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开发电子医学生(eMS)——一项在新冠疫情期间及之后将医学生融入远程重症监护病房的试点项目。

Developing the eMedical Student (eMS)-A Pilot Project Integrating Medical Students into the Tele-ICU during the COVID-19 Pandemic and beyond.

作者信息

Ho Joshua, Susser Philip, Christian Cindy, DeLisser Horace, Scott Michael J, Pauls Lynn A, Huffenberger Ann M, Hanson C William, Chandler John M, Fleisher Lee A, Laudanski Krzysztof

机构信息

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

Healthcare (Basel). 2021 Jan 14;9(1):73. doi: 10.3390/healthcare9010073.

Abstract

The COVID-19 pandemic has accelerated the demand for virtual healthcare delivery and highlighted the scarcity of telehealth medical student curricula, particularly tele-critical care. In partnership with the Penn E-lert program and the Department of Anesthesiology and Critical Care, the Perelman School of Medicine (PSOM) established a tele-ICU rotation to support the care of patients diagnosed with COVID-19 in the Intensive Care Unit (ICU). The four-week course had seven elements: (1) 60 h of clinical engagement; (2) multiple-choice pretest; (3) faculty-supervised, student-led case and topic presentations; (4) faculty-led debriefing sessions; (5) evidence-based-medicine discussion forum; (6) multiple-choice post-test; and (7) final reflection. Five third- and fourth-year medical students completed 300 h of supervised clinical engagement, following 16 patients over three weeks and documenting 70 clinical interventions. Knowledge of critical care and telehealth was demonstrated through improvement between pre-test and post-test scores. Professional development was demonstrated through post-course preceptor and learner feedback. This tele-ICU rotation allowed students to gain telemedicine exposure and participate in the care of COVID patients in a safe environment.

摘要

新冠疫情加速了对虚拟医疗服务的需求,并凸显了远程医疗医学生课程的稀缺,尤其是远程重症护理课程。佩雷尔曼医学院(PSOM)与宾夕法尼亚大学电子警报项目以及麻醉与重症医学系合作,设立了一个远程重症监护病房轮转项目,以支持重症监护病房(ICU)中确诊感染新冠病毒患者的护理工作。这个为期四周的课程有七个环节:(1)60小时的临床参与;(2)多项选择题预测试;(3)教师指导、学生主导的病例和主题展示;(4)教师主导的汇报会;(5)循证医学讨论论坛;(6)多项选择题后测试;(7)最终反思。五名三、四年级医学生完成了300小时的监督临床参与,在三周内跟踪了16名患者,并记录了70次临床干预措施。通过预测试和后测试分数的提高,证明了学生在重症护理和远程医疗方面知识的增长。通过课程结束后的带教老师和学习者反馈,证明了专业发展情况。这次远程重症监护病房轮转使学生有机会接触远程医疗,并在安全的环境中参与新冠患者的护理工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de3a/7829880/f6cfac82fa95/healthcare-09-00073-g0A1a.jpg

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