Battaglia Frank, Sayed Céline, Merlano Maria, McConnell Meghan, Ramnanan Christopher, Rowe Jennifer, Wang Hao, Patel Vishesh, Rastogi Nikhil
Faculty of Medicine, University of Ottawa, Ontario, Canada.
Division of Emergency Medicine, McMaster University, Ontario, Canada.
Can Med Educ J. 2020 Dec 7;11(6):e17-e23. doi: 10.36834/cmej.68494. eCollection 2020 Dec.
We conducted a national survey to characterize current Canadian procedural skills training in Undergraduate Medical Education (UGME). The goals were to identify the most important procedures students should know upon graduation and assess clinician-educator perceptions regarding implementation of a pre-clerkship procedural program.
We distributed the survey to physician-educators across Canada's 17 medical schools. Respondents were directed to an individualized survey that collected demographic data, physician-educator responses on essential procedural skills, as well as physician-educator opinions on the value of a pre-clerkship procedural training program.
The response rate for this survey was 21% (42 out of 201 distributed surveys were completed). The top 10 most important procedures identified by physician-educators included IV Access, Airway Management, Local anesthesia/field block, Casting, Spontaneous Vaginal Delivery, Testing for STIs, Phlebotomy, Suturing of Lacerations, Nasogastric Tube Insertion, and Venipuncture. Physician-educators supported a pre-clerkship procedural program.
Identifying the most crucial procedural skills is the first step in implementing a competency-based procedural skills training program for Canadian medical students. With the list of essential skills, and the support for physician-educators in developing a pre-clerkship procedural skills curriculum, hopefully there can be future development of formalized curricula.
我们开展了一项全国性调查，以描述加拿大本科医学教育（UGME）中当前的程序技能培训情况。目标是确定学生毕业时应掌握的最重要的程序，并评估临床教师对实施预科程序课程的看法。
我们将调查问卷分发给加拿大17所医学院校的医学教育工作者。受访者被引导至一份个性化调查问卷，该问卷收集人口统计学数据、医学教育工作者对基本程序技能的回答，以及医学教育工作者对预科程序培训项目价值的看法。
本次调查的回复率为21%（201份分发问卷中有42份完成）。医学教育工作者确定的前10项最重要的程序包括静脉通路建立、气道管理、局部麻醉/区域阻滞、石膏固定、自然阴道分娩、性传播感染检测、静脉穿刺采血、伤口缝合、鼻胃管插入和静脉穿刺。医学教育工作者支持预科程序课程。
确定最关键的程序技能是为加拿大医学生实施基于能力的程序技能培训项目的第一步。有了基本技能清单，以及医学教育工作者对制定预科程序技能课程的支持，希望未来能够开发出正式的课程。
