Suppr超能文献

评估姑息医学课程对急诊医学住院医师知识的影响。

Assessing the Effect of a Hospice and Palliative Medicine Curriculum on Emergency Medicine Residents' Knowledge.

机构信息

St. Lucie Medical Center, Port St Lucie, FL, USA.

出版信息

Am J Hosp Palliat Care. 2023 May;40(5):462-467. doi: 10.1177/10499091221102541. Epub 2022 May 14.

Abstract

: In the average Emergency Medicine (EM) residency program there is little formal Hospice and Palliative Medicine (HPM) training, despite these skills used frequency in the Emergency Department (ED) setting, from symptomatic management to end of life communications. : This research project aims to determine if a Free Open Access Medical Education based HPM curriculum will improve knowledge and comfort level of end-of-life care in EM residents within the ED. The curriculum consisted of an in-person lecture series along with self-directed learning through online modules covering a variety of foundational topics. : A 10-point Likert-scale pre- and post-intervention self-survey, assessing HPM comfort level and foundation/knowledge base and skills, was administered to the residents. : 16/18 residents (89%) responded to the pre-intervention survey and 13/18 residents (72%) answered the post-intervention survey. There was a statistically significant increase of the residents' understanding of the difference between hospice and palliative care (pre-intervention mean of 4.44, post-intervention mean of 7.69, = .004), as well as their perspective of how often they consult those services for patients they see in the ED (pre-intervention mean of 2.19, post-intervention mean of 3.92, = .02) and their overall understanding of the foundations of this field (pre-intervention mean of 4.19, post-intervention mean of 7.23, = .0002). : The curriculum increased the EM residents' understanding of the foundations of the HPM field, their fundamental knowledge of the differences between the 2 disciplines, and the frequency of how often they consult these specialties in the ED.

摘要

在普通的急诊医学(EM)住院医师培训计划中,尽管在急诊部(ED)环境中经常使用这些技能,从症状管理到生命末期沟通,但几乎没有正式的临终关怀和姑息治疗(HPM)培训。本研究项目旨在确定基于免费开放获取医学教育的 HPM 课程是否会提高 EM 住院医师在 ED 中进行临终关怀的知识和舒适度。该课程包括一系列现场讲座,以及通过在线模块进行的自学,涵盖了各种基础主题。在干预前后,通过 10 分李克特量表自我调查,评估 HPM 舒适度以及基础知识和技能,对住院医师进行了评估。16/18 名住院医师(89%)对干预前的调查做出了回应,13/18 名住院医师(72%)回答了干预后的调查。居民对临终关怀和姑息治疗之间差异的理解有了统计学上的显著提高(干预前平均得分为 4.44,干预后平均得分为 7.69, =.004),以及他们如何看待自己在 ED 中为患者咨询这些服务的频率(干预前平均得分为 2.19,干预后平均得分为 3.92, =.02)以及他们对该领域基础的总体理解(干预前平均得分为 4.19,干预后平均得分为 7.23, =.0002)。该课程提高了 EM 住院医师对 HPM 领域基础的理解,他们对这两个学科之间差异的基本知识,以及他们在 ED 中咨询这些专业的频率。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验