Durbin D R, Giardino A P, Costarino A T
Department of Pediatrics, Children's Hospital of Philadelphia (Pa), USA.
Arch Pediatr Adolesc Med. 1996 May;150(5):529-34. doi: 10.1001/archpedi.1996.02170300083016.
To describe an educational program for pediatric house staff who participate in interhospital transport and to present an evaluation of the educational program.
Educational program evaluation that used multiple confidential surveys of participating pediatric house staff.
The interhospital transport team of a large, urban pediatric hospital.
Twenty-six pediatric second-year residents who participated in required rotations with the transport service.
The institution of an educational program designed specifically for the clinical transport rotation.
Before their service with the transport team, residents have doubts about their clinical skills, fund of knowledge, and ability to practice independently in a mobile environment. These doubts decrease as the residents participate in the educational program during their transport clinical service. All residents perceive service on the transport rotation to be of educational benefit with regard to communications or cognitive skills. Alternatively, transport service provides little opportunity for residents to improve technical skills. Among the various skills that residents could obtain during transport service, improvement in clinical judgement was most commonly cited by residents who performed more than 10 transports. Among the specific curricular components in the educational program, interactive teaching methods were judged to be more valuable than written materials.
Serving as a physician on interhospital transports can be an important educational opportunity for pediatric house staff when that experience is concentrated in a designated rotation and combined with a focused educational program. Contrary to expectations, there was little opportunity for residents to develop technical skills on transport. Therefore, educators should focus on the development of communications and cognitive skills. Interhospital transport programs that debate the use of residents as members of the service should consider the potential educational benefit of the clinical service to house staff.
描述一项针对参与院际转运的儿科住院医师的教育项目，并对该教育项目进行评估。
采用对参与项目的儿科住院医师进行多次保密调查的教育项目评估。
一家大型城市儿科医院的院际转运团队。
26名参与转运服务规定轮转的儿科二年级住院医师。
设立专门针对临床转运轮转的教育项目。
在加入转运团队服务之前，住院医师对自己的临床技能、知识储备以及在移动环境中独立开展工作的能力存在疑虑。随着住院医师在转运临床服务期间参与教育项目，这些疑虑有所减少。所有住院医师都认为转运轮转服务在沟通或认知技能方面具有教育意义。相比之下，转运服务为住院医师提供的提升技术技能的机会很少。在住院医师在转运服务期间可以获得的各种技能中，进行了超过10次转运的住院医师最常提到临床判断力有所提高。在教育项目的各个具体课程组成部分中，互动教学方法被认为比书面材料更有价值。
对于儿科住院医师来说，当院际转运经历集中在指定轮转并与重点教育项目相结合时，担任医师参与院际转运可以是一个重要的教育机会。与预期相反，住院医师在转运过程中提升技术技能的机会很少。因此，教育工作者应专注于沟通和认知技能的培养。对于那些讨论是否将住院医师纳入服务团队的院际转运项目来说，应该考虑临床服务对住院医师潜在的教育益处。
