Faculty of Emergency Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Eur J Emerg Med. 2011 Oct;18(5):257-60. doi: 10.1097/MEJ.0b013e328344fe05.
Emergency medicine is a young specialty in Iran. Since 2005, a 4-week rotation has been allocated to emergency medicine instruction for all medical interns during their medical internship in Tehran University of Medical Sciences.
In this study, we have evaluated the impact of emergency medicine rotation on medical interns' knowledge in the field of emergency medicine.
From October 2005 to May 2006, 10 medical interns of emergency medicine rotation were randomly enrolled in this study each month. They were administered a pretest assessing their emergency medicine knowledge. Then, they attended a theoretical and practical course. Finally, they were reassessed by a post-test similar to the pretest.
There were 98 medical interns, including 53 male (54.08%) and 45 female (45.91%) participants. The mean of participants' age was 25.50 (±1.47) years. Their internship duration spanned from 1 to 18 months, with a mean of 5.40 (±4.71) months. The difference between participants' pretest and post-test scores was statistically significant (P<0.0001). There was no significant difference between pretest and post-test scores within male (P=0.856) and female (P=0.973) participants. There was a significant inverse correlation between participants' age and their pretest scores (P=0.017). But there was no significant correlation between participants' age and the difference between pretest and post-test scores (P=0.307).
It seems that emergency medicine rotation improves the medical interns' knowledge in the field of emergency medicine; and their sex, passed medical blocks and the duration of internship do not affect this knowledge.
急诊医学在伊朗是一门年轻的专业。自 2005 年以来,德黑兰医科大学的所有实习医生在实习期间都要进行为期 4 周的急诊医学轮转。
在这项研究中,我们评估了急诊医学轮转对实习医生急诊医学知识的影响。
2005 年 10 月至 2006 年 5 月,每月随机选取 10 名急诊医学轮转的实习医生参加本研究。他们接受了一项评估急诊医学知识的前测。然后,他们参加了理论和实践课程。最后,他们接受了与前测相似的后测评估。
共有 98 名实习医生参加了研究,其中 53 名男性(54.08%)和 45 名女性(45.91%)。参与者的平均年龄为 25.50(±1.47)岁。他们的实习时间从 1 个月到 18 个月不等,平均为 5.40(±4.71)个月。参与者的前测和后测分数之间的差异具有统计学意义(P<0.0001)。男性(P=0.856)和女性(P=0.973)参与者的前测和后测分数之间没有显著差异。参与者的年龄与前测分数呈显著负相关(P=0.017)。但参与者的年龄与前测和后测分数之间的差异没有显著相关性(P=0.307)。
急诊医学轮转似乎提高了实习医生在急诊医学领域的知识;而他们的性别、已通过的医学课程和实习时间并不影响这一知识。