Division of Pulmonary and Critical Care, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Crit Care Med. 2012 Nov;40(11):3065-9. doi: 10.1097/CCM.0b013e31826ab360.
To review the current status of critical care education of medical students, focusing on how early, vigorous undergraduate training may address the needs of the learners and society.
Literature review of focused PubMed searches, online databases, and reference lists of recent publications.
Although management of unstable and critically ill patients is required of most interns, undergraduate education in these skills remains largely elective, scattered, and highly variable. Critical care competencies for medical school graduates have not been established in the United States, and many students feel unprepared for these responsibilities that they assume as interns. Several successful approaches to medical student education in critical care have been demonstrated, and the availability of simulation technology provides new educational opportunities. Early exposure to other medical disciplines has influenced medical student career choice, although this has not been studied in regards to critical care fields.
Undergraduate medical education in critical care would be advanced by consolidation and organization into formal curricula. These would teach biomedical and humanistic skills essential to critical care but valuable in all medical settings. Early, well-planned exposure to critical care as a distinct discipline might increase student interest in careers in the field. The effects of educational interventions on the acquisition of knowledge, attitudes, and skills as well as long-term career choice should be subjected to rigorous study.
回顾医学生重症监护教育的现状，重点探讨早期强化本科培训如何满足学习者和社会的需求。
对重点 PubMed 搜索、在线数据库和近期出版物的参考文献进行文献回顾。
尽管大多数实习医生都需要管理不稳定和重症患者，但这些技能的本科教育仍然在很大程度上是选修的、分散的且高度可变。美国尚未确定医学院毕业生的重症监护能力标准，许多学生感到自己对这些作为实习医生承担的职责准备不足。已经证明了几种成功的医学生重症监护教育方法，模拟技术的可用性提供了新的教育机会。早期接触其他医学学科已经影响了医学生的职业选择，尽管这在重症监护领域尚未得到研究。
通过将重症监护的本科医学教育整合和组织成正式课程，可以推进该教育。这些课程将教授对重症监护至关重要但在所有医疗环境中都有价值的生物医学和人文技能。早期、精心规划的作为一个独立学科的重症监护接触可能会增加学生对该领域职业的兴趣。应严格研究教育干预对知识、态度和技能的获取以及长期职业选择的影响。
