Naval Hospital Yokosuka, Yokosuka, Japan; University of Miami/Jackson Memorial Hospital, Miami, FL.
Creighton University School of Medicine/Valleywise Health Medical Center, Phoenix, AZ; University of Arizona College of Medicine, Phoenix, AZ.
Wilderness Environ Med. 2023 Jun;34(2):193-200. doi: 10.1016/j.wem.2023.02.001. Epub 2023 Apr 6.
Wilderness medicine education is one of the fastest growing facets of both graduate and undergraduate medical education. Currently, there are curriculum guidelines for both student electives and fellowships in wilderness medicine. However, there are no guidelines for resident elective curricula. The student/resident education committee of the Wilderness Medical Society (WMS) convened a task force to develop curriculum guidelines for these electives.
A survey of previously described core wilderness medicine topics was sent to a cohort of educators involved in wilderness medicine resident electives. They were asked to rank topics on the basis of their importance of being included on a Likert scale. Multivariate analysis of medians was used to distinguish among topics to determine which topics were voted most and least necessary for a curriculum.
Of the database members contacted, 35 responded to the survey. The described current state of residency electives was that 16 institutions offered their own elective (46%). For subject preferences, multivariate analysis of scoring distribution medians demonstrated a significantly higher pattern of responses (P<0.01) for subjects with a median of 3 (must include) than for the lowest-scoring subjects that had a median of 1 (can include). Every topic was rated "must" by at least 1 respondent. Topics were further subdivided into an educational framework reflecting a common approach to education of wilderness medicine fellows focusing on education, leadership, knowledge, and skills.
There was a wide variety in the ranking of topics; however, there were multiple topics on which a consensus for inclusion was reached. These topics are organized and presented here as a suggested curriculum by the student/resident education committee of the WMS.
荒野医学教育是研究生和本科医学教育中发展最快的领域之一。目前，荒野医学学生选修课程和奖学金都有课程指南。但是，对于住院医师选修课程没有指南。荒野医学学会（WMS）的学生/住院医师教育委员会召集了一个工作组，为这些选修课程制定课程指南。
对参与荒野医学住院医师选修课程的一组教育工作者进行了一项关于先前描述的核心荒野医学主题的调查。他们被要求根据重要性对主题进行排序，并在李克特量表上进行评分。使用中位数的多变量分析来区分主题，以确定哪些主题被投票认为是课程最必需和最不重要的。
在所联系的数据库成员中，有 35 人回复了调查。描述的住院医师选修课程的现状是，16 个机构提供了自己的选修课程（46%）。对于主题偏好，中位数评分分布的多变量分析表明，具有中位数为 3（必须包括）的主题的响应模式明显更高（P<0.01），而得分最低的主题中位数为 1（可以包括）。每个主题都至少有 1 名受访者评为“必须”。主题进一步细分为一个教育框架，反映了荒野医学研究员教育的共同方法，重点是教育、领导力、知识和技能。
主题的排名差异很大；但是，有多个主题达成了纳入共识。这些主题是由 WMS 的学生/住院医师教育委员会组织和提出的，作为建议的课程。
