Plante Lauren A
Thomas Jefferson University, Departments of Obstetrics & Gynecology and Anesthesiology, Philadelphia, PA, USA.
Crit Care Med. 2006 Jul;34(7):2004-7. doi: 10.1097/01.CCM.0000220497.81906.03.
Critical care education in maternal-fetal medicine has typically been limited or has been driven entirely by clinical cases. A pilot program was created to systematize critical care training within the context of an existing maternal-fetal medicine fellowship.
The program included a lecture series, a Web-based learning module, specific scenarios played out in a human simulator lab, and a clinical intensive care unit rotation. Fellows' knowledge was assessed by pre- and posttest.
Objective knowledge was demonstrated to increase after 1 yr of training. Fellows' impression of the curriculum was positive.
More structured critical care medicine training is feasible within a maternal-fetal medicine fellowship. A multimodal curriculum to teach critical care within a maternal-fetal medicine fellowship appears promising and could be implemented elsewhere. Interest in this area should be cultivated.
母胎医学中的重症监护教育通常较为有限,或者完全由临床病例驱动。我们创建了一个试点项目,以便在现有的母胎医学 fellowship 背景下将重症监护培训系统化。
该项目包括一系列讲座、一个基于网络的学习模块、在人体模拟器实验室中演练的特定场景,以及临床重症监护病房轮转。通过培训前和培训后的测试来评估 fellows 的知识。
经过 1 年的培训,客观知识水平有所提高。 fellows 对课程的印象是积极的。
在母胎医学 fellowship 中进行更结构化的重症监护医学培训是可行的。在母胎医学 fellowship 中教授重症监护的多模式课程似乎很有前景,并且可以在其他地方实施。应该培养对这一领域的兴趣。