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急诊医学部晨交班评估。

Evaluation of morning report in an emergency medicine department.

机构信息

Research and Development Center, Sina Hospital, Imam Khomeini St, Tehran 11367, Iran.

出版信息

Emerg Med J. 2010 Jan;27(1):32-6. doi: 10.1136/emj.2008.067256.

DOI:10.1136/emj.2008.067256
PMID:20029004
Abstract

BACKGROUND

Morning report is considered as an important educational tool in different branches of medicine. The purpose of the present study was to examine the method of case selection, the leadership, the participant's satisfaction and the educational value of morning report held in our centre.

METHOD

In September 2007, a formal feedback about the morning report was provided by questionnaire surveys. The data on the method of case selection, the leadership, the participant's satisfaction and the educational value of the sessions were collected from the residents, medical students and the academic staff in emergency medicine department. Each questionnaire also contained an open-ended question, asking for the responders' suggestions for improving these sessions.

RESULTS

73.2% of the responders were satisfied with the current model of the conference hall. The data showed that 46.3% of the participants believed these sessions are held for giving the medical team the required information and 65.9% for solving the patient's problems. The data showed that the participants had evaluated the presentation strategy to be good; however, the presentation pattern was reported to be traditional and based on differential diagnosis in 53.7% of the cases and modern problem oriented in only 39%.

CONCLUSION

Most participants considered morning report sessions held in our hospital to be effective in the way it is; however, issues such as communication skill, emergency department management, critical thinking, ethics, professionalism and evidence-based medicine should also be added to the sessions.

摘要

背景

晨交班被认为是医学不同领域的重要教育工具。本研究旨在检查我们中心举行的晨交班的病例选择方法、领导、参与者满意度和教育价值。

方法

2007 年 9 月,通过问卷调查提供了关于晨交班的正式反馈。从急诊医学科的住院医师、医学生和学术人员那里收集了关于病例选择方法、领导、参与者满意度和会议教育价值的数据。每个问卷还包含一个开放式问题,要求回答者提出改进这些会议的建议。

结果

73.2%的受访者对目前的会议室模式表示满意。数据显示,46.3%的参与者认为这些会议是为了向医疗团队提供所需的信息,65.9%是为了解决患者的问题。数据显示,参与者对演示策略的评价良好;然而,在 53.7%的情况下,报告的演示模式是传统的,基于鉴别诊断,只有 39%是基于现代问题导向的。

结论

大多数参与者认为我们医院举行的晨交班会议效果很好;然而,还应该在会议中加入沟通技巧、急诊科管理、批判性思维、伦理、专业精神和循证医学等内容。

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