Prakash E Sankaranarayanan
Department of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Adv Physiol Educ. 2006 Mar;30(1):46-7. doi: 10.1152/advan.00039.2005.
We used the following question in a large classroom session attended by undergraduate medical students and doctors with a Bachelor of Medicine and Bachelor of Surgery (MBBS) degree (240 in all) to test for conceptual understanding as to what constitutes arterial blood oxygenation. The question read as follows: Which one of the following physiological parameters taken alone tells you that arterial blood oxygenation in a critically ill patient is satisfactory? A. (Alveolar-arterial) O(2) gradient=10 mmHg. B. Partial pressure of O(2) in arterial blood=95 mmHg. C. O(2)saturation of hemoglobin>90%. D. Blood hemoglobin concentration=12 g/dl. Only 25 of 240 students correctly indicated that none of the above parameters taken alone could give us this information. Once students turned in their answers, we presented five examples illustrating how none of the above answers could be used alone to assess arterial blood oxygenation. Students were then asked to provide written feedback on their understanding of this topic. The majority of students indicated that they were satisfied that they got rid of a misconception.
在一次有本科医学生和拥有医学学士与外科学士学位(MBBS)的医生(共240人)参加的大型课堂活动中,我们使用了以下问题来测试对构成动脉血氧合的概念理解。问题如下:以下单独一个生理参数能告诉你一名重症患者的动脉血氧合情况良好吗?A.(肺泡 - 动脉)氧分压差 = 10 mmHg。B.动脉血氧分压 = 95 mmHg。C.血红蛋白氧饱和度>90%。D.血血红蛋白浓度 = 12 g/dl。240名学生中只有25人正确指出上述单独一个参数都无法为我们提供此信息。学生交上答案后,我们给出了五个例子,说明上述答案单独一个都无法用于评估动脉血氧合。然后要求学生就他们对该主题的理解提供书面反馈。大多数学生表示他们很高兴消除了一个误解。