A blended approach to invasive bedside procedural instruction

被引：36

作者：

Lenchus, Joshua ^{[1
]}

Issenberg, S. Barry ^{[1
]}

Murphy, Daniel ^{[1
]}

Everett-Thomas, Ruth ^{[1
]}

Erben, Laura ^{[1
]}

Arheart, Kristopher ^{[1
]}

Birnbach, David J. ^{[1
]}

机构：

[1] Univ Miami, Miami, FL 33136 USA

来源：

MEDICAL TEACHER | 2011年 / 33卷 / 02期

关键词：

INTERNAL-MEDICINE RESIDENTS; DELIBERATE PRACTICE; EDUCATION; COMPLICATIONS; COMPETENCE; SKILLS;

D O I：

10.3109/0142159X.2010.509412

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Objective: This study assessed the impact of a blended, standardized curriculum for invasive bedside procedural training on medical knowledge and technical skills for Internal Medicine residents. Methods: The investigators developed a curriculum in procedural instruction and performance for Internal Medicine house staff, and implemented the program at a tertiary care academic medical center with a primary affiliation with a US medical school. The investigators chose procedures recommended for technical competence by the American Board of Internal Medicine: lumbar puncture, thoracentesis, paracentesis, central venous catheter insertion, and knee arthrocentesis. The program included: (1) assessment of baseline medical knowledge and technical proficiency on mannequins, (2) video instruction of procedure, (3) faculty-led discussion of critical concepts, (4) faculty demonstration of the procedure on mannequin, (5) individual practice on simulators, (6) post-intervention knowledge evaluation, and (7) post-intervention skills evaluation. The performance achieved during the initial skills evaluation on a mannequin was compared to the performance achieved on the first patient subsequent to the instructional portion. Results: All participants with complete data demonstrated a statistically significant pre-intervention to post-intervention improvement (p < 0.05) in comprehensive medical knowledge and procedural skills. Conclusion: A blended, standardized curriculum in invasive bedside procedural instruction can significantly improve performance in participants'' medical knowledge and technical skills.

引用

页码：116 / 123

页数：8

共 20 条

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[2]

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