Tsujimoto Saburo, Kaminoh Yoshiro, Tashiro Chikara
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya.
Masui. 2005 Jul;54(7):818-21.
There is no information on the acquisition status of the written informed consent to clinical anesthesia practice of medical students.
The contents of the clinical practice were divided into three categories: No.1 (the minor procedures such as mask-and-bag ventilation, blood drawing, drug administration), No.2 (only the visit), No.3 (non-cooperation). We asked the patient to chose one of them. From the written informed consents given by 1531 patients scheduled for operation, we analyzed the degree of the cooperation and the relation between the cooperation and the patient background.
Although 78% of patients agreed to cooperate in some way (No.1 or No.2), there were only 15% of patients who allowed students to perform minor procedures.
The results showed that clinical practice in anesthesiology can not be performed properly by only the visit. For a meaningful clinical practice in anesthesiology to be performed, it will be useful to use high-fidelity human patient simulator (HF-PS) actively and campaign for the cooperation and the understanding of the general pablic about medical education.
关于医学生临床麻醉实践书面知情同意书的获取情况尚无相关信息。
将临床实践内容分为三类:1号(如面罩通气、采血、给药等小操作)、2号(仅查房)、3号(不配合)。让患者从中选择一项。从1531例拟行手术患者签署的书面知情同意书中,分析其配合程度以及配合与患者背景之间的关系。
尽管78%的患者同意以某种方式配合(1号或2号),但仅15%的患者允许学生进行小操作。
结果表明,仅通过查房无法妥善开展麻醉学临床实践。为了开展有意义的麻醉学临床实践,积极使用高仿真人体模拟人(HF-PS)并争取公众对医学教育的合作与理解将是有益的。