Evaluation of the development of emergency response skills of intern doctors after emergency medicine internship: A prospective cross-sectional study

Fatma Tortum, A. Bayramoğlu, Hatice Kubra Tasci, Kamber Kaşali
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Abstract

Introduction: Although there are many forms of education, learning by doing is one of the most efficient ways of learning in the field of medicine. In Turkey, intern doctors can perform and observe many emergency interventions in the presence of supervisors during their emergency service internship. This study aimed to examine whether intern doctors have developed the necessary emergency response skills concerning some vital situations after emergency medicine internship involving their applied training and observation. Methods: This prospective cross-sectional study was conducted between June 2, 2022, and September 1, 2022, in the emergency department of a tertiary hospital. In the study, the emergency response skills of intern doctors were measured with a questionnaire prepared using scenarios in which emergency situations were described. Results: The participants’ emergency response skills were improved in the most of emergencies described in the questionnaire. However, there was no significant improvement in emergency intervention skills related to the approach to ventricular tachycardia and multi-trauma patients (P=0.771 and P=0.45, respectively). Conclusion: Doctors doing internship in the emergency medicine clinic receive both theoretical and applied training, which increase their ability to respond to emergency situations. However, there is a need to identify emergency situations in which internship training does not sufficiently improve intervention skills and try new methods to improve the related skills.
急诊医学实习后实习医生应急技能发展评估:一项前瞻性横断面研究
导言:虽然教育的形式有很多种,但在医学领域,边做边学是最有效的学习方式之一。在土耳其,实习医生在急诊服务实习期间可以在主管在场的情况下执行和观察许多紧急干预措施。本研究旨在考察实习医师在急诊医学实习后,是否具备必要的急救技能,包括应用训练和观察。方法:本前瞻性横断面研究于2022年6月2日至2022年9月1日在某三级医院急诊科进行。在本研究中,利用描述紧急情况的情景编制问卷,对实习医生的应急反应技能进行了测量。结果:在问卷中描述的大多数突发事件中,参与者的应急反应技能得到了提高。然而,与室性心动过速和多重创伤患者入路相关的紧急干预技能没有显著提高(P=0.771和P=0.45)。结论:在急诊医学门诊实习的医生接受了理论与应用相结合的培训,提高了他们应对突发事件的能力。但是,有必要查明实习培训不能充分提高干预技能的紧急情况,并尝试新的方法来提高相关技能。
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