Nguyen Hong Thoai, Lohala Nita, Sigdel Surendra, Adhikari Bibek, Zeb Salma, Kotsar Daria, Abdullah Aamir, Matos Arana Alvaro F, Lagos Yanira V, Said Ebram
Internal Medicine, Ascension Saint Joseph - Chicago, Chicago, USA.
Cureus. 2025 May 5;17(5):e83519. doi: 10.7759/cureus.83519. eCollection 2025 May.
The transition to residency training in the United States presents distinct challenges for both American Medical Graduates (AMGs) and International Medical Graduates (IMGs), particularly in the context of the rapid response team (RRT) involvement. This study investigates the effect of a structured educational intervention entitled "Enhancing the Rapid Response Team's Understanding" on the performance of postgraduate year-one (PGY-1) Internal Medicine residents at the Ascension Saint Joseph Hospital, Chicago. The intervention aimed to enhance the theoretical knowledge and practical competencies related to RRT activation, fostering better integration into multidisciplinary teams during acute clinical deteriorations. A total of 29 PGY-1 residents participated. Five pre-intervention and four post-intervention responses were received, with both assessments evaluating knowledge acquisition, task performance, and confidence levels. The intervention involved didactic sessions on RRT protocols, followed by supervised inpatient floor rotations. The pre- and post-intervention results indicated a significant improvement in task performance, with a 45.83% increase in mean scores (from 48 to 70), though this change did not reach statistical significance (p=0.1096). Despite an increase in the number of tasks performed by participants (p=0.0397), no significant differences were observed in overall knowledge, awareness (p=0.119), or confidence (p=0.722) regarding the RRTs. Feedback from the participants highlighted the intervention's value, with 75% rating the sessions as important and of good quality. While the small sample size limited statistical power, the findings suggest that structured educational interventions for interns may positively impact their ability to perform critical tasks during RRT activations. Further research with larger cohorts is needed to comprehensively assess the long-term effects of such interventions on clinical preparedness and patient care outcomes.
在美国,向住院医师培训的过渡对美国医学毕业生(AMG)和国际医学毕业生(IMG)都提出了独特的挑战,尤其是在快速反应团队(RRT)参与的情况下。本研究调查了一项名为“增强快速反应团队的理解”的结构化教育干预对芝加哥阿森松圣约瑟夫医院一年级(PGY - 1)内科住院医师表现的影响。该干预旨在增强与RRT启动相关的理论知识和实践能力,促进在急性临床病情恶化期间更好地融入多学科团队。共有29名PGY - 1住院医师参与。收到了5份干预前和4份干预后的反馈,两次评估均对知识获取、任务表现和信心水平进行了评估。干预包括关于RRT协议的教学课程,随后是在住院病房进行有监督的轮转。干预前后的结果表明任务表现有显著改善,平均得分提高了45.83%(从48分提高到70分),尽管这一变化未达到统计学显著性(p = 0.1096)。尽管参与者执行的任务数量有所增加(p = 0.0397),但在关于RRT的整体知识、认知(p = 0.119)或信心(p = 0.722)方面未观察到显著差异。参与者的反馈突出了该干预的价值,75%的人将这些课程评为重要且质量良好。虽然小样本量限制了统计效力,但研究结果表明,针对实习生的结构化教育干预可能会对他们在RRT启动期间执行关键任务的能力产生积极影响。需要对更大的队列进行进一步研究,以全面评估此类干预对临床准备和患者护理结果的长期影响。