Paul R I, King L
Department of Pediatrics, University of Louisville School of Medicine, KY 40292, USA.
Pediatr Emerg Care. 1996 Feb;12(1):10-2. doi: 10.1097/00006565-199602000-00003.
Guidelines for Pediatric Emergency Medicine (PEM) fellowship programs were published by the Curriculum Subcommittee, Section of Emergency Medicine, American Academy of Pediatrics in February 1993. The guideline listed 120 technical skills that the subcommittee felt all fellows should be able to perform at the completion of their training. The purpose of this study was to measure the experience of PEM fellows in performing skills recommended by the subcommittee and to determine if documentation lists were being maintained. A written survey was mailed to 63 graduating fellows in May 1993, requesting information on the number of times procedure skills were performed. Limited experience was defined as having performed a procedure five or less times. Thirty-two surveys (51%) were returned. Eleven fellows (34%) stated they maintained a procedure documentation list. Of 117 skills analyzed, the majority of fellows had limited experience in 49 procedures and zero experience in 22 procedures. The majority of fellows had limited experience in 12 of 20 life- or limb-saving procedures and zero experience in five. Large emergency department volumes did not influence number of procedure completions. Our data indicate that graduating PEM fellows have limited experience in performing many common as well as several life- and limb-saving skills. Documentation lists of technical skills are not being maintained by most fellows.
1993年2月，美国儿科学会急诊医学分会课程小组委员会发布了儿科急诊医学（PEM）专科培训项目指南。该指南列出了120项技术技能，小组委员会认为所有学员在培训结束时都应能够掌握这些技能。本研究的目的是衡量PEM学员在执行小组委员会推荐技能方面的经验，并确定是否保存了文件清单。1993年5月，向63名即将毕业的学员邮寄了一份书面调查问卷，询问他们执行操作技能的次数。经验有限被定义为执行某项操作的次数为5次或更少。共收到32份调查问卷（51%）。11名学员（34%）表示他们保存了操作文件清单。在分析的117项技能中，大多数学员对49项操作经验有限，对22项操作毫无经验。在20项挽救生命或肢体的操作中，大多数学员对其中12项经验有限，对5项毫无经验。急诊科的大量病例并未影响操作完成的数量。我们的数据表明，即将毕业的PEM学员在执行许多常见技能以及一些挽救生命和肢体的技能方面经验有限。大多数学员并未保存技术技能的文件清单。
