"我们需要真正提升我们的游戏" - - 实习生和临床医生对不良童年经历查的观点
Hannah Sherfinski1, Paige Condit2, Samantha Williams Al-Kharusy3
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, Hannah.sherfinski@hsc.utah.edu.
概括
儿科医生对不良童年经历 (ACE) 的知识和查率有限,尽管他们认识到其重要性. 提高临床实践需要教育,解决系统性障碍,理解压迫和压迫.
科学领域:
- 儿科健康 儿科健康
- 临床实践 临床实践
- 公共卫生 公共卫生
背景情况:
- 童年不良经历 (ACE) 对健康有显著的负面影响.
- 儿科医生在临床实践中不经常对ACE进行查.
- 了解临床医生和实习生对ACE的知识差距至关重要.
研究的目的:
- 调查临床医生和实习生的关于威斯康星州ACE的知识和实践.
- 在儿科环境中识别ACE查的促进者和障碍者.
主要方法:
- 顺序混合方法研究结合了调查和半结构面试.
- 基于网络的调查对医疗学员和临床医生进行了管理.
- 对面试进行主题分析,以确定与ACE查相关的关键主题.
主要成果:
- 受访者对ACE表现出熟悉,但只有26%的人拥有足够的临床应用知识.
- 报告的定期ACE查率低 (13%) ,相比之下,人们对学习更多的兴趣很高 (80%).
- 确定的主要主题包括仅仅知识的不足,需要多层次的方法,以及系统压迫的影响.
结论:
- 威斯康星州的学员和临床医生由于经验有限而表现出较低的ACEs查率,尽管他们希望继续接受教育.
- 改善ACE选需要加强体验式学习,减少系统障碍,解决社会压迫问题.
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