How Prepared Are Pediatric Residents for Pediatric Emergencies: Is Pediatric Advanced Life Support Certification Every 2 Years Adequate?
How Prepared Are Pediatric Residents for Pediatric Emergencies: Is Pediatric Advanced Life Support Certification Every 2 Years Adequate?
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儿科住院医生对儿科紧急情况做好了哪些准备：每两年进行一次儿科高级生命支持认证是否足够？
DOI：
10.1177/2333794x19876809
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发表时间：
2019
影响因子：
2.2
通讯作者：
Clara Giambruno
中科院分区：
文献类型：
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作者：
S. Doymaz;M. Rizvi;Marguerite Orsi;Clara Giambruno
目标。我们根据儿科住院医师上次获得美国心脏协会儿科高级生命支持 (AHA PALS) 认证以来的时间来评估他们对知识和临床技能的保留情况。方法。招募了 64 名儿科住院医师，并根据自上次 PALS 认证以来的时间分为 3 组，如下：第 1 组，0 至 8 个月；第 1 组，0 至 8 个月；第 2 组为 9 至 16 个月，第 3 组为 17 至 24 个月。使用 10 个多项选择 AHA PALS 预测试问题测试住院医生的知识，并使用 2 个不同的 AHA PALS 检查表通过模拟模拟代码场景评估他们的临床技能表现，并计算 3 组的平均分。使用方差分析、χ2 检验和 Jonckheere-Terpstra 检验来分析 3 组之间测试分数和总体临床技能表现的差异。统计显着性设定为 P < .05。结果。儿科住院医师的平均总体临床技能表现得分在上次 AHA PALS 认证日期后的前 8 个月内下降，并随着时间的推移继续下降（第 1、2 和 3 组分别为 87%、82.6% 和 77.4%；P = 0.048）。 3组居民的多项选择测试成绩均有所下降，但分数没有显着差异。结论。住院医师的临床技能表现在获得 PALS 认证后的前 8 个月内有所下降，并且随着距上次认证时间的增加而继续下降。在儿科住院医师实习期间使用模拟代码模拟和强化 AHA PALS 指南值得进一步评估。
Objectives. We assessed pediatric residents’ retention of knowledge and clinical skills according to the time since their last American Heart Association Pediatric Advanced Life Support (AHA PALS) certification. Methods. Sixty-four pediatric residents were recruited and divided into 3 groups based on the time since their last PALS certification, as follows: group 1, 0 to 8 months; group 2, 9 to 16 months, and group 3, 17 to 24 months. Residents’ knowledge was tested using 10 multiple-choice AHA PALS pretest questions and their clinical skills performance was assessed with simulation mock code scenarios using 2 different AHA PALS checklists, and mean scores were calculated for the 3 groups. Differences in the test scores and overall clinical skill performances among the 3 groups were analyzed using analyses of variance, χ2 tests, and Jonckheere-Terpstra tests. Statistical significance was set at P < .05. Results. The pediatric residents’ mean overall clinical skills performance scores declined within the first 8 months after their last AHA PALS certification date and continued to decrease over time (87%, 82.6%, and 77.4% for groups 1, 2, and 3, respectively; P = .048). Residents’ multiple-choice test scores declined in all 3 groups, but the scores were not significantly different. Conclusions. Residents’ clinical skills performance declined within the first 8 months after PALS certification and continued to decline as the time from the last certification increased. Using mock code simulations and reinforcing AHA PALS guidelines during pediatric residency deserve further evaluation.