Suppan Laurent, Chan Michèle, Gartner Birgit, Regard Simon, Campana Mathieu, Chatellard Ghislaine, Cottet Philippe, Larribau Robert, Sarasin François Pierre, Niquille Marc
Division of Emergency Medicine, Department of Anaesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Faculty of Medicine University of Geneva, Geneva University Hospitals, CH-1211 Geneva, Switzerland.
Division of Anaesthesiology, Department of Anaesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Faculty of Medicine University of Geneva, Geneva University Hospitals, CH-1211 Geneva, Switzerland.
Healthcare (Basel). 2020 Dec 29;9(1):24. doi: 10.3390/healthcare9010024.
The added value of prehospital emergency medicine is usually assessed by measuring patient-centered outcomes. Prehospital rotations might however also help senior residents acquire specific skills and knowledge. To assess the perceived added value of the prehospital rotation in comparison with other rotations, we analyzed web-based questionnaires sent between September 2011 and August 2020 to senior residents who had just completed a prehospital rotation. The primary outcome was the perceived benefit of the prehospital rotation in comparison with other rotations regarding technical and non-technical skills. Secondary outcomes included resident satisfaction regarding the prehospital rotation and regarding supervision. A pre-specified subgroup analysis was performed to search for differences according to the participants' service of origin (anesthesiology, emergency medicine, or internal medicine). The completion rate was of 71.5% (113/158), and 91 surveys were analyzed. Most senior residents found the prehospital rotation either more beneficial or much more beneficial than other rotations regarding the acquisition of technical and non-technical skills. Anesthesiology residents reported less benefits than other residents regarding pharmacological knowledge acquisition and confidence as to their ability to manage emergency situations. Simulation studies should now be carried out to confirm these findings.
院前急救医学的附加值通常通过衡量以患者为中心的结果来评估。然而,院前轮转也可能有助于高年级住院医师获得特定的技能和知识。为了评估院前轮转相对于其他轮转所感知到的附加值,我们分析了2011年9月至2020年8月期间发送给刚完成院前轮转的高年级住院医师的网络调查问卷。主要结果是院前轮转相对于其他轮转在技术和非技术技能方面所感知到的益处。次要结果包括住院医师对院前轮转及监督的满意度。进行了一项预先指定的亚组分析,以根据参与者的原服务科室(麻醉科、急诊科或内科)寻找差异。完成率为71.5%(113/158),共分析了91份调查问卷。大多数高年级住院医师发现,在获得技术和非技术技能方面,院前轮转比其他轮转更有益或有益得多。麻醉科住院医师在获取药理学知识以及应对紧急情况的能力信心方面,报告的益处比其他住院医师少。现在应该进行模拟研究以证实这些发现。