妇产科住培医师麻醉科轮转情况的调查

A survey of obstetrics and gynecology residents training situation during the rotation of anesthesiology

目的:探讨在妇产科进行住院医师规范化培训(简称住培)的医师在麻醉科轮转的效果,为改进妇产科住院医师规范化培训提供参考。方法:2020年1月至2021年12月,采用问卷调查方法对在广州医科大学附属第三医院麻醉科轮转的74名妇产科住培医师进行调查。采用描述统计方法分析调查结果。结果:74名妇产科住培医师中,69名(93.2%)医师认为麻醉科轮转十分必要。通过麻醉科轮转,分别有70名(94.6%)、60名(81.1%)、56名(75.7%)、52名(70.3%)住培医师认为能够熟练掌握的临床麻醉操作是术前访视患者并实施麻醉、面罩给氧和机械通气、正确书写麻醉记录和小结、气管内插管全身麻醉。70名(94.6%)住培医师对于轮转的安排表示认可。结论:妇产科住培医师认为麻醉科轮转有助于他们掌握临床麻醉的基本操作,进而有助于提高他们的临床综合能力、应急抢救能力、危重症处理能力、统筹安排临床任务能力。

Objective To investigation the effect of anesthesiology rotation on trainees enrolled in standardized residency training for obstetrics and gynecology,and to inform future improvement for standardized residents training program of obstetrics and gynecology.Methods From January 2020 to December 2021 a questionnaire was used to investigate 74 obstetrics and gynecology residents during their rotation in Department of Anesthesiology of The Third Affiliated Hospital of Guangzhou Medical University.Descriptive statistics were used to analyze the results.Results A total of 69(93.2%)of the 74 residents believed that the rotation in anesthesiology were very necessary.They believed that the relevant competencies to be mastered were preoperative visit to patients and implementation of anesthesia,mask oxygen and mechanical ventilation,writing anesthesia records and summaries,and general anesthesia through endotracheal intubation,accounting for 70(94.6%),60(81.1%),56(75.7%),and 52(70.3%),respectively.A total of 70(94.6%)trainees accepted the arrangement of rotation in the anesthesiology.Conclusions Residents of obstetrics and gynecology recognized the necessity of rotation in anesthesiology,which will help them master the basic competencies of clinical anesthesia,improve their clinical comprehensive ability,emergency rescue ability,critical disease treatment ability,and ability to prioritize clinical tasks.