发展,整合和评估街头医学进入紧急医疗居民教育
John Spartz1,2, Sarah Axelrath3,4, April Krall4
1Department of Emergency Medicine Denver Health Medical Center Denver Colorado USA.
AEM education and training
|October 1, 2025
概括
这项研究为紧急医疗居民实施了街道医学选修课程,揭示了对无家可归者医疗保健的宝贵见解. 居民发现这次体验很有用,增强了他们对患者挑战和社区资源的理解.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 经历无家可归的人 (PEH) 的急诊室 (ED) 使用率更高.
- 紧急医疗 (EM) 医生需要更多的无家可归医疗保健培训,包括街头医学.
- 街头医学提供移动护理,对于解决PEH需求至关重要.
研究的目的:
- 为第一年EM居民实施街头医学体验.
- 评估居民对街头医学经验的看法.
- 评估对居民对无家可归者医疗保健的态度和理解的影响.
主要方法:
- 与现有的街头医疗计划合作,创建一个可选的一天体验.
- 使用卫生专业人员对无家可归者的态度 (HPATHI) 进行经验前和经验后调查.
- 分析了使用诱导和体内编码的自由文本响应的定性数据.
主要成果:
- 100%的第一年EM居民参加了试点街道医学体验.
- 质量反突出了对系统挑战的实践改变见解,并增加了对街道医学教育的兴趣.
- 居民们认为这次体验是有用和有价值的,报告说在照顾PEH方面增加了舒适度,并更好地了解了社区资源.
结论:
- 将街道医学试点体验纳入EM住院教育是可行的.
- 居民认为街头医学的经验是他们医疗培训的有价值和有用的补充.
- 该试点计划表明,有潜力提高EM居民的准备能力,以照顾PEH.
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