Rohan Denise, Ahern Sinead, Walsh Ken
Department of Anaesthesia, Cork University Hospital, Wilton, Cork, Ireland.
Med Teach. 2009 Jan;31(1):e1-5. doi: 10.1080/01421590802334291.
Anaesthesia is commonly taught to medical students. The duration and content of such teaching varies however and no consensus exists as to what constitutes an optimal curriculum. Anaesthetists possess the necessary knowledge and skills and operate in clinical settings suitable to provide training for medical undergraduates, especially in areas where deficiencies have been identified. This Delphi study was directed towards developing a consensus on an optimal anaesthesia, intensive care and pain medicine curriculum for medical undergraduates.
This Delphi survey consisted of three iterative rounds with feedback given at the start of each successive round in the form of the results of the previous round. The participants consisted of 27 consultant anaesthetists, chosen by the three Professors of anaesthesia in Ireland to be experts in undergraduate medical education.
Thirty one consultant anaesthetists were chosen to participate in the study. Two consultants declined to participate. Two consultants were omitted from the first round in error and were not included in the remainder of the study. The response rate to the first round was 100%. Two hundred and nine individual items were included in the second questionnaire. 67% consultants responded to the second questionnaire and 59% to the third questionnaire. 74 Items achieved consensus level on completion of the study.
This study demonstrated support amongst respondents for an expanded role for anaesthetists in teaching medical students. An expanded teaching role for anaesthetists would take advantage of the large number of anaesthetists in Irish teaching hospitals, their enthusiasm for teaching, the frequency of patient-consultant proximity and the likely value of their teaching to student learning outcomes. The consensus reached by this study does not recommend a comprehensive anaesthesia curriculum. Rather, more emphasis has been placed on anaesthetists teaching a broader range of knowledge, skills and attitudes relevant to every newly qualified doctor.
医学生通常会接受麻醉学教学。然而，此类教学的时长和内容各不相同，对于什么构成最佳课程设置也没有达成共识。麻醉医师具备必要的知识和技能，且在适合为医学本科生提供培训的临床环境中工作，尤其是在已发现存在不足的领域。这项德尔菲研究旨在就医学本科生的最佳麻醉学、重症医学和疼痛医学课程达成共识。
这项德尔菲调查包括三轮迭代，每一轮连续开始时都会以上一轮结果的形式给出反馈。参与者包括27名麻醉科顾问医师，由爱尔兰的三位麻醉学教授挑选，他们被认为是本科医学教育方面的专家。
选定31名麻醉科顾问医师参与研究。两名顾问医师拒绝参与。两名顾问医师在第一轮中被误漏，未被纳入研究的其余部分。第一轮的回复率为100%。第二份问卷包含209个单项。67%的顾问医师回复了第二份问卷，59%的顾问医师回复了第三份问卷。研究结束时，有74项达成了共识水平。
这项研究表明，受访者支持麻醉医师在医学生教学中发挥更大作用。麻醉医师扩大教学角色将利用爱尔兰教学医院中大量麻醉医师的优势、他们对教学的热情、患者与顾问医师近距离接触的频率以及他们的教学对学生学习成果可能具有的价值。本研究达成的共识并不推荐一套全面的麻醉学课程。相反，更多的重点放在麻醉医师教授与每一位新获得资格的医生相关的更广泛的知识、技能和态度上。
