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评估实习医生对修订后的国家结核病控制规划指南的学习情况。

Evaluation of medical interns' learning of exposure to revised national tuberculosis control programme guidelines.

作者信息

Kalaiselvan Ganapathy, Dongre Amol R, Murugan V

出版信息

Indian J Tuberc. 2014 Oct;61(4):288-93.

PMID:25675690
Abstract

BACKGROUND

As per the Medical Council of India (MCI), the posting in the Chest and TB department is elective during internship. Hence, they lack hands on exposure to various components of RNTCP programme. This gap in treating TB patients by using RNTCP guidelines may be bridged by sensitizing the interns through early exposure of medical interns to training programmes.

OBJECTIVE

The workshop was conducted and evaluated, 1) To know learners' immediate reaction and 2) To know its effects on their learning and practice.

METHODS

A series of training workshop on RNTCP guidelines was organized for Interns by the Core-committee of the State Task Force (STF), RNTCP and Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Puducherry, during January 2012-November 2012. A Pre and Post test self-administrated questionnaire, immediate feedback and other open-ended feedback after six months was obtained from Interns to know its effect on their clinical practice.

RESULTS

The pre and post test mean scores were highly significant (p<0.001). In the analysis of feedback, the consensus score for all the responses was above 75%. As per the responses of the feedback from interns taken after six months, the three broad categories of common responses from the manual content analysis emerged were: 1) Effect of training in patient care, 2) Acquaintance of RNTCP Guidelines, 3) Future Plan of application of lessons learned.

CONCLUSION

This training programme has been well received by the medical interns and has now been incorporated as a regular activity for the Interns posted in the Department of Community Medicine.

摘要

背景

根据印度医学委员会(MCI)的规定,实习期间在胸科和结核病科室的轮转是选修的。因此,他们缺乏对国家结核病防治规划(RNTCP)项目各个组成部分的实际接触。通过让医学实习生尽早接触培训项目来提高他们的认识,或许可以弥补在使用RNTCP指南治疗结核病患者方面的这一差距。

目的

举办并评估该研讨会,1)了解学习者的即时反应,2)了解其对他们学习和实践的影响。

方法

2012年1月至2012年11月期间,由国家工作队(STF)核心委员会、RNTCP以及本地治里市斯里马纳库拉·维奈亚加尔医学院和医院(SMVMCH)社区医学系为实习生组织了一系列关于RNTCP指南的培训研讨会。通过实习生自行填写的前后测试问卷、即时反馈以及六个月后的其他开放式反馈,来了解其对他们临床实践的影响。

结果

前后测试的平均分数差异极为显著(p<0.001)。在反馈分析中,所有回答的共识得分均高于75%。根据六个月后实习生反馈的回答,从手册内容分析中得出的三大类常见回答分别是:1)培训对患者护理的影响,2)对RNTCP指南的了解,3)所学课程未来的应用计划。

结论

该培训项目受到了医学实习生的好评,现已纳入社区医学系实习生的常规活动。

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