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非手术室麻醉教育:为住院医师的未来做准备。

Nonoperating room anesthesia education: preparing our residents for the future.

机构信息

Department of Anesthesiology, The University of Tennessee School of Health Sciences, Memphis, Tennessee, USA.

Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

出版信息

Curr Opin Anaesthesiol. 2019 Aug;32(4):490-497. doi: 10.1097/ACO.0000000000000743.

Abstract

PURPOSE OF REVIEW

Nonoperating room anesthesia (NORA) is the fastest growing segment of anesthetic practice. This review provides an overview of knowledge and trends that will need to be introduced to residents as part of their education.

RECENT FINDINGS

Topics for the future include, but are not limited to, new medications, artificial intelligence and big data, monitoring depth of hypnosis, translational innovation and collaboration, demographic changes, financial driving forces, destination hubs, medical tourism, and new approaches to education training and self-management.

SUMMARY

Implementing new medical technologies for anesthesia outside the operating room will help to successfully master this ever evolving subspecialty. Anesthesiologists require specific preparation for the diverse settings that they will encounter during their training. In this rapidly changing field, cognitive fitness must be factored into teaching and evaluation of residents. We describe the most important topics to consider when educating anesthesiology residents, and highlight research that addresses upcoming challenges.

摘要

目的综述

非手术室麻醉(NORA)是麻醉实践中增长最快的部分。本篇综述提供了一些知识和趋势的概述,这些知识和趋势将需要作为住院医师教育的一部分进行介绍。

最新发现

未来的主题包括但不限于新药物、人工智能和大数据、催眠深度监测、转化创新和合作、人口变化、财务驱动力、目的地枢纽、医疗旅游以及新的教育培训和自我管理方法。

总结

在手术室外实施新的麻醉医疗技术将有助于成功掌握这一不断发展的亚专科。麻醉师需要为他们在培训期间将遇到的各种环境做好特定的准备。在这个快速变化的领域,认知能力必须纳入住院医师的教学和评估中。我们描述了在教育麻醉住院医师时需要考虑的最重要的主题,并强调了研究即将面临的挑战。

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