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准备好了,不完美:一个教学干预措施,以提高住院医生对胸部排水管理的信心
Najeeb Aftab1, Joe Fayad1, Alex Wilkins2
1General Surgery, Mid Yorkshire Hospitals NHS Trust, Wakefield, GBR.
Cureus
|September 15, 2025
概括
一个结构化的教学课程显著提高了住院医生对管理肋间胸腔排水 (ICD) 的信心. 这种低成本的干预措施改善了对肺部病理管理的知识和准备.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 胸部外科手术 胸部外科手术
背景情况:
- 肋间间胸部排水 (ICDs) 对于肺部病理管理至关重要.
- 住院医生往往缺乏充分的准备和对安全管理ICD的信心.
- 国家审计显示,在ICD的程序信任和培训方面存在重大差距.
研究的目的:
- 评估一个结构化,住院主导的教学课程对胸部排水管理的影响.
- 在ICD管理的各个领域评估住院医生信心的改善.
- 确定一个可扩展和可重复的手术诱导教学模块的可行性.
主要方法:
- 未来的质量改进项目涉及18名整体外科住院医生.
- 会议前后的调查问卷评估了对10个ICD管理领域的信心.
- 一个单一的,基于幻灯片的教学模块被交付,随后是威尔科克森的签名等级测试分析.
主要成果:
- 在所有信心域中观察到统计学上显著的改善 (p < 0.001).
- 在各个领域中,信任度的中位数增加了+1至+3个点.
- 最大的收益在于识别ICD指示 (52%至95%) 和解剖学知识 (43%至90%).
结论:
- 一个单一的,专注的教学干预措施大大提高了住院医生对管理ICD的信心.
- 低成本,低资源的教学模式适合整合到手术诱导计划中.
- 未来的代应该包括模拟或监督实践,以提高程序能力和保留.
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