Powell Natalie, Bruce Christopher G, Redfern Oliver
Surrey and Sussex Healthcare NHS Trust, Redhill, UK;
Surrey and Sussex Healthcare NHS Trust, Redhill, UK.
Clin Med (Lond). 2015 Apr;15(2):135-8. doi: 10.7861/clinmedicine.15-2-135.
Ward rounds are a vital part of hospital medicine and junior doctors play a key role in their delivery. Despite the importance of ward rounds to patient care and experience, we believe that junior doctors may lack the training and skills to carry them out most effectively. We designed a simulation-based training session focusing on ward round skills themed to key patient safety issues and have delivered the training to over 100 learners (medical students and foundation year one doctors). Few learners had any prior training in ward rounds. The session was highly valued by all participants and surveys completed both before and after the session showed statistically significant improvements in confidence in leading and documenting ward rounds. In addition, 94% of final year medical students and 93% of doctors felt such training should be included in the undergraduate curriculum. We believe there is a current gap in training around ward round skills and would strongly encourage simulation-based ward round training to be developed for undergraduates. Further sessions following qualification may then consolidate and develop ward round skills adapted to the level of the doctor.
查房是医院医疗的重要组成部分，初级医生在查房过程中发挥着关键作用。尽管查房对患者护理和体验至关重要，但我们认为初级医生可能缺乏将其最有效地开展的培训和技能。我们设计了一个基于模拟的培训课程，重点围绕以关键患者安全问题为主题的查房技能，并已将该培训提供给100多名学习者（医学生和一年级住院医生）。很少有学习者之前接受过查房方面的培训。该课程受到所有参与者的高度评价，课程前后完成的调查显示，在主持和记录查房方面的信心有统计学上的显著提高。此外，94%的医学专业最后一年学生和93%的医生认为此类培训应纳入本科课程。我们认为目前在查房技能培训方面存在差距，并强烈鼓励为本科生开展基于模拟的查房培训。资格认证后的进一步课程随后可巩固和发展适应医生水平的查房技能。
