Hormbrey P, Todd B S, Mansfield C D, Skinner D V
Accident and Emergency Department, John Radcliffe Hospital, Oxford, UK.
J Accid Emerg Med. 1996 Mar;13(2):129-33. doi: 10.1136/emj.13.2.129.
To investigate organised teaching in accident and emergency (A&E) departments in England and Wales.
A survey was carried out by postal questionnaire. Directed to senior house officers (SHOs), the questionnaire examined the nature and extent of departmental teaching, and measured the availability, suitability, and actual use made of guidelines. Of 231 questionnaires sent, 164 were returned (response rate 71%).
The results show that most SHOs attended A&E induction courses at the beginning of their attachments, although the scope of these coursed varied widely. Most SHOs also received regular teaching, although the programmes were generally of less than 3 h in duration. The majority of respondents were well supported with written documentation in a variety of formats. However, a significant minority (29%) of SHOs requested more detailed clinical guidance, and these tended to be the respondents who received the most departmental teaching.
More time could be allocated to structured teaching than at present, and greater use made of complementary educational methods such as practical skill teaching, case presentation, clinical audit, and involvement in journal clubs. More extensive departmental teaching should also be supported by making available more detailed and comprehensive clinical guidelines.
调查英格兰和威尔士急诊部门的组织教学情况。
通过邮寄问卷进行调查。问卷针对高级住院医师（SHOs），调查了部门教学的性质和范围，并评估了指南的可用性、适用性及实际使用情况。共发放231份问卷，回收164份（回复率71%）。
结果显示，大多数高级住院医师在开始实习时参加了急诊入职培训课程，尽管这些课程的范围差异很大。大多数高级住院医师也接受定期教学，尽管教学计划的时长通常少于3小时。大多数受访者获得了多种格式的书面资料的有力支持。然而，有相当少数（29%）的高级住院医师要求获得更详细的临床指导，而这些人往往是接受部门教学最多的受访者。
与目前相比，可分配更多时间用于结构化教学，并更多地利用实践技能教学、病例汇报、临床审计以及参与期刊俱乐部等补充教育方法。还应提供更详细、全面的临床指南，以支持更广泛的部门教学。
