教育住院家庭医生进行术前麻醉评估和评估。

Kansas journal of medicine Pub Date : 2023-09-25 eCollection Date: 2023-01-01 DOI:10.17161/kjm.vol16.20986
Ben Gerber, Eyan P Roth, Tyler A Laubach, Luke De Jong, Travis J Kasper, Jarrett Perry, Allan Johnson, William L Krogman, Felecia A Newton, Sara Powell, Dee Ann Bragg, Jared Regehr
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引用次数: 0

摘要

引言:术前评估在初级保健办公室很常见,因此家庭医学住院医师必须学习如何进行术前评估。我们通过提供术前和术后测试以及教学研讨会,评估了家庭医学住院医师对手术前评估的了解。方法:由两名高级麻醉学住院医师在家庭医学住院医师教学会议上举办了一场关于术前评估的教学研讨会。一项16题的多项选择测试被用作前测试和后测试,以评估家庭医学住院医师的知识。结果:共有31名参与者参加了前测(住院医师=24;医学生=7),30名参与者参加后测(住院医生=23;医学生/7)。计算两项测试的平均分和标准差,测试前和测试后的平均分分别为37.50%±10.58%和45.42%±11.12%。使用Kruskal-Wallis测试,住院医师在教学后的测试成绩有显著改善(p=0.041),而总体结果(住院医师和医学生)也有显著差异(p=0.004),在简短的说教性陈述之后,在知识方面取得了可量化的收获。考虑到目前指南和实践之间的差距,我们的研究结果强调需要一所正规的医学院和与术前患者评估相关的住院课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Educating Family Physician Residents for Anesthetic Preoperative Evaluation and Assessment.

Introduction: Encounters for preoperative assessments are common within primary care offices, so it is imperative that family medicine residents learn how to perform preoperative evaluations. We assessed family medicine residents' knowledge of preoperative evaluation in preparation for surgery by providing a pre- and post-test alongside a didactic seminar.

Methods: A didactic seminar on preoperative evaluations was presented at a family medicine resident didactics session by two senior anesthesiology residents. A 16-question, multiple choice test was used as both a pre-test and post-test to assess family medicine residents' knowledge.

Results: A total of 31 participants took the pre-test (residents = 24; medical students = 7), and 30 participants took the post-test (residents = 23; medical students = 7). Mean scores and standard deviations were calculated for both tests with an average score of 37.50% ± 10.58% and 45.42% ± 11.12% on the pre- and post-test, respectively. Using the Kruskal-Wallis test, residents showed a significant improvement in test scores following the didactic presentation (p = 0.041), while overall results (residents and medical students) also reported a significant difference (p = 0.004).

Conclusions: Our results demonstrated that educating family medicine residents and medical students on preoperative evaluation showed significant, quantifiable gains in knowledge following a brief didactic presentation. Given the current gap between guidelines and practice, our results emphasize the need for a formal medical school and residency-based curriculum related to preoperative patient evaluation.

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