Acil Servis Stajı Sırasında İntörn Doktorların Temel ve İleri Yaşam Desteği Becerilerinin Değerlendirilmesi

AmaçTıp fakültesi eğitiminde öğrencilerin CPR eğitimi sırasında, kardiyak arresti etkili bir şekilde tedavi etmeye hazırlamak için CPR öğrenme deneyimini optimize etmek önemlidir. Çalışmamızın amacı intörn doktorlarda CPR eğitimimizinetkinliğini değerlendirmek ve kalitesini arttırmaktır.Gereç ve YöntemProspektif olarak 2017 - 2018 tarihleri arasında Acil Servis Stajında CPR eğitimi alan, Pre-Post testi cevaplayan intörn doktorların test skorları karşılaştırıldı. İntörn doktorlara Acil stajına başladıkları ilk gün bilgilendirme toplantısı sırasında önceden hazırlanmış sorularla pre-test ve eğitim sonrası aynı sorularla post-test yapılarak, eğitim kalitesi ve CPR bilgi düzeyleri ve değişimi değerlendirildi.BulgularÇalışma süresince 185 intörn pre-test, 128 intörn post-test ile değerlendirildi. 57 intörn doktor derse katılmadıkları ya da post testi cevaplamadıkları için değerlendirilmeye alınmadı. Eğitim sonrası başarı oranı temel-ileri yaşam desteği, taşikardi-bradikardi ve toplam değerlendirmede belirgin olarak arttı. Bu bölümler içinde en fazla başarı değişimi ileri yaşam desteği sorularında en az başarı değişimi taşikardi-bradikardi sorularında idi.Sonuçİntörn doktorlarda temel ve ileri yaşam desteği konusunda 3 saat didaktik ve 1 saat simüle senaryo manken eşliğinde eğitimimiz etkindir.

Evaluation of Basic and Advanced Life Support Skills of 6th-Year Medical Students During Emergency Medicine Clerkship

AimIt is important to optimize CPR training so that medical students become capable of treating cardiac arrest effectively. CPR training program and to improve the quality of CPR training among 6th-year medical students.Material and MethodsIn this study, the pre-and post-test scores of 6th-year medical students who received CPR training during emergency medicine clerkship between the years 2017 and 2018 were compared prospectively. The students completed the pre-test during the information meeting held on the first day of the clerkship. At the end of the training course, the students took the post-test which was identical to the pre-test. The pre-test and post-test results were compared to evaluate the improvement in the CPR skills of the students and the quality of the CPR trainingResultsDuring the study, 185 participants took the pre-test and 128 participants took the post-test. Fifty-seven participants who failed to attend the course or the post-test were excluded. After the course, the success rates increased significantly in the Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and arrhythmia management sections and in the overall evaluation. Among these, the most significant increase in success was in the ACLS section and the least significant increase was in the arrhythmia management section.ConclusionThe BLS-ACLS course we provided to 6th-year medical students, which consisted of 3-hours of didactic training and 1- hour of scenario-based simulation training, was shown to be effective.

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