Alrazeeni Daifallah
EMS Department, Prince Sultan Bin Abdulaziz College for EMS, King Saud University, Riyadh, Saudi Arabia.
Chair of Saudi Association for Emergency Medical Services, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2018 Oct-Dec;12(4):540-547. doi: 10.4103/sja.SJA_146_18.
The purpose of this study is to delineate the training activities in the internship program, describe students' clinical and emergency medical service field hours and skills performance, and compare between internship students groups in their skills performance.
This is a retrospective, descriptive, and analytical study based on an interpretive observational documentary review of internship reports received on internship students.
Three groups of internship students participated in various training activities in 3 years. Students in Group A (2015) completed 4610 h and contact 1600 patients. They completed the following clinical skills: 712 medication administrations, 652 intravenous (IV) access, 174 team leads (TLs), 4 live patient endotracheal intubations, and 13 ventilations. Students in Group B (2016) completed 2424 h and contact 797 patients. They completed several clinical skills including 256 medication administrations, 249 IV access, 16 TLs, 1 live patient endotracheal intubation, and 8 ventilations. Students in Group C (2017) completed 5700 h and contact 1200 patients. They completed several skills including 673 medication administrations, 650 IV access, 198 TLs, 11 live patient endotracheal intubations, and 27 ventilations. The study revealed significant differences and superiority in skills performance in Groups A (2015) and C (2017) over Group B (2016).
Internship students have exposure opportunities to patients and have more opportunities to perform medication administration, IV activities, and serve as TLs. As expected, internship students have few opportunities to perform live tube insertions and ventilation. There are statistical significant differences in skills performance within the group of students in each year and among the three groups of internship students.
本研究的目的是描述实习项目中的培训活动,说明学生的临床和紧急医疗服务现场时长及技能表现,并比较实习学生组之间的技能表现。
这是一项基于对实习学生实习报告进行解释性观察文献回顾的回顾性、描述性和分析性研究。
三组实习学生在3年中参加了各种培训活动。A组(2015年)学生完成了4610小时的实习,接触了1600名患者。他们完成了以下临床技能:712次药物给药、652次静脉穿刺、174次团队领导任务、4次活体患者气管插管和13次通气。B组(2016年)学生完成了2424小时的实习,接触了797名患者。他们完成了多项临床技能,包括256次药物给药、249次静脉穿刺、16次团队领导任务、1次活体患者气管插管和8次通气。C组(2017年)学生完成了5700小时的实习,接触了1200名患者。他们完成了多项技能,包括673次药物给药、650次静脉穿刺、198次团队领导任务、11次活体患者气管插管和27次通气。研究显示,A组(2015年)和C组(2017年)在技能表现上显著优于B组(2016年)。
实习学生有接触患者的机会,并有更多机会进行药物给药、静脉穿刺操作和担任团队领导。不出所料,实习学生进行活体插管和通气的机会很少。每年的学生组内以及三组实习学生之间在技能表现上存在统计学显著差异。