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荒野医学培训对感知信心的影响 在部署的环境中练习
Capt Mackson Martin1, Maj Jill D London1, Anna T Wiley2
1Family Medicine Residency Program, Offutt AFB, Bellevue, NE 68123, United States.
Military medicine
|November 29, 2025
概括
荒野医学培训显著提高了军事医生在缺乏资源的部署环境中提供护理的信心. 这种培训即使对于那些没有先前部署经验的人来说也是有价值的,提高了准备.
科学领域:
- 运营医学是运营医学.
- 医学教育 医学教育
- 荒野医学 荒野医学
背景情况:
- 军事医生缺乏用于部署,低资源环境的标准化培训.
- 现有的课程,如战术战斗伤亡人员护理 (TCCC) 4级和延长伤亡人员护理 (PCC) 准则,其可用性有限或缺乏实践组件.
- 操作医学培训通常仅限于特定机构,限制了广泛的可访问性.
研究的目的:
- 评估荒野医学培训是否增强了军事家庭医学医生的信心,在低资源的部署环境中提供患者护理.
- 确定正式或独立的荒野医学培训对自我报告的信心水平的影响.
主要方法:
- 一项横截面研究调查了2023年制服服务家庭医生学院 (USAFP) 年会的305名与会者.
- 匿名在线调查测量了荒野医学培训历史和对部署护理的信心.
- 统计分析包括描述性统计,Somers' d和顺序逻辑回归.
主要成果:
- 接受了正式的荒野医学培训的医生报告说,在资源较少的部署环境中提供护理的信心显著更高 (38.5%对25.7%"非常"或"极度"自信;P=.003).
- 即使在那些没有部署经验的人中,正式的荒野医学培训与信心增加有关 (18.2%对2.1%"非常"或"极度"自信;P=.005).
结论:
- 荒野医学培训与低资源部署环境中的军事家庭医学医生自我报告的信心在统计学上显著增加有关.
- 研究结果表明,需要进一步研究将荒野医学培训转化为在操作医学中改善患者的结果.
- 未来的研究应该探讨野外医学培训的特定有影响的组成部分及其对其他医学专业的影响.
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