Delaplain Patrick T, Joe Victor C
A general surgery resident at the University of California, Irvine, Medical Center.
A board-certified general surgeon with added qualifications in surgical critical care, and the medical director of the UC Irvine Health Regional Burn Center in Orange, California, and an associate clinical professor of surgery at the University of California, Irvine, School of Medicine, and a member of numerous professional organizations including the Society of Critical Care Medicine, the American College of Surgeons, the American Burn Association, the American College of Chest Physicians, and the Phoenix Society for Burn Survivors.
AMA J Ethics. 2018 Jun 1;20(1):560-566. doi: 10.1001/journalofethics.2018.20.6.medu1-1806.
The current system of burn care delivery attempts to meet the needs of the nearly 500 000 patients in the United States who require medical treatment annually. However, specialization of care and lack of fundamental burn and wound care knowledge among graduating medical trainees has unintended consequences, leaving the system inefficient, with inherent inequities in care delivery and with the potential to be overwhelmed in a mass casualty event. While increasing accessibility to specialty burn centers through technology could mitigate some of these problems, increased education is more practical. The implementation of a formal wound care curriculum in medical school would address the problems associated with chronic wounds in the United States. Additionally, this curriculum would be a natural extension of exposure to the basics of burn care, a relevant skill set in any specialty.
当前的烧伤护理体系试图满足美国每年近50万名需要接受医学治疗的患者的需求。然而，护理专业化以及毕业医学实习生缺乏基本的烧伤和伤口护理知识产生了意想不到的后果，导致该体系效率低下，护理提供存在内在不公平性，并且在大规模伤亡事件中可能不堪重负。虽然通过技术提高专科烧伤中心的可及性可以缓解其中一些问题，但增加教育更为切实可行。在医学院实施正式的伤口护理课程将解决与美国慢性伤口相关的问题。此外，该课程将自然延伸到烧伤护理基础知识的学习，这是任何专科都相关的一套技能。
