加强紧急医疗住院人员的过渡:结构化定向计划对舒适度和准备能力的影响
Jessica Baez1, Erin McDonough1
1Department of Emergency Medicine University of Cincinnati Cincinnati Ohio USA.
AEM education and training
|July 28, 2025
概括
结构化的指导计划显著提高紧急医疗 (EM) 住院人员对角色转换的准备. 这些有针对性的干预措施提高了对临床,监督和基于系统的技能的准备和信心.
科学领域:
- 医学教育 医学教育
- 紧急医疗培训培训 紧急医疗培训
- 居民准备情况
背景情况:
- 紧急医疗 (EM) 住院课程在住户接触临床职责方面表现出差异性.
- 在EM实习期间的角色转换可能会给实习生带来压力和不确定性.
- 结构化的导向计划提供了缓解这些挑战的潜在解决方案.
研究的目的:
- 评估角色特定导向会议对EM居民自我报告的舒适度和准备度的影响.
- 评估不同研究生年级 (PGY) 的临床,监督和基于系统的技能的变化.
主要方法:
- 为PGY-2,PGY-3和PGY-4的EM居民实施了三个不同的导向课程.
- 利用前后调查来衡量居民舒适度的变化.
- 员工配对t测试以分析观察到的变化的统计学意义.
主要成果:
- 所有的导向会议都导致了在多个领域的自我报告舒适度的显著改善.
- PGY-2居民报告说,他们对应对危急情况的准备有所提高.
- PGY-3居民对程序监督和对罕见程序的知识的信心增加.
- PGY-4居民经历了最实质性的收益,特别是在计费和医疗法律方面,因为他们准备参加医生角色.
结论:
- 结构化的导向计划显然提高了EM居民对关键角色转换的准备.
- 这些发现倡导将定制的教育干预措施纳入,以加强居民的表现和准备.
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