Department of General Practice, West China Hospital, Sichuan University, Chengdu, China.
Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.
Front Public Health. 2021 Nov 18;9:765402. doi: 10.3389/fpubh.2021.765402. eCollection 2021.
The participation of general practice (GP) residents in COVID-19 prevention and control tasks touched workload participation in public health and disease prevention and control and was also a rare, valuable training experience for the residents and research material for medical education. This experience contributed to the understanding of three key points: First, was the content of the COVID-19 prevention task suited to them, or did it overload them in the present? Second, their competence in the COVID-19 prevention task reflected whether the early medical school training was sufficient or not. Third, what can be drawn from this study to promote public health training in the future? This study aimed to explore these issues by conducting a real epidemic situated training (REST) program. A situated cognition study was designed that included situational context design, legitimate peripheral participation, and the construction of a community of practice. The Task Cognitive Load Scale (NASA-TLX Scale) and self-developed questionnaires were adopted to conduct a questionnaire survey of resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. SPSS 23.0 statistical software was used for the statistical analysis of data. The NASA scale showed that the intensity of field epidemic prevention and control (training) was tolerable. In particular, there was statistical difference in the cognitive load intensity of training before and after the epidemic occurred at different time points ( < 0.05). This shows that they were early trained and well-prepared before sudden outbreak of the COVID-19. Before the outbreak of the epidemic, the public health knowledge and training received came from undergraduate education (83.16%), early residents program training (69.47%), online self-study (49.16%), and continuing education (20.53%). Former medical school education and training at the regulatory training stage have a good effect and enable residents to master the skills required for epidemic prevention and control and to physically and mentally prepare for the task. After this stage, epidemic prevention and control training in real situations will make important contributions to the self-assessment and performance improvement of public health training.
全科医学住院医师参与新冠疫情防控工作，涉及公共卫生和疾病防控工作的工作量参与，也是住院医师难得的、宝贵的培训经历和医学教育研究素材。这次经历有助于理解三个关键点：第一，新冠疫情防控工作的内容对他们来说是否合适，或者在当前情况下是否对他们造成了过载；第二，他们在新冠疫情防控工作中的能力反映了早期医学院培训是否充足；第三，从这项研究中可以得出什么结论，以促进未来的公共卫生培训？本研究旨在通过开展真实疫情情境培训（REST）计划来探索这些问题。设计了一种情境认知研究，包括情境背景设计、合法边缘参与和实践共同体的构建。采用任务认知负荷量表（NASA-TLX 量表）和自行设计的问卷对四川大学华西医院全科医学住院医师规范化培训项目的住院医师进行问卷调查，共收集问卷 183 份。采用 SPSS 23.0 统计软件对数据进行统计分析。NASA 量表显示，现场疫情防控（培训）强度可承受。特别是在不同时间点发生疫情前后的培训认知负荷强度存在统计学差异（<0.05）。这表明他们在新冠疫情突然爆发前进行了早期培训和充分准备。疫情爆发前，住院医师接受的公共卫生知识和培训主要来自本科教育（83.16%）、早期住院医师规范化培训项目（69.47%）、在线自学（49.16%）和继续教育（20.53%）。以前的医学院教育和监管培训阶段的培训效果良好，使住院医师掌握了疫情防控所需的技能，并为任务做好了身心准备。在这个阶段之后，真实情境下的疫情防控培训将对公共卫生培训的自我评估和绩效提升做出重要贡献。
