Hoseinnejad Hooman, Kohan Noushin, Mirzaee Akram
Department of Emergency Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Medical Graduates, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Ann Med Surg (Lond). 2017 Jun 15;20:92-96. doi: 10.1016/j.amsu.2017.06.021. eCollection 2017 Aug.
Passing the emergency medicine internship is an essential process for all graduates of medical schools. The main purpose of this study was to evaluate validity of current criteria for judgment passing ER rotation among internee medical students.
In this cross-sectional study, a total of 200 students in the emergency departments (ED) of the teaching hospitals at Tehran University of Medical Sciences (TUMS) were included. The data were gathered using by a valid self-assessment questionnaire including demographic information and 12-items about the students' level of confidence with the skills and procedures under study. Statistical analyses were done using SPSS (version 22).
200 medical students participated in this study. A Univariate analysis showed a significant correlation between successfuly completions of training in emergency medicine (passing emergency medicine in past rotations) with some items in self-assessment questionnaire same as knowledge of interns in managing emergency situations (p = 0.009). The Spearman test demonstrated a significant correlation between the duration of emergency training (number of months which interns spent on the emergency training) with the some items in self-assessment questionnaire same as importance of emergency medicine training (p = 0.019).
According to association between successfully completions of training in emergency medicine and self-assessment questionnaire, it seems current criteria for judgment passing emergency medicine rotation is valid as well as we recommended using self-assessment for evaluating validity of such testes.
通过急诊医学实习是所有医学院毕业生的必经过程。本研究的主要目的是评估当前判断实习医学生急诊轮转通过标准的有效性。
在这项横断面研究中,纳入了德黑兰医科大学(TUMS)教学医院急诊科的200名学生。数据通过一份有效的自我评估问卷收集,问卷包括人口统计学信息以及12项关于学生对所学技能和操作的信心水平的问题。使用SPSS(版本22)进行统计分析。
200名医学生参与了本研究。单因素分析显示,急诊医学培训的成功完成(过去轮转中通过急诊医学)与自我评估问卷中的一些项目之间存在显著相关性,这些项目与实习生处理紧急情况的知识相同(p = 0.009)。Spearman检验表明,急诊培训时长(实习生在急诊培训上花费的月数)与自我评估问卷中的一些项目之间存在显著相关性,这些项目与急诊医学培训的重要性相同(p = 0.019)。
根据急诊医学培训的成功完成与自我评估问卷之间的关联,目前判断通过急诊医学轮转的标准似乎是有效的,并且我们建议使用自我评估来评估此类测试的有效性。