教育和培训计划的有效性,以帮助临床医生评估和分类围撕裂:一个系统的审查
Grace Simpson1, Moira Philip2, Annabel Richards2
1Women's, Children's and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia gcrsimpson@gmail.com.
BMJ open
|June 25, 2025
概括
预防严重围裂的有效训练需要实践技能和解剖学教育. 对临床医生来说,持续的实践审查是保持眼评估知识和技能的关键.
科学领域:
- 产科和妇科 产科和妇科
- 外科教育的外科教育
- 患者安全 患者安全
背景情况:
- 在阴道分娩后,严重的围撕裂影响了约4%的女性,导致严重的并发症.
- 全球倡议旨在通过加强临床医师教育来减少严重的围撕裂.
- 有效地识别和修复眼对于母亲的健康结果至关重要.
研究的目的:
- 系统地审查和评估临床医生教育计划的有效性.
- 描述旨在改善周围骨解剖学知识和撕裂评估技能的干预措施.
- 在培训中确定预防和管理严重围裂的最佳实践.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在Medline,CINAHL Complete,MIDIRS和EMBASE数据库中搜索到2024年2月.
- 包括关于围解剖,评估和分类技能干预的研究;评估偏差风险.
主要成果:
- 从7645个选引用中,包括了39项研究.
- 确定了9个不同的干预措施,包括培训计划和研讨会.
- 许多研究来自高收入国家,存在偏见的高风险.
结论:
- 在周围骨解剖学和撕裂评估方面的实践实践训练比单独的监督更有效.
- 对临床实践的持续审查对于持续的知识和技能维护至关重要.
- 未来的研究应该探索对资源有限的环境和最佳培训参数的干预措施.
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