Beigmohammadi Mohammad Taghi, Rahimi Mojgan, Nabavian Omid, Davarani Seyed Hossein, Karvandian Kassra, Kamalitabar Fatemeh
Department of Anesthesiology and Intensive Care, Tehran University of Medical Sciences, Tehran, Iran.
Department of Emergency, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2016 Sep;54(9):590-594.
Critically ill patient transfer is potentially risky and may be lead to morbidity and mortality. Physicians' skill is very important for safe transport. We want to evaluate the effect of clinical course teaching on the promotion of physicians' abilities in the transport of critically ill patients. In an interventional study, 320 interns, male and female, were taught about patient transfer in two groups include in one day clinical course as the small group system (n=160) and other group the lecture base learning (n=160). In the clinical course, each participant under observation of an anesthesiologist in the operation room and ICU was acquainted with mask ventilation, intubation and learned to work with a defibrillator, infusion pump, portable ventilator and pulse oximeter. In lecture group, the anesthesiologist explained the topics by video and dummy. At the end of education course, the interns' abilities were evaluated based on checklist method and scored by the project colleague in all educational items. Three hundred twenty interns, 122 males, and 198 females; were enrolled, two groups. The clinical course training caused improvements in the interns' knowledge and abilities in intubation and use of the defibrillator and portable ventilator vs.lecture group significantly (P<0.005). The males were better than females in laryngoscopy, but the progress of the females was significantly better than males (P=0.003). The rate of adverse events was reduced significantly after clinical course teaching (P=0.041) Clinical course teaching could promote interns' clinical competencies in the transport of critically ill patients.
重症患者转运具有潜在风险，可能导致发病和死亡。医生的技能对于安全转运非常重要。我们想评估临床课程教学对提高医生转运重症患者能力的效果。在一项干预性研究中，320名实习医生，男女皆有，被分为两组接受患者转运教学，一组采用小组系统的一日临床课程教学（n = 160），另一组采用讲座式学习（n = 160）。在临床课程中，每个参与者在手术室和重症监护病房的麻醉医生观察下，熟悉面罩通气、插管，并学习使用除颤器、输液泵、便携式呼吸机和脉搏血氧仪。在讲座组，麻醉医生通过视频和模型讲解相关主题。在教育课程结束时，根据检查表方法评估实习医生的能力，并由项目同事对所有教育项目进行评分。共有320名实习医生，122名男性和198名女性，被纳入两组。与讲座组相比，临床课程培训显著提高了实习医生在插管以及使用除颤器和便携式呼吸机方面的知识和能力（P < 0.005）。男性在喉镜检查方面比女性表现更好，但女性的进步明显优于男性（P = 0.003）。临床课程教学后不良事件发生率显著降低（P = 0.041）。临床课程教学可以提高实习医生转运重症患者的临床能力。
