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一个机构影子计划的5年结果,旨在培养新的高级"预约产科医生"
Daniel Tairy1, Eran Weiner1, Anat Engel2
1Departments of Obstetrics & Gynecology, The Edith Wolfson Medical Center, Holon, affiliated with Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
一个结构化的影子计划为高级产科居民改善了他们的临床技能和领导能力. 这项培训倡议还导致在值班期间显著减少了母亲和新生儿不良结果.
科学领域:
- 产科和妇科 产科和妇科
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 在产科中,值班班次至关重要,通常由高级主治医生领导.
- 有效的培训对于住院人员的准备和在这些轮班期间的患者护理至关重要.
研究的目的:
- 评估结构化的影子计划对高级产科住院医生的能力的影响.
- 评估该计划对产科不良结果的影响.
主要方法:
- 高龄居民接受了24小时的电话,并受到临床产科医生的监视,并收到结构化的反.
- 居民自行评估了课程前和课后的能力.
- 在计划实施之前和之后,对母亲和新生儿的不良结果进行了比较.
主要成果:
- 临床医生观察到高级住院人员在培训后的技能有显著改善 (p < 0.05).
- 该计划期间显示,孕产妇出血,输血和肩膀缩率有所降低.
- 新生儿结局有所改善,阿普加尔评分<7的比率较低,呼吸系统发病率,Erb和新生儿死亡率较低.
结论:
- 结构化,实时的应急培训提高了高级住户的临床和领导能力.
- 该计划更好地为居民准备独立实践.
- 这种培训方法可以改善妇产科患者的治疗结果.
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