Dairi Mohammad S, Aljabri Moayad K, Bahakim Abdullah K, Aljabri Abdulkarim A, Alharbi Tayil A, Alsehli Anas H, Alotaibi Alwaleed T, Alsufyani Abdulelah A, Alsairafi Rani A
Department of Internal Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Medicine and Surgery, Umm Al-Qura University, Makkah, Saudi Arabia.
Adv Med Educ Pract. 2022 Sep 19;13:1091-1101. doi: 10.2147/AMEP.S372119. eCollection 2022.
Critical care knowledge constitutes an essential component in medicine. Unfortunately, ICU knowledge acquisition is limited in many medical schools. This study is intended to measure the knowledge background, gaps, and the confidence toward critical care concepts among final year medical students and interns at Umm Al-Qura University, Saudi Arabia.
This was a cross-sectional study using a self-administered online questionnaire completed by final-year medical students and interns during January and February 2022. We collected data on demographics, academic year, critical care knowledge, competency, and satisfaction.
Two-hundred-twenty-one (221) responses were analyzed. The male gender was 54.3%. A small proportion (15.8%) identified the lowest acceptable oxygen saturation in a normal person. Around three-quarters of the participants did not feel competent about nasal airway suctioning and endotracheal tube suctioning (65.6% and 75.6%, respectively). Only 7.2% of the responder correctly identified the three most useful physiological observations pertinent to quick SOFA criteria. Regarding the training adequacy for identifying critically ill patients, 59.3% answered that they are inadequately trained. Regarding the satisfaction level of exposure to critical care, 54% of the sample responded that they need further improvement.
Undergraduate students and interns have limited knowledge and confidence in critical care medicine. Thus, we highly recommend an early institution of a dedicated critical care training module in the medical school curriculum.
重症监护知识是医学的重要组成部分。不幸的是,许多医学院校在重症监护知识获取方面存在局限。本研究旨在衡量沙特阿拉伯乌姆古拉大学最后一年医学生和实习生对重症监护概念的知识背景、差距及信心。
这是一项横断面研究,采用自填式在线问卷,由最后一年医学生和实习生在2022年1月和2月完成。我们收集了有关人口统计学、学年、重症监护知识、能力和满意度的数据。
分析了221份回复。男性占54.3%。一小部分人(15.8%)确定了正常人可接受的最低血氧饱和度。约四分之三的参与者对鼻腔气道吸引和气管内插管吸引感到不自信(分别为65.6%和75.6%)。只有7.2%的回复者正确识别了与快速序贯器官衰竭评估(SOFA)标准相关的三个最有用的生理观察指标。关于识别重症患者的培训充足性,59.3%的人回答他们的培训不足。关于对重症监护接触的满意度,54%的样本回答他们需要进一步提高。
本科生和实习生在重症监护医学方面知识和信心有限。因此,我们强烈建议在医学院课程中尽早设立专门的重症监护培训模块。