships, politics, and legal proceedings. In courtroom settings, for instance, defendants who exhibit strong social skills are...
746
Modified Boxplots
10.8K
A standard box and whisker plot informs us about the spread of the data in a given sample. One can identify the minimum value, maximum value, first quartile value, second quartile or median value, and third quartile.
However, the box plot does not tell the reader about outliers - values that lie far from the center of the data. We can modify the standard box and whisker plot to identify the outliers and visualize the actual spread of the data in a sample.
Initially, we calculate the adjusted...
However, the box plot does not tell the reader about outliers - values that lie far from the center of the data. We can modify the standard box and whisker plot to identify the outliers and visualize the actual spread of the data in a sample.
Initially, we calculate the adjusted...
10.8K
