Background: The availability of an anesthesiologist is often a limiting factor in the number of operations that can be performed by International Medical Surgical Response Teams (IMSuRT). Because emergency physicians ...Background: The availability of an anesthesiologist is often a limiting factor in the number of operations that can be performed by International Medical Surgical Response Teams (IMSuRT). Because emergency physicians (EPs) possess skills in airway control, management of moderate and deep sedation, and ventilator management, we propose that with proper training in general anesthesia, EPs can serve as anesthetists for IMSuRT with anesthesiologist supervision. Methods: During a 10-week period, a board-certified EP administered general anesthesia to 60 patients prior to a surgical medical mission trip. The breakdown of surgical cases was: 11 orthopedic, 2 genitourinary, 20 ear, nose, and throat, 8 obstetrics and gynecological, 13 general surgery, and 6 vascular. A simplified protocol for induction, maintenance, and emergence was adhered to for all cases. Results: Fourteen orthopedic cases using general anesthesia were performed in a one-week period in Haiti. These cases involved open reduction and internal fixation (ORIF), hemiarthoplasty, hardware removal, tendon transfer and external fixation of fractured bone. Conclusion: We demonstrate the feasibility of a model curriculum to train EPs in the basics of anesthesia. The EP can safely and effectively deliver general anesthesia for major cases on surgical medical mission trips under the auspices of an anesthesiologist in an austere environment.展开更多
目的探讨骨科实习医师教学应用改良的基于问题的学习(problem based learning,PBL)联合情景模拟教学的应用效果。方法选取2023年7月—2024年7月山东大学附属山东省立第三医院30名骨科实习医师,以随机数字表法分成研究组(n=15)与对照组(n...目的探讨骨科实习医师教学应用改良的基于问题的学习(problem based learning,PBL)联合情景模拟教学的应用效果。方法选取2023年7月—2024年7月山东大学附属山东省立第三医院30名骨科实习医师,以随机数字表法分成研究组(n=15)与对照组(n=15),对照组采用传统教学,研究组采用改良PBL联合情景模拟教学,比较两组考核成绩、综合能力、教学效果、满意度。结果两组教学后考核成绩均升高,研究组较对照组更高,差异均有统计学意义(P均<0.05)。研究组综合能力及教学效果较对照组均更高,差异均有统计学意义(P均<0.05)。研究组实习医师满意度为100.00%(15/15),较对照组的60.00%(9/15)更高,差异有统计学意义(P=0.017)。结论改良PBL联合情景模拟教学应用于骨科实习医师教学中,能够提高实习医师专业水平及综合能力,提升临床教学效果,满意度较高。展开更多
文摘Background: The availability of an anesthesiologist is often a limiting factor in the number of operations that can be performed by International Medical Surgical Response Teams (IMSuRT). Because emergency physicians (EPs) possess skills in airway control, management of moderate and deep sedation, and ventilator management, we propose that with proper training in general anesthesia, EPs can serve as anesthetists for IMSuRT with anesthesiologist supervision. Methods: During a 10-week period, a board-certified EP administered general anesthesia to 60 patients prior to a surgical medical mission trip. The breakdown of surgical cases was: 11 orthopedic, 2 genitourinary, 20 ear, nose, and throat, 8 obstetrics and gynecological, 13 general surgery, and 6 vascular. A simplified protocol for induction, maintenance, and emergence was adhered to for all cases. Results: Fourteen orthopedic cases using general anesthesia were performed in a one-week period in Haiti. These cases involved open reduction and internal fixation (ORIF), hemiarthoplasty, hardware removal, tendon transfer and external fixation of fractured bone. Conclusion: We demonstrate the feasibility of a model curriculum to train EPs in the basics of anesthesia. The EP can safely and effectively deliver general anesthesia for major cases on surgical medical mission trips under the auspices of an anesthesiologist in an austere environment.
文摘目的探讨骨科实习医师教学应用改良的基于问题的学习(problem based learning,PBL)联合情景模拟教学的应用效果。方法选取2023年7月—2024年7月山东大学附属山东省立第三医院30名骨科实习医师,以随机数字表法分成研究组(n=15)与对照组(n=15),对照组采用传统教学,研究组采用改良PBL联合情景模拟教学,比较两组考核成绩、综合能力、教学效果、满意度。结果两组教学后考核成绩均升高,研究组较对照组更高,差异均有统计学意义(P均<0.05)。研究组综合能力及教学效果较对照组均更高,差异均有统计学意义(P均<0.05)。研究组实习医师满意度为100.00%(15/15),较对照组的60.00%(9/15)更高,差异有统计学意义(P=0.017)。结论改良PBL联合情景模拟教学应用于骨科实习医师教学中,能够提高实习医师专业水平及综合能力,提升临床教学效果,满意度较高。
