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评估外科医生对生命终端决策的专业态度:基于模拟的标准化研究与主题分析
Maria Mahmood1, Muhammad Umair2, Dale Whelehan1
1Department of Surgery, Trinity College Dublin, Dublin, Ireland.
Journal of surgical education
|October 19, 2025
概括
外科医生 外科医生
科学领域:
- 医学教育 医学教育
- 手术决策 - 手术决策
- 抚慰性护理是一种缓解性护理.
背景情况:
- 临床决策在生命末期 (EOL) 情况是复杂的.
- 对于外科EOL决定,只有有限的息护理培训存在.
- 外科医生有时会进行无益或过度治愈的手术.
研究的目的:
- 探索终生 (EOL) 决策作为潜在的可信任的专业活动 (EPA).
- 量化评估外科医生识别何时息治疗是最佳治疗的能力.
- 为了避免在EOL场景中进行不适当的外科干预.
主要方法:
- 一项标准化调查分发给不同经验水平的外科医生.
- 对临床细节的反应进行了统计分析.
- 在初级外科医生 (SHO,注册员) 和高级外科医生 (顾问) 之间进行了决策比较.
主要成果:
- 70%的受访者完成了调查.
- 在3个小组中,在2个小组中观察到决策的显著差异.
- 顾问比注册人员更早地识别息情况 (p=0.03).
- 在复杂的腹部病理情景中,注册人员的表现优于SHO (p=0.03).
结论:
- 高级决策技能可以通过结构化临床场景来评估.
- 模拟场景揭示了外科注册师和咨询师之间EOL管理的差异.
- 这项研究为开发用于外科手术EOL决策的总结性评估工具提供了基础,这是以前未被承认的EPA.
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