摘要
目的以混合模拟技术为基础,探讨急诊医师的危重症抢救能力的现况,评估以胜任力为基础的抢救能力考核的有效性及可行性。方法应用高仿真模拟技术模拟实际临床危重症场景,评估急诊医师危重症临床思维及团队合作沟通能力,比较不同性别、学历、职称、培养年限和工作年限之间的差异。结果参与考核急诊医师共38名,总分为(74. 38±11. 26)分。主治医师组和住院医师组分别是:(78. 66±6. 82)分和(70. 96±12. 07)分,主治医师危重症抢救能力得分显著高于住院医师。住院医师规范化培训第2~3年组和进修医师组,分别是(71. 21±12. 28)分和(79. 63±7. 75)分,进修医师组明显高于住院医师规范化培训第2~3年住院医师组。工作年限1~3年组、4~10年组和≥10年组,分别为(70. 00±12. 14)分、(82. 90±6. 89)分和(76. 04±6. 45)分,工作4~10年医师组明显高于1~3年医师组(P<0. 05)。结论应用混合模拟技术评价急诊住院医师和进修医师的危重症抢救能力,具有较好的有效性及可行性。
Objective To discuss the current situation of rescue capability in critical illness of emergency doctors based on the mixed high-fidelity simulation technology and to evaluate the effectiveness and feasibility of the competency-based rescue capability assessment.Methods The mixed high-fidelity simulation technology was used to simulate the actual clinical critical illness scenarios,and then compare the differences of score between different genders,educational background,professional titles,training years,and work experience.Results A total of 38 emergency doctors participated in the examination.The total score was 74.38±11.26.The score of attending physicians group and the residents group were:78.66±6.82 and 70.96±12.07 respectively.The score of attending physicians was significantly higher than that of the residents.The score of standardized training resident group and the further education physician group were 71.21±12.28 and 79.63±7.75 respectively,with that of further education physicians significantly higher than that of the residents.The score of work experience of 1-3 years group,4-10 years group and ≥10 years group were 70.00±12.14,82.90±6.89 and 76.04±6.45 respectively,with that of 4-10 years group was obviously higher than that of 1-3 years group.Conclusions The application of mixed high-fidelity simulation technology to evaluate rescue capability of emergency residents and further education physicians is effective and feasible.
作者
柴晶晶
刘继海
朱华栋
于学忠
杜铁宽
温伟
陈燕启
CHAI Jing-jing;LIU Ji-hai;ZHU Hua-dong;YU Xue-zhong;DU Tie-kuan;WEN Wei;CHEN Yan-qi(Department of Emergency,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730;Department of Emergency,Beijing Hospital,Beijing 100730,China)
出处
《基础医学与临床》
CSCD
2019年第2期293-297,共5页
Basic and Clinical Medicine
基金
北京协和医学院教学改革项目(2014zlgc0137)
关键词
危重症
模拟技术
团队配合
critical illness
simulation technology
team dynamics
