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加拿大儿科医院临床/医疗教学单位在 COVID-19 大流行第一波和第二波期间实施情况的调查。

A survey on Canadian pediatric hospital clinical/medical teaching unit implementation during the first and second wave of the COVID-19 pandemic.

机构信息

Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Canada.

Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

出版信息

BMC Med Educ. 2021 Nov 11;21(1):570. doi: 10.1186/s12909-021-02994-0.

Abstract

BACKGROUND

As the COVID-19 pandemic heightened, infection control and prevention experts recommended clinical training opportunities be modified or discontinued, substantially impacting the function of clinical or medical teaching units (CTU). A CTU is structured to involve medical learners such that they become active participants of the health care team. Since a review of the literature demonstrates a paucity of data to guide pediatric CTU implementation during pandemic phases, we developed and disseminated a survey to assess Canadian practices.

METHOD

A group of infectious disease specialists and pediatric hospitalists developed, tested, and disseminated surveys to understand CTU clinical rounding and teaching practices during the waves of the COVID-19 pandemic.

RESULT

Our surveys demonstrate the variability in adapting rounding practices during this pandemic and highlights the opportunities to share our approaches and lessons learned to optimize learner experience and patient centered care during unprecedented times in our academic hospitals. We also show the pragmatic implementation of our new pediatric hospital CTU process that was informed by our survey results.

CONCLUSION

Our study demonstrates the variability in adapting rounding practices during this pandemic and highlights the opportunities to share our approaches and lessons learned to optimize learner experience and patient centered care during unprecedented times in our academic hospitals.

摘要

背景

随着 COVID-19 大流行的加剧,感染控制和预防专家建议修改或停止临床培训机会,这对临床或医学教学单位(CTU)的功能产生了重大影响。CTU 的结构旨在让医学生成为医疗团队的积极参与者。由于文献综述表明,在大流行阶段缺乏指导儿科 CTU 实施的数据,因此我们开发并分发了一份调查,以评估加拿大的做法。

方法

一组传染病专家和儿科医院医生制定、测试并分发了调查,以了解 COVID-19 大流行期间 CTU 的临床查房和教学实践。

结果

我们的调查表明,在大流行期间,查房实践的适应性存在差异,并强调了分享我们的方法和经验教训的机会,以优化学习者的体验和以患者为中心的护理,在我们的学术医院前所未有的时期。我们还展示了我们新的儿科医院 CTU 流程的务实实施,该流程是根据我们的调查结果得出的。

结论

我们的研究表明,在大流行期间,查房实践的适应性存在差异,并强调了分享我们的方法和经验教训的机会,以优化学习者的体验和以患者为中心的护理,在我们的学术医院前所未有的时期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506a/8582104/baf2a3cac8ab/12909_2021_2994_Fig1_HTML.jpg

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