应用客观结构化临床考试来评估医学生的儿科心肺复苏技能及改进培训的措施。

The use of the objective structured clinical examination to evaluate paediatric cardiopulmonary resuscitation skills in medical students and measures to improve training.

机构信息

Maternal and Child Public Health Department, Health School, Facultad de Medicina, Complutense University of Madrid, Dr Castelo 47, Madrid, 28009, Spain.

Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Dr Castelo 47, Madrid, 28009, Spain.

出版信息

BMC Med Educ. 2024 Oct 10;24(1):1123. doi: 10.1186/s12909-024-06074-x.

DOI:10.1186/s12909-024-06074-x

PMID:39390425

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11468371/

Abstract

BACKGROUND

The main objectives of the study were to analyse the use of the Objective Structured Clinical Examination (OSCE) to evaluate the skills of medical students in paediatric basic life support (PBLS), to compare two resuscitation training models and to evaluate the measures to improve the teaching program.

METHODS

Comparative, prospective, observation study with intervention in two hospitals, one undergoing a PILS course (Paediatric Immediate Life Support) and another PBLS. The study was performed over three phases. 1º. PBLS OSCE in 2022 three months after the resuscitation training 2. Measures to improve the training program in 2023 3. PBLS OSCE in 2023. Overall results were analysed and comparison between both sites and those for 2022 and 2023 were made.

RESULTS

A total of 210 and 182 students took part in the OSCE in 2022 and 2023, respectively. The overall mean score out of 100 was 83.2 (19), 77.8 (19.8) in 2022 and 89.5 (15.9) and 2023, P < 0.001. Overall cardiopulmonary resuscitation (CPR) effectiveness was adequate in 79.4% and 84.6% of students in 2022 and 2023, respectively. The results of hospital students undergoing a PILS course were better (86.4 (16.6) than those undergoing a PBLS. 80.2 (20.6) p < 0.001. The results from both hospitals improved significantly in 2023.

CONCLUSIONS

The OSCE is a valid instrument to evaluate PBLS skills in medical students and to compare different training methods and program improvements. Medical students who receive a PILS attain better PBLS skills than those who undergo a PBLS course.

摘要

背景

本研究的主要目的是分析客观结构化临床考试（OSCE）在评估医学生儿科基本生命支持（PBLS）技能方面的应用，比较两种复苏培训模式，并评估改进教学计划的措施。

方法

在两家医院进行了一项比较性、前瞻性、观察性研究，其中一家医院正在进行儿科即时生命支持（PILS）课程，另一家医院正在进行 PBLS。该研究分为三个阶段进行。1. 2022 年，在复苏培训三个月后进行 PBLS OSCE；2. 2023 年，实施提高培训计划的措施；3. 2023 年，进行 PBLS OSCE。对总体结果进行分析，并对两个地点进行比较，以及与 2022 年和 2023 年进行比较。

结果

共有 210 名和 182 名学生分别参加了 2022 年和 2023 年的 OSCE。100 分制的总体平均得分为 83.2（19 分）、77.8（19.8 分）在 2022 年和 2023 年，P < 0.001。总体心肺复苏（CPR）效果在 2022 年和 2023 年的学生中分别为 79.4%和 84.6%。接受 PILS 课程的医院学生的结果更好（86.4（16.6）比接受 PBLS 的学生。80.2（20.6）p < 0.001。2023 年两所医院的成绩均有显著提高。