针对肿瘤急诊的急诊医学核心内容教育目前存在的差距:有针对性的需求评估

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES AEM Education and Training Pub Date : 2024-05-16 DOI:10.1002/aet2.10987
Monica K. Wattana MD, Angela Lindsay DO, Moira Davenport MD, Nicholas R. Pettit DO, PhD, Jazmin R. Menendez BSc, Ziyi Li PhD, Demis N. Lipe MD, MS, Aiham Qdaisat MD, Jason J. Bischof MD
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引用次数: 0

摘要

目标 急诊医学(EM)住院医师培训的核心内容包括肿瘤急症的处理;然而,在这个子课题上仍然存在有据可查的知识差距。本研究根据 Kern 的课程设计步骤 2 进行了有针对性的需求评估,以确定肿瘤急诊医学课程中需要解决的具体培训缺口。 方法 2023 年期间,在五家机构对肿瘤学家(外科和内科)和急诊医生(主治医师和住院医师)进行了一次跨机构横断面调查。这项自愿性调查包括一般问题和特定专业问题,以探讨肿瘤急诊特定培训/教育主题方面的差距。描述性统计以频率和百分比的形式报告了回答情况。 结果 在五个地点发出的 833 份调查问卷中,有 302 份(36.3%)通过链接访问;其中有 271 份(89.7%)完成了调查。早期和晚期受访者的回复没有差异,不同地点的受访者特征也没有差异。绝大多数肿瘤学家和急诊科医生(分别为 91.2% 和 83.0%)都认为急诊科医生将受益于更多的肿瘤急诊培训。我们的调查确定了肿瘤急诊课程中应包含的 16 个重要主题,其中包括 2022 年急诊医学临床实践模型中未包含的 5 个主题。 结论 根据此次需求评估,肿瘤急诊课程应包括《2022 年急诊医学临床实践模式》中肿瘤急诊列出的主题,以及受访者确定的放射治疗不良反应、干细胞移植并发症、癌症术后并发症、疼痛和癌症患者常见疾病的处理等主题。
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Current gaps in emergency medicine core content education for oncologic emergencies: A targeted needs assessment

Objective

The core content of emergency medicine (EM) residency training includes the management of oncologic emergencies; however, documented knowledge gaps continue to exist in this subtopic. This study represents a targeted needs assessment as indicated by Step 2 of Kern's curriculum design to determine the specific training gaps to be addressed within the oncologic EM curriculum.

Methods

A multi-institutional cross-sectional survey of oncologists (surgical and medical) and emergency physicians (attendings and residents) was conducted during 2023 at five institutions. The voluntary survey consisted of general and specialty-specific questions exploring gaps in oncologic emergency–specific training/education topics. Descriptive statistics reported responses as frequencies and percentages.

Results

Of the 833 surveys sent across the five sites, 302 (36.3%) were accessed by link; of these, 271 (89.7%) surveys were completed. There were no differences in the responses between early and later respondents and no differences in the characteristics of respondents between sites. A vast majority of the oncologist and EM groups (91.2% and 83.0%, respectively) reported a belief that emergency physicians would benefit from additional oncologic emergency training. Our survey identified 16 important topics for inclusion in an oncologic EM curriculum, including five topics not present on the 2022 Model of Clinical Practice of Emergency Medicine.

Conclusions

Based on this needs assessment, an oncologic EM curriculum should include the topics listed under oncologic emergencies in the 2022 Model of the Clinical Practice of Emergency Medicine along with our respondent-identified topics of radiation therapy adverse effects, stem cell transplant complications, and the management of cancer-specific postsurgical complications, pain, and common diseases in patients with cancer.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
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