Department of Neurology and Neuroscience, Medical Center - University of Freiburg, Freiburg, Germany.
Brain Behav. 2019 Jun;9(6):e01310. doi: 10.1002/brb3.1310. Epub 2019 May 6.
To survey medical students on the lumbar puncture (LP) procedure in terms of their existing knowledge, practical experience and attitudes, and to determine whether the completion of a single standardized seminar that includes practical training on phantoms can alter these parameters.
The survey was completed by medical students undertaking the curricular neurology course. Students were asked to describe their practical experience in different bedside procedures, and document how they perceive LP in terms of their own knowledge, confidence and attitude. Students then participated in a newly designed 90-min seminar that included practical training on phantoms and placed special emphasis both on the patients' point of view during the procedure and the benefits of an atraumatic approach. All students who completed the seminar were required to complete the survey for a second time.
Among the 153 participants, LP was associated with the lowest baseline levels of experience and confidence compared to other bedside procedures. Attitudes, knowledge, and confidence related to the various aspects of LP all showed significant improvement after the seminar.
A single standardized LP seminar with simulation training alters medical students' attitudes toward LP through improving their level of knowledge and confidence. This may have important implications in doctors-to-be on their stance toward LP and resultant advice to future patients regarding this important procedure.
调查医学生在腰椎穿刺（LP）方面的现有知识、实践经验和态度，并确定完成包括在体模上进行实践培训的单一标准化研讨会是否可以改变这些参数。
该调查由参加课程神经学的医学生完成。学生被要求描述他们在不同床边程序中的实践经验，并记录他们对 LP 的看法，包括他们自己的知识、信心和态度。然后，学生参加了一个新设计的 90 分钟研讨会，其中包括在体模上的实践培训，并特别强调了在该过程中患者的角度以及无创伤方法的益处。所有完成研讨会的学生都被要求第二次完成调查。
在 153 名参与者中，与其他床边程序相比，LP 的经验和信心基础最低。研讨会后，与 LP 各个方面相关的态度、知识和信心均显著提高。
通过提高知识和信心水平，单一标准化的 LP 研讨会与模拟培训改变了医学生对 LP 的态度。这可能对未来的医生在他们对 LP 的立场以及对未来患者关于这一重要程序的建议方面产生重要影响。
