Aljerian Nawfal, Omair Aamir, Yousif Sami A, Alqahtani Abdulrahman S, Alhusain Faisal A, Alotaibi Bader, Alshehri Mohammad F, Aljuhani Majed, Albaiz Saad, Alaska Yasser, Alanazi Abdullah F
Department of Emergency Medical Services, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Department of Medical Education, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Emerg Trauma Shock. 2018 Jan-Mar;11(1):42-46. doi: 10.4103/JETS.JETS_67_17.
Saudi Board of Emergency Medicine (SBEM) graduates are involved in a 1-month rotation in emergency medical services (EMSs) and disaster medicine. The purpose of this study was to evaluate change in knowledge and attitude of EM residents after the introduction of the EMS and disaster medicine rotation.
The study included 32 3-year SBEM residents. A pretest/posttest design and a five-point Likert scale were used. The data included a response to a questionnaire developed by EMS and disaster experts. The questionnaire was distributed on the 1 day of the rotation and 45 days after. Satisfaction questionnaires were distributed after the rotation. The data were analyzed using SPSS 20.
Twenty-five residents responded to the satisfaction survey (75%). The overall satisfaction with the course modules was high; the course content showed the highest level of satisfaction (96%), and the lowest satisfaction was for the air ambulance ride outs (56%). The results of the pre-/post-test questionnaire showed an increase of 18.5% in the residents mean score ( < 0.001). In the open-ended section, the residents requested that the schedule is distributed before the course start date, to have more field and hands-on experience, and to present actual disaster incidents as discussion cases. The residents were impressed with the organization and diversity of the lectures, and to a lesser extent for the ambulance ride outs and the mass casualty incident drill l. Seventy-one percent indicated that they would recommend this course to other residents.
CONCLUSION/RECOMMENDATION: This study showed that a structured course in EMS and disaster medicine had improved knowledge and had an overall high level of satisfaction among the residents of the SBEM. Although overall satisfaction and improvement in knowledge were significant, there are many areas in need of better organization.
沙特急诊医学委员会（SBEM）的毕业生要参与为期1个月的紧急医疗服务（EMS）和灾难医学轮转。本研究的目的是评估引入EMS和灾难医学轮转后急诊医学住院医师知识和态度的变化。
本研究纳入了32名SBEM的3年制住院医师。采用前测/后测设计和五点李克特量表。数据包括对EMS和灾难专家编制的问卷的回答。问卷在轮转第1天和45天后发放。轮转结束后发放满意度问卷。使用SPSS 20对数据进行分析。
25名住院医师回复了满意度调查（75%）。对课程模块的总体满意度较高；课程内容的满意度最高（96%），空中救护出诊的满意度最低（56%）。前测/后测问卷结果显示，住院医师的平均得分提高了18.5%（P<0.001）。在开放式问题部分，住院医师要求在课程开始日期前分发日程安排，以获得更多实地和实践经验，并将实际灾难事件作为讨论案例呈现。住院医师对讲座的组织和多样性印象深刻，对救护出诊和大规模伤亡事件演练的印象稍浅。71%的人表示会向其他住院医师推荐这门课程。
结论/建议：本研究表明，一门结构化的EMS和灾难医学课程提高了知识水平，并且在SBEM住院医师中总体满意度较高。虽然总体满意度和知识水平的提高很显著，但仍有许多方面需要更好地组织。
