Sauser Kori, Burke Rita V, Ferrer Rizaldy R, Goodhue Catherine J, Chokshi Nikunj C, Upperman Jeffrey S
Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, Illinois, USA.
Am J Disaster Med. 2010 Sep-Oct;5(5):275-84.
To describe the level of preparedness in performing medical procedures of medical students at one allopathic medical school and to determine the level of willingness to perform these procedures in the event of a disaster.
Cross-sectional survey.
US allopathic medical school associated with a county hospital.
All third- and fourth-year medical students (344) in the 2007-2008 academic year were invited to participate. One hundred ninety-five students participated in this study (response rate = 57.6 percent).
Information on demographic characteristics, personal disaster experience, personal disaster preparedness, and overall preparedness level and willingness to perform various medical procedures was collected. Multiple regression analysis was used to identify the factors predicting procedural willingness during a disaster.
Demographics and personal disaster preparedness were not statistically significant between third-year medical students (M3) and fourth-year medical students (M4). Although procedural preparedness was significantly higher in M4 than M3, willingness to perform these procedures in a disaster was not different. Fourth-year students, first receivers (students' anticipated field is in emergency medicine or surgery), not having had a personal disaster experience, and increased procedural preparedness independently impact procedural willingness in a disaster However, when controlled for the covariate effects in the regression model, only first receivers, no past personal disaster experience, and increased procedural preparedness predicted willingness to perform medical procedures during a disaster.
Third- and fourth-year students possess skills that may prove useful in a disaster response. Further investigations are necessary to determine how medical students may be utilized during these events.
描述一所全科医学院校医学生执行医疗程序的准备水平，并确定在灾难发生时执行这些程序的意愿程度。
横断面调查。
与一家县医院相关联的美国全科医学院校。
邀请了2007 - 2008学年所有三年级和四年级医学生（共344名）参与。195名学生参与了本研究（应答率 = 57.6%）。
收集了有关人口统计学特征、个人灾难经历、个人灾难准备情况、总体准备水平以及执行各种医疗程序的意愿等信息。采用多元回归分析来确定预测灾难期间执行程序意愿的因素。
三年级医学生（M3）和四年级医学生（M4）在人口统计学和个人灾难准备方面无统计学显著差异。虽然M4的程序准备明显高于M3，但在灾难中执行这些程序的意愿并无差异。四年级学生、首批接收者（学生预期的专业领域是急诊医学或外科）、没有个人灾难经历以及程序准备的增加独立影响灾难中的程序意愿。然而，在回归模型中控制协变量效应后，只有首批接收者、没有过去的个人灾难经历以及程序准备的增加能预测灾难期间执行医疗程序的意愿。
三年级和四年级学生具备在灾难应对中可能有用的技能。有必要进一步调查在这些事件中如何利用医学生。
