Department of Neuroanaesthesia and Critical Care, Jayprakash Narain Apex Trauma Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Department of Emergency Medicine, Jayprakash Narain Apex Trauma Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Natl Med J India. 2021 May-Jun;34(3):167-170. doi: 10.25259/NMJI_103_19.
Background All medical graduates must know how to stabilize and manage critically ill patients. A 2-day intensive course, called the acute critical care course (ACCC), was conducted to train interns in technical and non-technical skills for managing a patient whose condition is deteriorating. This analysis aims to assess the feasibility and effectiveness of ACCC for interns. Methods We developed and conducted the ACCC to train interns. It included lectures and skill stations. Twenty-four interns participated in the course. Immediate, post-course, quantitative and qualitative feedback was taken online. Qualitative information was also collected verbally and later by email. These data were analysed both quantitatively and qualitatively. Thematic analysis was used to identify, analyse and report the patterns of responses and behaviour. Results The average score for the utility of the course was 4.7 and for the skill stations it was 4.6 on a scale of 5. The qualitative analysis of the feedback emphasized the need for the course before the clinical posting and more skill-based modules rather than lectures. The interactive style of teaching and training in communication using role-play was appreciated. Few suggestions to improve the course were provided. Conclusions Implementing the ACCC needed simulation, interactive discussions, role-play, modified Pendleton's feedback, and reflective exercise that form the basis of a range of educational principles. The blended learning set of objectives of ACCC were the pillars for this successful internship training programme.
背景 所有医学毕业生都必须掌握稳定和处理危重症患者的方法。为此，我们开设了为期两天的强化课程，即急性危重病护理课程（ACCC），旨在培训实习医生在技术和非技术技能方面的能力，以处理病情恶化的患者。本分析旨在评估 ACCC 对实习医生的可行性和有效性。
方法 我们开发并实施了 ACCC 来培训实习医生。该课程包括讲座和技能站。共有 24 名实习医生参加了该课程。我们通过在线方式立即、课后收集了定量和定性反馈。还通过口头和电子邮件收集了定性信息。我们对这些数据进行了定量和定性分析。主题分析用于识别、分析和报告响应和行为模式。
结果 课程实用性的平均得分为 4.7，技能站的平均得分为 4.6（满分 5 分）。反馈的定性分析强调了在临床实习前开设该课程的必要性，以及更多基于技能的模块而不是讲座。采用角色扮演进行互动式教学和沟通技能培训的方式受到了赞赏。还提供了一些改进课程的建议。
结论 实施 ACCC 需要模拟、互动讨论、角色扮演、改进版彭德尔顿反馈和反思练习，这些构成了一系列教育原则的基础。ACCC 的混合学习目标是该成功实习培训计划的支柱。
