Division of Critical Care Medicine, Osaka City General Hospital, 2-13-22, Miyakojima-Hondori, Miyakojima, Osaka, 534-0021 Japan.
Department of Intensive Care Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya Hyogo, Japan.
J Intensive Care. 2013 Nov 1;1(1):5. doi: 10.1186/2052-0492-1-5. eCollection 2013.
The Fundamental Critical Care Support (FCCS) course has been introduced after minimal adaptation according to Japanese clinical settings. The original course in the USA is often used to prepare residents for rotations in the intensive care unit (ICU). Therefore, the FCCS program can be appropriate for the basic training of critical care in Japan to standardize critical care management. The purpose of this study is to evaluate whether Japanese FCCS course is useful and has a possibility to deserve a basis of critical care management in Japan.
The course program was provided with the form of lecture and skills stations. Pre- and post-training knowledge was assessed. After completion of the 2-day course, a questionnaire survey was administered to all course participants. Participants were asked to fill out the questions regarding socio-demographic characteristics. Participants were also asked to identify which lectures or skill stations they thought to be useful for clinical practice. Then, they were asked to rate their performance of each field: 'Assessment,' 'Diagnosis,' 'Recognition,' 'Response,' and 'Transfer'.
The number of participants increased year after year and reached 1,804 during the past 4 years. Nearly 70% of the participants were physicians. Most of the others were nurses. In the established year, the percentage of physicians who had clinical experience more than 5 years exceeded 50%, however, this percentage gradually decreased. On the contrary, the percentages of residents and nurses increased. Regarding useful sessions, nearly half of the participants thought that mechanical ventilation was the most useful. With regard to the results of pre- and post-tests, the participants had already shown a high average mark (78.8 ± 14.1) at the pre-test. Furthermore, the score at the post-test was significantly improved (82.0 ± 6.6, p < 0.01). The participants' confidence in any field regarding critical care management was almost 4 points (5-point scale).
It is considered that Japanese FCCS course is useful and has a promising basis of critical care management in Japan. Therefore, it is reasonable to think that Japanese FCCS mission has been successfully achieved.
根据日本临床环境，对基础危急重症支持（FCCS）课程进行了最小程度的改编后引入。该课程原本在美国使用，旨在为入住重症监护病房（ICU）的住院医师做准备。因此，FCCS 课程可用于规范日本的危急重症管理，为日本的危急重症基本培训提供参考。本研究旨在评估日本 FCCS 课程是否有用，以及是否有可能成为日本危急重症管理的基础。
课程方案以讲座和技能站的形式提供。在培训前后评估知识。完成为期两天的课程后，向所有课程参与者进行问卷调查。参与者被要求填写关于社会人口统计学特征的问题。参与者还被要求指出他们认为哪些讲座或技能站对临床实践有用。然后，他们被要求对每个领域的表现进行评分：“评估”“诊断”“识别”“反应”和“转移”。
参与者人数逐年增加，在过去 4 年中达到 1804 人。近 70%的参与者是医生。其余的大多是护士。在既定的年份，有超过 5 年临床经验的医生比例超过 50%，但这一比例逐渐下降。相反，住院医师和护士的比例有所增加。关于有用的课程，近一半的参与者认为机械通气最有用。关于预测试和后测试的结果，参与者在预测试中已经表现出了较高的平均分数（78.8±14.1）。此外，后测的分数显著提高（82.0±6.6，p<0.01）。参与者对危急重症管理的任何领域的信心几乎是 4 分（5 分制）。
日本 FCCS 课程被认为是有用的，并且在日本有一个有前途的危急重症管理基础。因此，认为日本 FCCS 的使命已经成功完成是合理的。
