Vogt Lina, Schmidt Michelle, Klasen Martin, Bickenbach Johannes, Marx Gernot, Sopka Saša
Klinik für Anästhesiologie, Uniklinik RWTH Aachen, Medizinische Fakultät, RWTH Aachen, Aachen, Deutschland.
AIXTRA - Kompetenzzentrum für Training und Patientensicherheit, Medizinische Fakultät, RWTH Aachen, Forckenbeckstraße 71, 52074, Aachen, Deutschland.
Anaesthesist. 2022 Jan;71(1):21-29. doi: 10.1007/s00101-021-01009-3. Epub 2021 Jul 20.
The COVID-19 pandemic posed enormous challenges to the German healthcare system and highlighted the need for strategies to recruit, train, and deploy medical personnel. Until now, no holistic concept existed to use medical students as support for professionals in intensive care units (ICU) to avoid staff shortages in medical care.
In a large-scale pilot project 265 medical students were trained for an ICU assignment. The innovative training module was accompanied by a pre-post questionnaire for self-assessment of the skills learned. 22 weeks after the training module and still during the pandemic deployment, another questionnaire was used to evaluate experiences in deployment and the efficiency of the training module with respect to preparation for ICU deployment.
The analysis revealed significant mean differences for all COVID-19-specific variables (safety dimension) in favor of the training module (n = 168). The deployment evaluation showed that the training concept was inconsistently assessed as preparation for the work deployment for 69 of the 89 deployed students in total (53% agreement/47% disagreement).
The results show a good feasibility of an innovative training concept for medical students with respect to a pandemic deployment as assistants in intensive care units. The concept is suitable for providing additional helpers in intensive care units during a pandemic; however, the inconsistent evaluation indicates that the concept can be expanded and needs to be adapted.
新冠疫情给德国医疗系统带来了巨大挑战，凸显了招募、培训和部署医务人员策略的必要性。到目前为止，还没有一个整体概念来利用医学生作为重症监护病房（ICU）专业人员的辅助力量，以避免医疗护理人员短缺。
在一个大型试点项目中，对265名医学生进行了重症监护病房工作任务培训。创新培训模块配有一份前后调查问卷，用于自我评估所学技能。在培训模块结束22周后，且仍处于疫情期间的部署阶段，使用了另一份调查问卷来评估部署经验以及培训模块在为重症监护病房部署做准备方面的效率。
分析显示，所有新冠疫情特定变量（安全维度）的平均差异显著，有利于培训模块（n = 168）。部署评估表明，在总共89名已部署的学生中，有69名学生对培训概念作为工作部署准备的评估不一致（53%同意/47%不同意）。
结果表明，一种针对医学生的创新培训概念在作为重症监护病房助手进行疫情期间部署方面具有良好的可行性。该概念适用于在疫情期间为重症监护病房提供额外帮手；然而，评估不一致表明该概念可以扩展且需要调整。
