儿科重症监护病房中的学习者评估。
Learner's evaluation in paediatric intensive care unit.
机构信息
Department of Pediatrics, Division of Pediatric Critical Care, University of Florida, Jacksonville/Wolfson Children's Hospital, Jacksonville, Florida, USA.
出版信息
Emerg Med J. 2011 Sep;28(9):758-60. doi: 10.1136/emj.2009.088294. Epub 2010 Aug 25.
OBJECTIVE
To compare post-paediatric intensive care unit (PICU) rotation performance of paediatric residents (PGY-2) and emergency residents (PGY-2) on an online test developed by the subcommittee of the paediatric section of the Society of Critical Care Medicine. Also, to compare residents' performance with that of physician extenders.
DESIGN AND SETTINGS
A single centre, longitudinal, retrospective, quality improvement data review in a tertiary care, 20-bed PICU. The test was securely submitted to all residents at the end of their PICU rotation from July 2005 to June 2008. The test was also submitted to physician extenders once only during the 3-year study period.
RESULTS
The mean, paediatric residents' (N=30) score was 77.3%±10.8 (SD) and that of emergency residents (N=40) was 82.3%±8.2 (SD) at PGY-2 level (p=0.03). The combined paediatric residents' and emergency residents' mean score was 80.1%±9.7 (SD). The mean physician extenders' (N=7) score was 80.1%±6.5 (SD).
CONCLUSION
Emergency residents performed slightly better than paediatric residents on the paediatric-focused knowledge-based online test. The physician extenders' performance was comparable to the individual resident groups' performance and their combined performance.
目的
比较儿科住院医师（PGY-2）和急诊住院医师（PGY-2）在由危重病医学会儿科分会小组委员会开发的在线测试中的儿科重症监护病房（PICU）后轮转表现。并比较住院医师与医生助手的表现。
设计和设置
这是一项在一家三级护理、20 张病床的儿科重症监护病房进行的单中心、纵向、回顾性、质量改进数据回顾。该测试在 2005 年 7 月至 2008 年 6 月期间，在儿科重症监护病房轮转结束时，安全地提交给所有住院医师。该测试也仅在 3 年研究期间提交给医生助手一次。
结果
PGY-2 级时，儿科住院医师（N=30）的平均得分为 77.3%±10.8（SD），急诊住院医师（N=40）的平均得分为 82.3%±8.2（SD）（p=0.03）。儿科住院医师和急诊住院医师的平均得分为 80.1%±9.7（SD）。医生助手（N=7）的平均得分为 80.1%±6.5（SD）。
结论
在以儿科为重点的基于知识的在线测试中，急诊住院医师的表现略优于儿科住院医师。医生助手的表现与单个住院医师群体的表现及其综合表现相当。
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