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麻醉学全国学生教学大纲(ANTPS)。

Anaesthetic National Teaching Programme for Students (ANTPS).

机构信息

Royal Free London NHS Foundation Trust, London, UK.

Lister Hopsital, East and North Hertfordshire, NHS Foundation Trust, Stevenage, UK.

出版信息

Postgrad Med J. 2023 Jun 15;99(1172):613-623. doi: 10.1136/postgradmedj-2021-141353.

Abstract

The COVID-19 pandemic has significantly undermined undergraduate anaesthetic teaching in spite of the vital role of the specialty against the pandemic. Anaesthetic National Teaching Programme for Students (ANTPS) was designed to meet the evolving needs of undergraduates and tomorrow's doctor by standardising anaesthetic training, preparing for final exams and equipping competencies vital for doctors of all grades and specialties. Our Royal College of Surgeons England-accredited University-College-Hospital-affiliated programme consisted of six-biweekly sessions were delivered online by anaesthetic trainees. Prerandomised and postrandomised session-specific multiple-choice questions (MCQs) assessed students' improvement in knowledge. Anonymous feedback forms were provided to students after each session and 2 months following the programme. 3743 student feedback forms (92.2% of attendees) across 35 medical-schools were recorded. There was a mean improvement in test score (0.94±1.27, p<0.001). 313 students completed all six sessions. Based on 5-point Likert scale, students who completed the programme showed an improvement in their confidence in knowledge and skills to face common foundation challenges (1.59±1.12, p<0.001) and thus felt better prepared for life as junior doctors (1.60±1.14, p<0.001). With an increase in confidence in students to pass their MCQs, Observed Structured Clinical Examinations and case-based discussion assessments, 3525 students stated they would recommend ANTPS to other students. Unprecedented COVID-19 factors impacting training, positive student feedback and extensive recruitment, demonstrate that our programme is an indispensable learning resource which standardises anaesthetic undergraduate education nationally, prepares undergraduates for their anaesthetic and perioperative exams and lays strong foundations for implementation of clinical skills required by all doctors, to optimise training and patient care.

摘要

尽管麻醉学专业在应对大流行方面发挥了至关重要的作用,但 COVID-19 大流行还是严重影响了本科生的麻醉教学。麻醉国家学生教学计划(ANTPS)旨在通过标准化麻醉培训、为期末考试做准备以及为各级和各专业医生提供必备技能,以满足本科生和未来医生的不断发展的需求。我们的英国皇家外科学院认可的大学-医院附属项目由六次双周课程组成,由麻醉学受训者在线提供。在随机分组前后,通过特定于课程的多项选择题(MCQ)评估学生知识的提高。在每次课程结束后和课程结束后两个月,学生都可以匿名提供反馈表。在 35 所医学院中记录了 3743 份学生反馈表(参加者的 92.2%)。测试成绩平均提高了(0.94±1.27,p<0.001)。313 名学生完成了所有六次课程。基于 5 分李克特量表,完成课程的学生在面对常见基础挑战时对知识和技能的信心有所提高(1.59±1.12,p<0.001),因此他们觉得自己更有准备成为初级医生(1.60±1.14,p<0.001)。随着学生对通过 MCQ、观察性结构化临床考试和基于案例的讨论评估的信心增强,3525 名学生表示他们将向其他学生推荐 ANTPS。前所未有的 COVID-19 因素影响了培训,学生的积极反馈和广泛的招募,表明我们的计划是一种不可或缺的学习资源,它在全国范围内标准化了麻醉学本科教育,为本科生的麻醉和围手术期考试做准备,并为所有医生实施所需的临床技能奠定了坚实的基础,以优化培训和患者护理。

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