PDF(Pubmed)
Abstract：
UNASSIGNED: Critical care, emergency medicine, and surgical trainees frequently perform surgical and Seldinger-technique tube thoracostomy, thoracentesis, and thoracic ultrasound. However, approaches to teaching these skills are highly heterogeneous. Over 10 years, we have developed a standardized, multidisciplinary curriculum to teach these procedures.
UNASSIGNED: Emergency medicine residents, surgical residents, and critical care fellows, all in the first year of their respective programs, underwent training in surgical and Seldinger chest tube placement and securement, thoracentesis, and thoracic ultrasound. The curriculum included preworkshop instructional videos and 45-minute in-person practice stations (3.5 hours total). Sessions were co-led by faculty from emergency medicine, thoracic surgery, and pulmonary/critical care who performed real-time formative assessment with standardized procedural steps. Postcourse surveys assessed learners\' confidence before versus after the workshop in each procedure, learners\' evaluations of faculty by station and specialty, and the workshop overall.
UNASSIGNED: One hundred twenty-three trainees completed course evaluations, demonstrating stable and positive responses from learners of different backgrounds taught by a multidisciplinary group of instructors, as well as statistically significant improvement in learner confidence in each procedure. Over time, we have made incremental changes to our curriculum based on feedback from instructors and learners.
UNASSIGNED: We have developed a unique curriculum designed, revised, and taught by a multidisciplinary faculty over many years to teach a unified approach to the performance of common chest procedures to surgical, emergency medicine, and critical care trainees. Our curriculum can be readily adapted to the needs of institutions that desire a standardized, multidisciplinary approach to thoracic procedural education.
UNASSIGNED: Emergency medicine residents, surgical residents, and critical care fellows, all in the first year of their respective programs, underwent training in surgical and Seldinger chest tube placement and securement, thoracentesis, and thoracic ultrasound. The curriculum included preworkshop instructional videos and 45-minute in-person practice stations (3.5 hours total). Sessions were co-led by faculty from emergency medicine, thoracic surgery, and pulmonary/critical care who performed real-time formative assessment with standardized procedural steps. Postcourse surveys assessed learners\' confidence before versus after the workshop in each procedure, learners\' evaluations of faculty by station and specialty, and the workshop overall.
UNASSIGNED: One hundred twenty-three trainees completed course evaluations, demonstrating stable and positive responses from learners of different backgrounds taught by a multidisciplinary group of instructors, as well as statistically significant improvement in learner confidence in each procedure. Over time, we have made incremental changes to our curriculum based on feedback from instructors and learners.
UNASSIGNED: We have developed a unique curriculum designed, revised, and taught by a multidisciplinary faculty over many years to teach a unified approach to the performance of common chest procedures to surgical, emergency medicine, and critical care trainees. Our curriculum can be readily adapted to the needs of institutions that desire a standardized, multidisciplinary approach to thoracic procedural education.
摘要：
■重症监护,急诊医学,和外科受训者经常进行外科手术和Seldinger技术的导管胸廓造口术，胸腔穿刺术,还有胸部超声.然而,教授这些技能的方法是高度异构的。超过10年,我们开发了一个标准化的，多学科课程来教授这些程序。
■急诊医学居民，外科住院医师,和重症监护研究员，都是在他们各自节目的第一年，接受了手术和Seldinger胸管放置和固定方面的培训，胸腔穿刺术,还有胸部超声.课程包括讲习班前的教学视频和45分钟的现场练习站（总共3.5小时）。会议由急诊医学的教职员工共同主持，胸外科,和肺/重症监护患者通过标准化程序步骤进行实时形成性评估。课程后调查评估了每个程序中研讨会前后学习者的信心，学习者按车站和专业对教师的评估，以及整个车间。
■123名学员完成了课程评估，展示由多学科教师小组教授的不同背景的学习者的稳定和积极的反应，以及在每个程序中学习者信心的统计学显着改善。随着时间的推移,根据教师和学习者的反馈，我们对课程进行了渐进的修改。
■我们开发了独特的课程设计，修订,多年来由多学科教师教授，教授一种统一的方法来执行常见的胸部手术，急诊医学,和重症监护受训者。我们的课程可以很容易地适应期望标准化的机构的需求，多学科方法的胸廓程序教育。
■急诊医学居民，外科住院医师,和重症监护研究员，都是在他们各自节目的第一年，接受了手术和Seldinger胸管放置和固定方面的培训，胸腔穿刺术,还有胸部超声.课程包括讲习班前的教学视频和45分钟的现场练习站（总共3.5小时）。会议由急诊医学的教职员工共同主持，胸外科,和肺/重症监护患者通过标准化程序步骤进行实时形成性评估。课程后调查评估了每个程序中研讨会前后学习者的信心，学习者按车站和专业对教师的评估，以及整个车间。
■123名学员完成了课程评估，展示由多学科教师小组教授的不同背景的学习者的稳定和积极的反应，以及在每个程序中学习者信心的统计学显着改善。随着时间的推移,根据教师和学习者的反馈，我们对课程进行了渐进的修改。
■我们开发了独特的课程设计，修订,多年来由多学科教师教授，教授一种统一的方法来执行常见的胸部手术，急诊医学,和重症监护受训者。我们的课程可以很容易地适应期望标准化的机构的需求，多学科方法的胸廓程序教育。
