脊椎按摩疗法专业学生在临床实习期间所经历的病例组合描述。
Description of the case mix experienced by chiropractic students during a clinical internship.
作者信息
Puhl Aaron A, Reinhart Christine J, Injeyan H Stephen, Tibbles Anthony
出版信息
J Chiropr Educ. 2017 Oct;31(2):132-139. doi: 10.7899/JCE-16-00017. Epub 2017 Jun 28.
OBJECTIVE
The primary objective of this study was to describe the case mix experienced by chiropractic students during their clinical internship at the Canadian Memorial Chiropractic College. Secondary objectives were to characterize teaching clinic patient populations, assess the similarity to previously published data for practicing chiropractors, and describe the treatment plans being recommended by interns.
METHODS
A prospective, observational study was conducted using a convenience sample of 24 chiropractic interns. Data were collected by interns using a standardized form that was completed for each new patient and each new complaint examined during the 1-year internship. Standardized forms included data regarding patient demographics, complaint characteristics, and treatment recommendations.
RESULTS
Data were included for 23 of 24 participating interns, who described 828 patients and a total of 948 unique complaint presentations. Overall, 60% of patients were female, 86% were 18 to 64 years old, and 23% were naive to chiropractic care. Of all presenting complaints, 93% were pain-based, 67% were chronic, 65% included spinal complaints, and 7% presented with red flags; individual interns' experiences were variable and are described. On average, treatment recommendations called for 9.4 visits and often included multimodal treatment approaches, most commonly soft-tissue therapies (91%), home-based active care (84%), and spine manipulation (70%).
CONCLUSIONS
The findings of this study suggest that patients presenting to CMCC teaching clinics are similar to those reported previously to attend private chiropractic clinics. While all participating interns encountered multiple complex clinical cases, very few had experience with pediatric populations. This study adds to the few that detail the characteristics of patients attending chiropractic teaching clinics; to our knowledge it is the first to describe average case loads of chiropractic interns.
目的
本研究的主要目的是描述加拿大纪念脊椎按摩疗法学院脊椎按摩疗法专业学生在临床实习期间所接触的病例组合情况。次要目的是对教学诊所的患者群体进行特征描述，评估其与先前发表的执业脊椎按摩治疗师数据的相似性，并描述实习生所推荐的治疗方案。
方法
采用前瞻性观察性研究，以24名脊椎按摩疗法实习生为便利样本。实习生使用标准化表格收集数据，该表格针对实习1年期间每位新患者及每例新检查的病症填写。标准化表格包括患者人口统计学数据、病症特征及治疗建议等信息。
结果
24名参与实习的学生中有23名提供了数据，他们描述了828名患者及总共948例独特的病症表现。总体而言，60%的患者为女性，86%的患者年龄在18至64岁之间，23%的患者此前未接受过脊椎按摩治疗。在所有呈现的病症中，93%基于疼痛，67%为慢性病症，65%包括脊柱相关病症，7%存在警示信号；各实习生的经历存在差异并予以了描述。平均而言，治疗建议需要9.4次就诊，且通常采用多模式治疗方法，最常见的是软组织疗法（91%）、家庭主动护理（84%）和脊柱推拿（70%）。
结论
本研究结果表明，前往加拿大纪念脊椎按摩疗法学院教学诊所的患者与先前报道的前往私人脊椎按摩疗法诊所的患者相似。虽然所有参与实习的学生都遇到了多个复杂的临床病例，但很少有人有儿科患者的治疗经验。本研究补充了少数详细描述脊椎按摩疗法教学诊所患者特征的研究；据我们所知，这是首次描述脊椎按摩疗法实习生平均病例数量的研究。
Zotero 插件