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加拿大本科医学课程中的复苏培训调查。

A survey of resuscitation training in Canadian undergraduate medical programs.

作者信息

Goldstein D H, Beckwith R K

机构信息

Department of Anaesthesia, Queen's University, Kingston, Ont.

出版信息

CMAJ. 1991 Jul 1;145(1):23-7.

PMID:2049693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1335559/
Abstract

OBJECTIVES

To establish a national profile of undergraduate training in resuscitation at Canadian medical schools, to compare the resuscitation training programs of the schools and to determine the cost of teaching seven resuscitation courses.

DESIGN

Mail survey in 1989 and follow-up telephone interviews in 1991 to update and verify the information.

SUBJECTS

The undergraduate deans of the 16 Canadian medical schools.

INTERVENTION

The mail survey asked five questions: (a) Is completion of a standard first aid or cardiopulmonary resuscitation (CPR) course a requirement for admission to medical school? (b) Are these courses and those in basic and advanced cardiac, trauma and neurologic life support for children and adults provided to undergraduate students? (c) During which undergraduate year are these courses offered? (d) Is their successful completion required for graduation? and (e) Who funds the training courses?

RESULTS

The medical schools placed emphasis on the seven courses differently. More than half the schools required the completion of courses before admission or taught some courses but did not require the completion of the courses for graduation. On average, fewer than three of the seven courses were taught, and the completion of fewer than two was required for graduation. About half of the courses were funded by the universities. The annual projected maximum cost of teaching the seven courses was $1790 per medical student.

CONCLUSION

The seven resuscitation courses have not been fully implemented at the undergraduate level in Canadian medical schools.

摘要

目的

建立加拿大医学院校本科复苏培训的全国概况,比较各学校的复苏培训项目,并确定教授七门复苏课程的成本。

设计

1989年进行邮件调查,并于1991年进行后续电话访谈以更新和核实信息。

对象

加拿大16所医学院校的本科教务长。

干预措施

邮件调查提出了五个问题:(a)完成标准急救或心肺复苏(CPR)课程是否是医学院校入学的要求?(b)是否为本科生提供这些课程以及儿童和成人的基础及高级心脏、创伤和神经生命支持课程?(c)这些课程在本科的哪一年提供?(d)毕业是否要求成功完成这些课程?以及(e)培训课程的资金来源?

结果

各医学院校对这七门课程的重视程度不同。超过一半的学校要求在入学前完成课程或教授一些课程,但毕业不要求完成这些课程。平均而言,七门课程中教授的不到三门,毕业要求完成的不到两门。约一半的课程由大学资助。教授这七门课程预计每名医学生每年的最高成本为1790美元。

结论

加拿大医学院校本科阶段尚未全面实施这七门复苏课程。

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本文引用的文献

1
Resuscitation from cardiac arrest: assessment of a system providing only basic life support outside of hospital.心脏骤停复苏:对院外仅提供基本生命支持的系统的评估
Can Med Assoc J. 1980 Feb 9;122(3):297-300.
2
A pediatric curriculum for emergency medicine training programs.一份针对急诊医学培训项目的儿科课程
Ann Emerg Med. 1986 Jan;15(1):19-27. doi: 10.1016/s0196-0644(86)80481-4.
3
[First traces of resuscitation attempts in ancient Egypt].[古埃及复苏尝试的最初痕迹]
Orv Hetil. 1986 Jul 13;127(28):1709-12.
4
The usefulness of Resusci-Anne manikin in teaching modern methods of resuscitation.复苏安妮人体模型在现代复苏方法教学中的实用性。
Anaesth Resusc Intensive Ther. 1976 Apr-Jun;4(2):131-7.
5
Paramedic programs and out-of-hospital cardiac arrest: I. Factors associated with successful resuscitation.护理人员培训项目与院外心脏骤停:I. 与成功复苏相关的因素
Am J Public Health. 1979 Jan;69(1):30-8. doi: 10.2105/ajph.69.1.30.