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2019年澳大利亚和新西兰运动与运动医学医师实习生临床实践概况:一项横断面研究。

Profile of Sport and Exercise Physician trainee's clinical practice within Australasia in 2019: a cross-sectional study.

作者信息

Lim Christopher, Vaughan Brett, Fitzgerald Kylie, Fitzpatrick Jane

机构信息

Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia.

University of Melbourne VCCC, Parkville, Victoria, Australia.

出版信息

BMJ Open Sport Exerc Med. 2024 Jul 31;10(3):e001930. doi: 10.1136/bmjsem-2024-001930. eCollection 2024.

Abstract

OBJECTIVE

To identify the patient population profile and the spectrum of training activities and influencing factors of Australasian College of Sport and Exercise Physician (ACSEP) trainees.

DESIGN

Retrospective cross-sectional design.

SETTING

Training settings for ACSEP trainees.

PARTICIPANTS

Twenty ACSEP trainees undertaking full-time training in training period 2 of the 2019 training year (1 August 2019-31 January 2020). Exclusion criteria were trainees undertaking part time study and new fellows who completed their fellowship exams in 2019.

INDEPENDENT VARIABLES

Patient and practitioner demographics.

METHOD

Retrospective cross-sectional design.

MAIN OUTCOME MEASUREMENTS

Patient data recorded in ACSEP trainees' logbook. Short questionnaire capturing pertinent trainee demographics.

RESULTS

Most ACSEP trainee patients are adults aged 18-65 years of age (78.2%), presenting with knee (18.7%), ankle (17%) and spinal complaints (13.1%) in clinical practice or sporting team environments. Youths 10-17 make up 13.1% of presentations and older adults 66 years and older make up 8%. Only Australian trainees are engaging in additional training activities, such as surgical assisting outside of the clinic or sporting team environment.

CONCLUSION

Australasian Sport and Exercise Physician trainees appear to consult primarily musculoskeletal complaints, including providing broader care to paediatric and older populations, and work with sporting teams. There are differences between Australia and New Zealand trainee employment conditions, which appear to be affecting training experiences. These differences warrant consideration to ensure equitable training experiences and financial stability for trainees.

摘要

目的

确定澳大利亚运动与运动医学医师学院(ACSEP)学员的患者群体特征、培训活动范围及影响因素。

设计

回顾性横断面设计。

设置

ACSEP学员的培训环境。

参与者

20名在2019培训年第2培训期(2019年8月1日至2020年1月31日)进行全日制培训的ACSEP学员。排除标准为参加非全日制学习的学员以及在2019年完成研究员考试的新研究员。

自变量

患者和从业者人口统计学数据。

方法

回顾性横断面设计。

主要观察指标

ACSEP学员日志中记录的患者数据。一份简短问卷,获取相关学员人口统计学信息。

结果

大多数ACSEP学员的患者为18至65岁的成年人(78.2%),在临床实践或运动队环境中表现为膝盖问题(18.7%)、脚踝问题(17%)和脊柱问题(13.1%)。10至17岁的青少年占就诊人数的13.1%,66岁及以上的老年人占8%。只有澳大利亚学员参与额外的培训活动,如在诊所或运动队环境之外协助手术。

结论

澳大利亚运动与运动医学医师学员似乎主要诊治肌肉骨骼疾病,包括为儿科和老年人群提供更广泛的护理,并与运动队合作。澳大利亚和新西兰学员的就业条件存在差异,这似乎正在影响培训经历。这些差异值得考虑,以确保学员获得公平的培训经历和经济稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c6a/11293413/43a78f0eef71/bmjsem-10-3-g001.jpg

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