多学科急危重症气道管理模拟课程：面向医学生
A Multispecialty Critical Airway Simulation Course for Medical Students.
机构信息
Georgetown University School of Medicine, Washington, District of Columbia, U.S.A.
Department of Otolaryngology - Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, U.S.A.
出版信息
Laryngoscope. 2021 Jul;131(7):1482-1486. doi: 10.1002/lary.29264. Epub 2020 Nov 11.
OBJECTIVES
To develop a novel multispecialty simulation-based course that teaches both technical and nontechnical skills in the management of adult and pediatric critical airways to graduating medical students and 2) to encourage a collaborative, multispecialty approach to the management of a difficult airway amongst fourth-year medical students who have enrolled in otolaryngology, anesthesia, and emergency medicine residency programs.
METHODS
Fourth-year medical student who had matched into otolaryngology, anesthesia, and emergency medicine participated in an intensive half-day course consisting of a series of hands-on skills stations with increasing complexity, followed by simulated complex patient scenarios designed for shared management of airway emergencies. Participants completed questionnaires prior to and immediately after the course. Fischer's exact test was utilized to compare data between the precourse and postcourse surveys. Free-text responses were qualitatively assessed to inform course development.
RESULTS
Thirty-four medical students were enrolled (6 otolaryngology, 15 anesthesia, 13 emergency medicine), and 30 students completed both surveys. Fisher's exact test demonstrated improved confidence (P < .05) for every skill. More than 85% of participants strongly agreed or agreed that the intervention was useful in developing their knowledge, technical skills, and self-confidence and in improving clinical performance prior to residency.
CONCLUSIONS
This critical airway course introduces a multispecialty simulation-based course designed to impart graduating medical students with the necessary knowledge, skills, and behaviors for critical airway management while fostering interprofessional collaboration. Our course was successful in improving confidence and was perceived as useful in developing knowledge, technical skills, self-confidence, and clinical performance prior to residency.
LEVEL OF EVIDENCE
NA Laryngoscope, 131:1482-1486, 2021.
目的
开发一种新的多专业模拟课程，教授医学生在成人和儿科危急气道管理方面的技术和非技术技能；2）鼓励耳鼻喉科、麻醉科和急诊医学住院医师项目的四年级医学生以协作的、多专业的方式管理困难气道。
方法
已匹配至耳鼻喉科、麻醉科和急诊医学的四年级医学生参加了为期半天的强化课程，其中包括一系列具有递增复杂性的实践技能站，然后是为共同管理气道急症设计的模拟复杂患者场景。参与者在课程前后完成了问卷调查。Fisher 精确检验用于比较课前和课后调查的数据。对自由文本回复进行定性评估，以告知课程开发。
结果
共有 34 名医学生参加（6 名耳鼻喉科，15 名麻醉科，13 名急诊医学），其中 30 名学生完成了两次调查。Fisher 精确检验显示，每一项技能的信心都有所提高（P<0.05）。超过 85%的参与者强烈或同意该干预措施有助于他们在住院医师之前发展知识、技术技能和自信，并提高临床表现。
结论
该危急气道课程引入了一种多专业模拟课程，旨在为即将毕业的医学生传授危急气道管理所需的知识、技能和行为，同时促进专业间的合作。我们的课程成功地提高了信心，并被认为有助于在住院医师之前发展知识、技术技能、自信和临床表现。
证据水平
无喉镜，131：1482-1486，2021。
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