Ohnigian Sarah E, Hall Michelle M, Hayes Margaret M, Maley Jason H
Department of Medicine.
Division of Pulmonary, Critical Care, and Sleep Medicine.
ATS Sch. 2022 Jun 30;3(2):180-187. doi: 10.34197/ats-scholar.2021-0126PS. eCollection 2022 Jun.
Medical learners are vital to the care of critically ill patients in the intensive care unit (ICU). Although these learners are exposed to the challenges and stresses of acute ICU management, they do not typically experience the benefits of following ICU patients and families longitudinally after their ICU rotation. Post-ICU clinics and recovery programs may fill this crucial gap in trainee education. These clinics have emerged as an appealing approach to potentially support patient recovery, enhance provider satisfaction, and provide feedback on vital lessons learned in long-term follow-up to improve the quality of ICU care. Notably, the effect of such a program on trainee education has not been explored. In this article, we propose a framework for medical learner participation in post-ICU follow-up based on the Accreditation Council for Graduate Medical Education milestones and discuss the potential benefits, including: education about post-ICU recovery, including post-intensive care syndrome and post-intensive care syndrome-family; experience in quality improvement to enhance ICU care by understanding long-term outcomes; engagement in reflection; and mitigation of compassion fatigue and burnout.
医学学习者对于重症监护病房（ICU）中危重症患者的护理至关重要。尽管这些学习者面临急性ICU管理的挑战和压力，但他们在ICU轮转结束后通常无法体验到对ICU患者及其家属进行长期跟踪所带来的益处。ICU后门诊和康复项目可能会填补实习生教育中的这一关键空白。这些门诊已成为一种有吸引力的方式，有可能支持患者康复、提高医护人员满意度，并就长期随访中学到的重要经验提供反馈，以改善ICU护理质量。值得注意的是，此类项目对实习生教育的影响尚未得到探讨。在本文中，我们基于毕业后医学教育认证委员会的里程碑，提出了一个医学学习者参与ICU后随访的框架，并讨论了潜在的益处，包括：关于ICU后康复的教育，包括重症监护后综合征和重症监护后综合征-家属；通过了解长期结果来提高ICU护理质量的质量改进经验；参与反思；以及减轻同情疲劳和职业倦怠。
