- 期刊
- OpenAccess
某醫學中心臨床技術訓練中心實習醫師呼吸道處置訓練之探討
Evaluation of Airway Management Training Program in a Medical Center
摘要
Clinical medical education is education that is patient centered. The clinical practitioner has to make correct judgments and complete technical work as quickly as possible to ensure the best health care for every patient. Therefore, the training for clinical practice is a very important part of medical education. In this study, we observed 136 medical interns from different medical and dental departments in a medical center in Taichung. We arranged four sessions of advanced airway management class and clinical practice. To evaluate the achievement of the students, tests were administered before the sessions began and after they were completed. Teachers comments were also evaluated. Based on the results of the tests and comments, we modified the curriculum for the clinical technical practice sessions. We received 116 effective samples (85%). We found that the difference between the pre-test and post-test results on how to choose the appropriate oxygen therapy was statistically significant (p-value ＜0.0001). The percentages of correct answers to 5 questions in the pre-tests were 69%、50%、35%、57%、and 27% and in the post-tests were 71%、72%、48%、90% and 94%, respectively. After the training course in clinical practice, the students correctly demonstrated how to choose the appropriate oxygen therapy (p-value ＜0.001 between pre-training and post-training). After training, the students also correctly demonstrated how to use the oropharyngeal or nasopharyngeal airway for patients in need (p-value ＜0.001). The techniques they used to insert an endotracheal tube and an endotracheal guide showed improvement after training (p-value ＜0.001). The improvement between pretraining and post-training in the technique for inserting an endotracheal tube under videoscopic assistance was also statistically significant (p-value ＜0.001). Most students were very satisfied with the training course. This research revealed that all students showed significant improvement in practice skills after the training course in clinical advanced airway management. The experience gained from, and the functions learned in, the clinical practice and skill center will strengthen the clinical technical practice of all pre-graduates in the general medical education program established by the TJCHA (Taiwan Joint Commission on Hospital Accreditation).
並列摘要
Clinical medical education is education that is patient centered. The clinical practitioner has to make correct judgments and complete technical work as quickly as possible to ensure the best health care for every patient. Therefore, the training for clinical practice is a very important part of medical education. In this study, we observed 136 medical interns from different medical and dental departments in a medical center in Taichung. We arranged four sessions of advanced airway management class and clinical practice. To evaluate the achievement of the students, tests were administered before the sessions began and after they were completed. Teachers comments were also evaluated. Based on the results of the tests and comments, we modified the curriculum for the clinical technical practice sessions. We received 116 effective samples (85%). We found that the difference between the pre-test and post-test results on how to choose the appropriate oxygen therapy was statistically significant (p-value ＜0.0001). The percentages of correct answers to 5 questions in the pre-tests were 69%、50%、35%、57%、and 27% and in the post-tests were 71%、72%、48%、90% and 94%, respectively. After the training course in clinical practice, the students correctly demonstrated how to choose the appropriate oxygen therapy (p-value ＜0.001 between pre-training and post-training). After training, the students also correctly demonstrated how to use the oropharyngeal or nasopharyngeal airway for patients in need (p-value ＜0.001). The techniques they used to insert an endotracheal tube and an endotracheal guide showed improvement after training (p-value ＜0.001). The improvement between pretraining and post-training in the technique for inserting an endotracheal tube under videoscopic assistance was also statistically significant (p-value ＜0.001). Most students were very satisfied with the training course. This research revealed that all students showed significant improvement in practice skills after the training course in clinical advanced airway management. The experience gained from, and the functions learned in, the clinical practice and skill center will strengthen the clinical technical practice of all pre-graduates in the general medical education program established by the TJCHA (Taiwan Joint Commission on Hospital Accreditation).