Hospital at home - developing a simulation induction programme for junior doctors.

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Gareth Watson, Amelia Paveley, Katherine Chin, Alexandra Lindsay-Perez, Rebekah Schiff
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引用次数: 0

Abstract

Hospital at Home (HaH) provides hospital-level care within patients' homes. With services expanding, a London HaH service embedded new junior doctor posts. Currently, gaps exist in the under- and postgraduate curriculum to develop clinical skills required to deliver care in this context. HaH simulation (HaH-SIM) was developed, through a multi-cycle QIP, to improve early-career doctors' confidence in providing care in this unfamiliar environment. Surveys before and after HaH-SIM assessed confidence in practical, clinical and communication skills; ranked concerns; rated sessions and gained qualitative feedback. 41 doctors participated over 2 years. It currently includes six low-fidelity stations and three high-fidelity stations. Confidence improved, particularly in managing end of life, decision-making around hospital admission and administering intravenous medications/fluids. High-fidelity scenarios, practical skills and prescribing stations were most highly rated. As HaH services expand, HaH-SIM is a feasible, effective and transferable way of improving early-career doctors' confidence and skills to provide care in patients' homes.

家庭医院--为初级医生制定新颖的模拟上岗培训计划。
家庭医院(HaH)在病人家中提供医院级别的护理服务。随着服务范围的不断扩大,伦敦的一项 "居家医院 "服务设置了新的初级医生职位。目前,本科生和研究生课程在培养在这种情况下提供护理所需的临床技能方面还存在差距。通过多周期 QIP 开发了 HaH 模拟(HaH-SIM),以提高初级医生在这种陌生环境中提供护理的信心。在 HaH-SIM 之前和之后进行的调查评估了对实践、临床和沟通技能的信心;对关注点进行了排序;对课程进行了评分,并获得了定性反馈。41 名医生参加了为期两年的活动。该系统目前包括 6 个低仿真站和 3 个高仿真站。信心有所提高,尤其是在临终管理、入院决策和静脉注射药物/液体方面。高仿真情景模拟、实践技能和处方站最受好评。随着 HaH 服务的扩展,HaH-SIM 是一种可行、有效和可转让的方法,可提高初入职医生在患者家中提供护理的信心和技能。
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来源期刊
Clinical Medicine
Clinical Medicine 医学-医学:内科
CiteScore
7.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Clinical Medicine is aimed at practising physicians in the UK and overseas and has relevance to all those managing or working within the healthcare sector. Available in print and online, the journal seeks to encourage high standards of medical care by promoting good clinical practice through original research, review and comment. The journal also includes a dedicated continuing medical education (CME) section in each issue. This presents the latest advances in a chosen specialty, with self-assessment questions at the end of each topic enabling CPD accreditation to be acquired. ISSN: 1470-2118 E-ISSN: 1473-4893 Frequency: 6 issues per year
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