Morris B A, Dickinson G, Dorian P
Department of Family and Community Medicine, University of Toronto, Ontario.
Can J Cardiol. 1997 Mar;13 Suppl A:7A-11A.
For physicians working in emergency departments, optimum management of patients with arrhythmias is an important skill. To assess the learning needs of Canadian emergency physicians with respect to arrhythmias, the members of the Canadian Association of Emergency Physicians (CAEP) were surveyed. The survey assessed perceived learning needs and included 11 scenarios assessing physician knowledge. Of 883 surveys distributed, 278 were returned, a response rate of 31.5%. The topic areas ranked most highly by respondents in terms of perceived learning needs were management of ventricular arrhythmias (especially electrical strom), and clinical use of oral and intravenous antiarrhythmic drugs, particularly the clinical use of intravenous amiodarone. The assessment of knowledge showed that the respondents managed most arrhythmias in accordance with published guidelines, although the management of some wide complex tachyarrhythmias was not optimal. These results will be used to guide an ongoing program of continuing medical education.
对于在急诊科工作的医生而言，心律失常患者的最佳管理是一项重要技能。为评估加拿大急诊医生在心律失常方面的学习需求，对加拿大急诊医生协会（CAEP）的成员进行了调查。该调查评估了感知到的学习需求，并包含11个评估医生知识的场景。在分发的883份调查问卷中，有278份被收回，回复率为31.5%。就感知到的学习需求而言，受访者排名最高的主题领域是室性心律失常的管理（尤其是电风暴），以及口服和静脉用抗心律失常药物的临床应用，特别是静脉用胺碘酮的临床应用。知识评估表明，尽管对一些宽QRS波心动过速的管理并不理想，但受访者大多按照已发表的指南处理心律失常。这些结果将用于指导正在进行的继续医学教育项目。
