Grock Andrew, Aluisio Adam R, Abram Elizabeth, Roblin Patricia, Arquilla Bonnie
Assistant Professor Emergency Medicine, Department of Emergency Medicine, University of California, Los Angeles, Los Angeles, California; Medical Education Fellow, Emergency Medicine Department, LAC+USC Medical Center, Los Angeles, California.
International Fellow, Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
Am J Disaster Med. 2017 Winter;12(1):5-9. doi: 10.5055/ajdm.2017.0253.
Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties.
A structured questionnaire assessed graduate medical training in disaster education and self-perceived confidence in disaster situations. Cross-sectional sampling of resident trainees from the departments of surgery, pediatrics, internal medicine, and EM was performed.
The study took place at a large urban academic medical center during March 2013.
Among 331 available residents, a convenience sample of 157 (47.4 percent) was obtained.
Outcomes investigated include resident confidence in various disaster scenarios, volume of disaster training currently received, and preferred education modality.
EM trainees reported 7.3 hours of disaster instruction compared to 1.3 hours in non-EM trainees (p < 0.001). EM residents reported significantly more confidence in disaster scenarios compared to non-EM residents except for overall low confidence levels for mega mass casualty incidents. The preferred education modality for both EM and non-EM residents was simulation exercises followed by lecture.
This study demonstrated relatively lower confidence among non-EM residents in disaster response as well as lower number of disaster education time. These data report a learner preference for simulation training.
从定义上来说，灾难会使医院资源不堪重负，可能需要各类从业者做出应对。灾难培训是急诊医学（EM）住院医师课程的一部分，但在其他培训项目中较少受到重视。本研究旨在比较多个专业住院医师培训学员的灾难教育培训情况和信心水平。
采用结构化问卷评估住院医师在灾难教育方面的研究生医学培训以及在灾难情况下的自我感知信心。对外科、儿科、内科和急诊医学科的住院医师培训学员进行横断面抽样。
研究于2013年3月在一家大型城市学术医疗中心进行。
在331名在职住院医师中，获得了157名（47.4%）的便利样本。
调查的结果包括住院医师在各种灾难场景中的信心、目前接受的灾难培训时长以及偏好的教育方式。
急诊医学培训学员报告接受了7.3小时的灾难教学，而非急诊医学培训学员为1.3小时（p<0.001）。除了对大规模伤亡事件总体信心较低外，急诊医学住院医师在灾难场景中的信心明显高于非急诊医学住院医师。急诊医学和非急诊医学住院医师都偏好的教育方式是模拟演练，其次是讲座。
本研究表明，非急诊医学住院医师在灾难应对方面的信心相对较低，灾难教育时间也较少。这些数据表明学习者更倾向于模拟培训。
