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体验式创伤训练营对麻醉科住院医师第3年培训学员知识水平和信心程度的影响。

Effects of an Experiential Trauma Bootcamp on PGY 3 Anesthesiology Residents' Knowledge and Confidence Levels.

作者信息

Clark Brittney, Blanchard Erin E, Rafield Grace, Riesenberg Lee Ann, Patel Bhavika N, Hackney Andrew, Tubinis Michelle

机构信息

The following authors are in the Department of Anesthesiology and Perioperative Medicine at the Heersink School of Medicine, University of Alabama at Birmingham in Birmingham, AL: and are Assistant Professors; is a Professor; is a Postgraduate Year 4 resident; and is an Associate Professor.

is an Assistant Professor in the Department of Health Services Administration, School of Health Professions, at the University of Alabama at Birmingham in Birmingham, AL.

出版信息

J Educ Perioper Med. 2023 Jan 1;25(1):E696. doi: 10.46374/volxxv_issue1_blanchard. eCollection 2023 Jan-Mar.

Abstract

BACKGROUND

Bootcamp-style education involves short, intense educational sessions and is a proven educational modality in anesthesia medical education. However, rarely has it been used with senior anesthesiology residents and never in exposing these residents to a curriculum aimed at care of the trauma patient. The purpose of this study was to design and implement an experiential bootcamp to prepare anesthesiology residents to take senior trauma call at a Level 1 trauma center in the Southeastern United States.

METHODS

Before taking senior trauma call, 21 postgraduate year 3 anesthesiology residents took part in an 8-hour trauma bootcamp that combined flipped classroom-style education with immersive, procedural, and augmented reality simulation facilitated by subject matter experts. Before and after the bootcamp, residents completed 17-item confidence and 20-item knowledge questionnaires developed by the study authors. Results were compared before and after the bootcamp to determine overall change in confidence and knowledge levels pertaining to caring for trauma patients and taking senior trauma call. Additionally, residents completed an evaluation measuring their perceptions of the benefit of the educational offering.

RESULTS

Statistically significant increases were seen in 16 out of 17 confidence questions ( < .001) and 12 out of 20 knowledge questions ( < .001). Additionally, respondents indicated that they found the content to be valuable and likely to improve their care delivery within the clinical setting.

CONCLUSIONS

Following this bootcamp, postcourse surveys demonstrated that residents' knowledge and confidence increased significantly through simulation combined with a flipped-classroom approach in preparation for senior trauma call.

摘要

背景

新兵训练营式教育包含简短而密集的教学课程,是麻醉医学教育中一种经过验证的教学模式。然而,这种模式很少用于高年级麻醉学住院医师,且从未用于让这些住院医师接触针对创伤患者护理的课程。本研究的目的是设计并实施一个体验式新兵训练营,让麻醉学住院医师为在美国东南部一家一级创伤中心承担高级创伤呼叫做好准备。

方法

在承担高级创伤呼叫之前,21名三年级麻醉学住院医师参加了一个为期8小时的创伤新兵训练营,该训练营将翻转课堂式教育与由主题专家推动的沉浸式、程序性和增强现实模拟相结合。在新兵训练营前后,住院医师完成了由研究作者编制的17项信心问卷和20项知识问卷。将新兵训练营前后的结果进行比较,以确定在护理创伤患者和承担高级创伤呼叫方面信心和知识水平的总体变化。此外,住院医师完成了一项评估,衡量他们对该教育课程益处的看法。

结果

17项信心问题中有16项(<.001)以及20项知识问题中有12项(<.001)出现了具有统计学意义的增加。此外,受访者表示他们发现这些内容很有价值,并且可能会改善他们在临床环境中的护理服务。

结论

在这个新兵训练营之后,课程后的调查表明,通过模拟结合翻转课堂方法,住院医师在为承担高级创伤呼叫做准备的过程中,知识和信心显著增加。

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