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适应大流行:COVID-19 期间急诊医学中的基于网络的住院医师培训和脚本一致性测试。

Adapting to a Pandemic: Web-Based Residency Training and Script Concordance Testing in Emergency Medicine During COVID-19.

机构信息

Independent Unit of Emergency Medical Services and Specialist Emergency, Medical University of Lublin, Lublin, Poland.

Department of Emergency Medicine, Medical University of Lublin, Lublin, Poland.

出版信息

Disaster Med Public Health Prep. 2023 Nov 29;17:e541. doi: 10.1017/dmp.2023.195.

DOI:10.1017/dmp.2023.195
PMID:38018433
Abstract

OBJECTIVE

The coronavirus disease (COVID-19) pandemic necessitated alternative methods to ensure the continuity of medical education. Our study explores the efficacy and acceptability of a digital continuous medical education initiative for medical residents during this challenging period.

METHODS

From September to December 2020, 47 out of 60 enrolled trainee doctors participated in this innovative digital Continuous Medical Education (CME) approach. We utilized the Script Concordance Test to bolster clinical reasoning skills. Three simulation scenarios, namely Advanced Trauma Life Support (ATLS), Advanced Life Support (ALS), and European Paediatric Life Support (EPLS), were transformed into interactive online sessions via Zoom™. Participant feedback was also collected through a survey.

RESULTS

Consistent Script Concordance Testing (SCT) scores among participants indicated the effectiveness of the online training module. Feedback suggested a broad acceptance of this novel training approach. However, discrepancies observed between formative SCT scores, and summative Multiple-Choice Questions (MCQ) assessments highlighted areas for potential refinement.

CONCLUSIONS

Our findings showcase the resilience and adaptability of medical education amidst challenges like the global pandemic. The success of methodologies such as SCT, endorsed by prestigious bodies like the European Resuscitation Council and the American Heart Association, suggests their potential in preparing health care professionals for emergent situations. This research offers valuable insights for shaping future online CME strategies.

摘要

目的

新冠疫情大流行需要采取替代方法来确保医学继续教育的连续性。本研究旨在探讨在这一充满挑战的时期,针对住院医师开展数字化继续教育(CME)计划的效果和可接受性。

方法

2020 年 9 月至 12 月,60 名受训住院医师中有 47 名参与了这一创新的数字化 CME 方法。我们使用脚本一致性测试(SCT)来增强临床推理技能。将三个模拟场景(高级创伤生命支持 [ATLS]、高级生命支持 [ALS]和欧洲儿科生命支持 [EPLS])通过 Zoom™平台转变为互动式在线课程。还通过问卷调查收集参与者的反馈意见。

结果

参与者的 SCT 测试成绩一致,表明在线培训模块有效。反馈意见表明,这种新的培训方法得到了广泛认可。然而,形成性 SCT 分数和总结性多项选择题(MCQ)评估之间存在差异,这表明需要进一步改进。

结论

我们的研究结果展示了医学教育在全球大流行等挑战面前的应变能力和适应能力。SCT 等方法的成功,得到了欧洲复苏委员会和美国心脏协会等知名机构的认可,表明它们在为医疗保健专业人员应对紧急情况做准备方面具有潜力。本研究为制定未来的在线 CME 策略提供了有价值的见解。

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