Solanki Pratik, Singh Harpreet, Nalwaya Prateek, Mahmood Humza, Hafeji Safiya, Dean Jonathon, Foster Andrew, Evans Lucy
Princess Alexandra Hospital NHS Trust.
MedEdPublish (2016). 2017 Jul 10;6:124. doi: 10.15694/mep.2017.000124. eCollection 2017.
This article was migrated. The article was marked as recommended. Introduction After graduating from medical school, all UK based doctors enter the Foundation Programme. There is on-going evidence, both anecdotally and published, that final year medical students continue to feel unprepared about starting work. We thus designed a one-day course aiming to improve these students' preparedness and anxiety levels. Methods Pre-course material was provided to the students with information on the skills that were going to be explored in the course. After an initial introduction, there was an interactive demonstration to refresh the students' knowledge on assessment of an unwell patient using the recognised ABCDE approach- Airway; Breathing; Circulation; Disability; Exposure . Thereafter, the students were split into 10 groups of 3 and 4 and rotated around 10 different stations. Each station was 40 minutes long and breaks were interspersed amongst the teaching to ensure that concentration was maintained. The emphasis was on near-peer teaching with guidance from a recently qualified doctor. Feedback was requested immediately post-course and three months afterwards. Results and Feedback The immediate feedback was very positive with the overall quality rated at 3.93/4. Regarding the 3 month feedback, there was an average reduction in anxiety levels by 18.3% (p<0.0001) and improvement in perceived preparedness levels by 24.7% (p<0.0001). All students agreed that the course will help them in preparing to become a foundation doctor and that similar courses should be offered to all final year students. Conclusions Practical courses focusing on preparedness can provide a unique opportunity for collaborative training by universities and foundation trusts. These courses are well evaluated and are perceived to improve anxiety and preparedness levels.
本文已迁移。该文章被标记为推荐文章。引言 从医学院毕业后,所有英国的医生都进入基础培训项目。有持续的证据表明,无论是传闻还是已发表的内容,医学专业最后一年的学生对于开始工作仍感到准备不足。因此,我们设计了一个为期一天的课程,旨在提高这些学生的准备程度和焦虑水平。方法 向学生提供课前资料,其中包含课程中将探讨的技能信息。在进行初步介绍后,进行了一次互动演示,以通过公认的ABCDE方法(气道、呼吸、循环、残疾、暴露)来刷新学生对评估不适患者的知识。此后,学生被分成10组,每组3至4人,并在10个不同的站点轮流。每个站点时长40分钟,教学过程中穿插休息以确保保持注意力。重点是在刚获得资格的医生指导下进行近同伴教学。课程结束后立即以及三个月后都要求提供反馈。结果与反馈 即时反馈非常积极,整体质量评分为3.93/4。关于三个月后的反馈,焦虑水平平均降低了18.3%(p<0.0001),自我感觉的准备程度提高了24.7%(p<0.0001)。所有学生都认为该课程将帮助他们为成为基础医生做好准备,并且应该为所有最后一年的学生提供类似课程。结论 专注于准备程度的实践课程可以为大学和基础信托机构提供合作培训的独特机会。这些课程得到了很好的评估,并且被认为可以改善焦虑和准备程度。