The role of anesthesiologists in Canadian undergraduate medical education
The role of anesthesiologists in Canadian undergraduate medical education
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麻醉师在加拿大本科医学教育中的作用
DOI：
10.1007/bf03019727
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
J. Bradley
中科院分区：
文献类型：
--
作者：
R. Brull;J. Bradley
目的：探讨麻醉师在加拿大本科医学教育中的作用。方法：向加拿大16所医学院的麻醉学本科主任/协调员邮寄一份包含93个项目的调查问卷。结果：在加拿大的麻醉科教师中，分别有1.7%、4.9%和4.9%的人在实习前讲授讲座、研讨会和PBL辅导。每年，麻醉师在每所医学院教授3.3小时(范围0到15)的实习前讲座和12.8小时(0到48小时)的实习前研讨会。麻醉师在实习前讲座和研讨会上最常讲授的主题分别是药理学和围手术期患者评估。在13所学校，实习期间的麻醉轮换是强制性的，平均持续时间为9.6天(范围：5-20天)。助理教学方法各不相同：10所学校提供研讨会，8所学校使用视频，6所学校使用计算机，6所学校使用呼吸道技能实验室，4所学校使用麻醉模拟器。在实习麻醉研讨会上，最常见的课程是呼吸道管理和液体疗法。结论：只有极少数麻醉师在实习前阶段参加加拿大的UME。在加拿大的本科课程中，麻醉师授课的数量和形式有相当大的差异，特别是在初级职员的水平上。然而，我们的结果表明，麻醉师在实习期间承担着更重要的教学角色。我们的发现可能表明，加拿大医学院忽视了麻醉师为UME提供的实习前水平的优势，或者许多麻醉师不愿承担实习前的教学责任。
Purpose: To examine the current role of anesthesiologists in Canadian undergraduate medical education (UME).Methods: A 93-item questionnaire was mailed to the undergraduate course chairs/coordinators for anesthesia at the 16 medical schools in Canada.Results: Of the faculty anesthesiologists in Canada, 1.7%, 4.9%, and 4.9% teach pre-clerkship lectures, seminars, and PBL tutorials, respectively. Annually, anesthesiologists teach an average of 3.3 hr (range: 0 to 15) of preclerkship lectures and 12.8 hr (range: 0 to 48) of pre-clerkship seminars at each medical school. The topics most commonly taught by anesthesiologists in pre-clerkship lectures and seminars are pharmacology and perioperative patient assessment, respectively. An anesthesia rotation during clerkship is mandatory at 13 schools, with an average duration of 9.6 dy (range: 5 – 20 dy). Clerkship teaching methods vary: ten schools provide seminars, eight use videos, six use computers, six use an airway skills laboratory, and four use an anesthesia simulator. The most common topics taught in clerkship anesthesia seminars are airway management and fluid therapy.Conclusion: A very small proportion of faculty anesthesiologists participate in Canadian UME at the pre-clerkship level. Considerable variation exists in the amount and format of teaching by anesthesiologists among the Canadian undergraduate curricula, particularly at the pre-clerkship level. However, our results indicate that anesthesiologists are assuming a more important teaching role during clerkship. Our findings may suggest that Canadian medical schools are overlooking the advantages that anesthesiologists offer to UME at the pre-clerkship level, or that many anesthesiologists are reluctant to assume pre-clerkship teaching responsibilities.