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开发和试点评估一个结构化课程的外科手术移交
Jessica M Ryan1,2,3, Walter Eppich4, Dara O Kavanagh5,6
1RCSI University of Medicine and Health Sciences, St. Stephen's Green, Dublin, Ireland. jessicaryan@rcsi.com.
BMC medical education
|October 22, 2025
概括
一个新的外科手术交接课程显著提高了初级医生对沟通的信心. 这种结合模拟的培训是有效的,受到好评,促使实践发生了变化.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 患者安全 患者安全
背景情况:
- 在研究生医学教育中,有效的交接沟通至关重要.
- 年轻的外科医生往往缺乏在手续程序的正式培训.
- 为了解决这一培训缺口,制定了一个结构化的课程.
研究的目的:
- 试行一个结构化的外科手术交接培训课程.
- 评估课程对实习生自我报告的信心的影响.
- 收集关于课程内容和格式的反.
主要方法:
- 在两个爱尔兰医院的实习生中,进行了60分钟的干预,结合了教学教学,视频,模拟和讨论.
- 用会议前和会议后的调查来衡量自我报告的移交信心.
- 收集了参与者关于课程有效性和帮助性的反.
主要成果:
- 在所有移交领域 (p<0.001) 中,观察到自我报告的信心显著改善.
- 参与者认为视频演示和模拟实践是最有帮助的.
- 76.1%的参与者表示,这次会议将影响他们的交付实践.
结论:
- 基于模拟的课程有效地提高了实习生对外科手术移交的信心.
- 该课程受到好评,易于整合,资源高效.
- 这种方法有望改善手术培训中的交接沟通.
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