North Lincolnshire and Goole NHS Trust, North Lincolnshire, UK ; Postgraduate Medical Education Centre, Diana Princess of Wales Hospital, Scartho, Lincolnshire, DN332BA UK.
North Lincolnshire and Goole NHS Trust, North Lincolnshire, UK.
Burns Trauma. 2015 May 28;3:6. doi: 10.1186/s41038-015-0005-9. eCollection 2015.
Burns are common in the UK and many of the 30,000 newly qualified doctors there will be faced with managing them in their first few years of practice. We are concerned that doctors are leaving medical school without adequate teaching on burns and therefore not prepared to manage burns competently. The aim of this study was to assess the graduating doctors self-declared knowledge of basic burns pathology as well as their knowledge and confidence in treating burns. We also wanted to assess whether students felt that their undergraduate course offered burns teaching, either formally or informally.
We designed a structured questionnaire with input from two experienced final year medical students, two experienced clinicians and two sociologists. Questions were designed to be open-ended in order to facilitate varied and circumstantiated responses. Final year medical students, due to graduate in June 2014, were invited to take part in a survey with questions on burns management, first aid, pathology, and confidence. These results were then analyzed statistically.
Of the 300 students invited to join the survey, 244 fully completed the process, representing an 81.3% response rate. Of the respondents over one-third (35%) said they had not received any teaching on burns. And less than half (45%) said they had received formal teaching. Eighty-eight percent of students identified a burn can be caused by a dry heat source; however, 17% of students failed to acknowledge that chemicals are a recognized cause of burns. Only 32% of respondents were confident with management of a burn.
These results suggest that there is a lack in understanding of burns management, as well as a lack of confidence in treating burns among graduating doctors. There was also a self-identified lack of teaching at an undergraduate level. These concerning results could be improved by the integration of burns into the core medical curriculum.
在英国，烧伤很常见，在那里有 3 万名新获得资格的医生，他们将在职业生涯的头几年面临管理烧伤的问题。我们担心医生离开医学院时没有接受过足够的烧伤教学，因此无法胜任烧伤管理工作。这项研究的目的是评估即将毕业的医生对基本烧伤病理学的自我宣称的了解程度，以及他们对治疗烧伤的知识和信心。我们还想评估学生是否认为他们的本科课程提供了烧伤教学，无论是正式的还是非正式的。
我们设计了一个结构化的问卷，由两名有经验的应届医学生、两名有经验的临床医生和两名社会学家提供意见。问题的设计是开放式的，以便促进各种情况的回应。即将于 2014 年 6 月毕业的应届医学生被邀请参加一项关于烧伤管理、急救、病理学和信心的调查。这些结果随后进行了统计分析。
在被邀请参加调查的 300 名学生中，有 244 名学生完整地完成了调查，回应率为 81.3%。在回答者中，超过三分之一（35%）的人表示他们没有接受过任何烧伤教学。不到一半（45%）的人表示他们接受过正式教学。88%的学生认为烧伤可以由干燥的热源引起；然而，17%的学生没有承认化学物质是烧伤的一种公认原因。只有 32%的受访者对烧伤的管理有信心。
这些结果表明，即将毕业的医生对烧伤管理的理解存在不足，对治疗烧伤的信心也不足。在本科阶段也存在自我认同的教学不足。通过将烧伤纳入核心医学课程，可以改善这些令人担忧的结果。
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