Pandit Tarsh, Ray Robin, Sabesan Sabe
Division of Tropical Health and Medicine, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Tropical Centre for Telehealth Practice and Research, Townsville Hospital, Townsville, Queensland, Australia.
Emerg Med Australas. 2019 Feb;31(1):20-28. doi: 10.1111/1742-6723.12939. Epub 2018 Feb 22.
The aim of the study was to determine the training needs of doctors managing emergencies in rural and remote Australia. A systematic review of Australian articles was performed using MEDLINE (OVID) and INFORMIT online databases from 1990 to 2016. The search terms included 'Rural Health', 'Emergency Medicine', 'Emergency Medical Services', 'Education, Medical, Continuing' and 'Family Practice'. Only peer-reviewed articles, available in full-text that focussed on the training needs of rural doctors were reviewed. Data was extracted using pre-defined fields such as date of data collection, number of participants, characteristics of participants, location and study findings. A total of eight studies published from 1998 to 2006 were found to be suitable for inclusion in the analysis. Six studies cited the results of self-reported questionnaires and surveys, one used a telephone questionnaire on a hypothetical patient and one utilised a theoretical examination. The studies found a significant proportion of participants wanted more emergency training. Junior rural doctors were found to have deficiencies in knowledge about stroke. Emergency skills doctors wanted more training including: emergency ultrasound, paediatric/neonatal procedures and cricothyroidotomy. However, many of the studies were performed by training providers that may benefit from deficient results. Given that the data was over 10 years old and that advances have been made in knowledge, training opportunities and technology, the implications for current training needs of rural doctors in Australia could not be accurately assessed. Thus there is a need for further research to identify current training needs.
该研究的目的是确定澳大利亚农村和偏远地区处理急诊的医生的培训需求。使用MEDLINE（OVID）和INFORMIT在线数据库对1990年至2016年的澳大利亚文章进行了系统综述。检索词包括“农村卫生”、“急诊医学”、“紧急医疗服务”、“医学教育、继续医学教育”和“家庭医疗”。仅对经同行评审且全文可获取的、聚焦农村医生培训需求的文章进行了综述。数据提取使用了预定义字段，如数据收集日期、参与者数量、参与者特征、地点和研究结果。共发现1998年至2006年发表的八项研究适合纳入分析。六项研究引用了自我报告问卷和调查的结果，一项使用了关于假设患者的电话问卷，一项采用了理论考试。研究发现很大一部分参与者希望获得更多的急诊培训。发现农村初级医生在中风知识方面存在不足。急诊技能医生希望获得更多培训，包括：急诊超声、儿科/新生儿操作和环甲膜切开术。然而，许多研究是由可能从结果不佳中受益的培训提供者进行的。鉴于数据已有10多年历史，且在知识、培训机会和技术方面已取得进展，无法准确评估对澳大利亚农村医生当前培训需求的影响。因此，需要进一步研究以确定当前的培训需求。
