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骨与关节感染跨学科会议对骨科住院医师的教学潜力:来自法国参考中心(CRIOAC)的见解

Teaching potential of interdisciplinary meetings on osteoarticular infections for orthopaedic residents: Insights from a French reference center (CRIOAC).

作者信息

Samargandi Ramy, Abualross Osamah, Lacasse Marion, Le Nail Louis-Romée, Berhouet Julien

机构信息

Orthopedic Surgery Department, Centre Hospitalier Régional Universitaire (CHRU) de Tours, Tours, France.

Orthopedic Surgery Department, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia.

出版信息

GMS J Med Educ. 2024 Nov 15;41(5):Doc56. doi: 10.3205/zma001711. eCollection 2024.

DOI:10.3205/zma001711
PMID:39711870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656169/
Abstract

OBJECTIVE

Management of osteoarticular infections (OAI) represents a major public health challenge. To deal with this, the French Ministry of Health created the (CRIOAC) in 2008. CRIOAC functions as a national network of reference centers for OAI, with the aim of coordinating, providing expertise, offering training, and conducting research at the regional level. Through multidisciplinary team meetings (MTM-CRIOAC), experts discuss complex OAI cases and formulate optimal treatment decisions. This study aims to evaluate the perception of the teaching potential of MTM-CRIOAC among orthopedic residents and identify potential areas for improvement.

METHODS

To conduct this cross-sectional study a validated questionnaire was distributed to orthopedic residents who participated in said meetings to evaluate their perceptions and benefit. Opinions were then collected using a Likert scale for further evaluation.

RESULTS

Results showed that (75%) found MTM useful for training, and (71%) considered it appropriate for teaching. The majority (84%) reported acquiring valuable skills, with (78%) emphasizing knowledge about complex osteoarticular infections. Residents recommended integrating more classes, active engagement, and thorough case summaries for improvement. Notably, 94% recommended MTM participation for colleagues. The study highlights MTMs' potential in medical education, enhancing clinical skills and collaborative healthcare practices among orthopedic residents.

CONCLUSION

Previous studies have shown that MTM-CRIOACs have improved patient outcomes. However, the literature has not yet addressed the potential teaching opportunities that MTM-CRIOACs could provide to residents. The study shows that these meetings offer grounds for teaching, enrichment of clinical judgment, professionalism, and collaborative skills of orthopedic residents.

摘要

目的

骨关节炎感染(OAI)的管理是一项重大的公共卫生挑战。为应对这一挑战,法国卫生部于2008年设立了骨关节炎感染参考与创新中心(CRIOAC)。CRIOAC作为OAI的国家参考中心网络,旨在协调、提供专业知识、开展培训并在区域层面进行研究。通过多学科团队会议(MTM-CRIOAC),专家们讨论复杂的OAI病例并制定最佳治疗决策。本研究旨在评估骨科住院医师对MTM-CRIOAC教学潜力的看法,并确定潜在的改进领域。

方法

为开展这项横断面研究,向参加上述会议的骨科住院医师发放了一份经过验证的问卷,以评估他们的看法和收获。然后使用李克特量表收集意见进行进一步评估。

结果

结果显示,75%的人认为MTM对培训有用,71%的人认为其适合教学。大多数人(84%)报告获得了宝贵的技能,78%的人强调了有关复杂骨关节炎感染的知识。住院医师建议增加更多课程、积极参与和详尽的病例总结以进行改进。值得注意的是,94%的人建议同事参加MTM。该研究突出了MTM在医学教育中的潜力,增强了骨科住院医师的临床技能和协作医疗实践。

结论

先前的研究表明,MTM-CRIOAC改善了患者的治疗效果。然而,文献尚未涉及MTM-CRIOAC可为住院医师提供的潜在教学机会。该研究表明,这些会议为骨科住院医师的教学、丰富临床判断力、专业素养和协作技能提供了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/6321497a4296/JME-41-56-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/ab189d4e62e2/JME-41-56-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/507b3b33a60b/JME-41-56-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/963563081d05/JME-41-56-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/0256b87eb367/JME-41-56-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/6321497a4296/JME-41-56-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/ab189d4e62e2/JME-41-56-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/507b3b33a60b/JME-41-56-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/963563081d05/JME-41-56-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/0256b87eb367/JME-41-56-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e0/11656169/6321497a4296/JME-41-56-g-005.jpg

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本文引用的文献

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Teaching Potential of Multidisciplinary Tumor Board Meetings for Orthopedic Residents: Insights From a French Sarcoma Reference Center.多学科肿瘤病例讨论会对骨科住院医师的教学潜力:来自法国肉瘤参考中心的见解
Cureus. 2023 May 31;15(5):e39783. doi: 10.7759/cureus.39783. eCollection 2023 May.
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Increasing Collaborative Discussion in Case-Based Learning Improves Student Engagement and Knowledge Acquisition.在基于案例的学习中增加协作讨论可提高学生参与度和知识获取。
Med Sci Educ. 2022 Sep 5;32(5):1055-1064. doi: 10.1007/s40670-022-01614-w. eCollection 2022 Oct.
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Epidemiology of complex bone and joint infections in France using a national registry: The CRIOAc network.法国使用国家登记处研究复杂骨和关节感染的流行病学:CRIOAc 网络。
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Interprofessional education: tips for design and implementation.跨专业教育:设计与实施技巧
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