基础医学与临床 ›› 2024, Vol. 44 ›› Issue (2): 270-275.doi: 10.16352/j.issn.1001-6325.2024.02.0270

• 医学教育 • 上一篇    下一篇

非麻醉科医师对疼痛诊疗相关继续教育的需求调查

王瑾1, 刘红菊1*, 申乐1,2*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1.麻醉科; 2.国家罕见病临床医学研究中心,北京 100730
  • 收稿日期:2023-05-25 修回日期:2023-10-09 发布日期:2024-02-05
  • 通讯作者: *liuhongju@pumch.cn; pumchshenle@163.com
  • 基金资助:
    中央高水平医院临床科研专项基金(2022-PUMCH-B-007)

Investigation of continuing education requirements on the diagnosis and management of pain in non-anesthetic residents

WANG Jin1, LIU Hongju1*, SHEN Le1,2*   

  1. 1. Department of Anesthesiology; 2. State Key Laboratory of Complex Severe and Rare Disease, Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2023-05-25 Revised:2023-10-09 Published:2024-02-05
  • Contact: *liuhongju@pumch.cn; pumchshenle@163.com

摘要: 目的 本研究拟通过问卷调查了解北京某三甲医院接受麻醉科轮转培训的非麻醉科住院医师工作中疼痛诊疗现状及继续教育需求。方法 自行设计“轮转医师疼痛诊疗培训需求”调查问卷,向第一天进入麻醉科轮转的各专科住院医师发放,自愿填写,并分析结果。结果 研究共回收108份问卷,回收率87.1%,填写对象包括外科医师45人,内科医师42人和急重症科医师21人。外科医师面临手术相关急性创伤性疼痛概率显著高于内科(P<0.001)与急重症科医师(P<0.001)。内科医师面临急慢性炎性疼痛概率显著高于外科医师(P<0.05)与急重症科医师(P<0.01)。所有专科医师均对疼痛诊疗继续教育有需求。培训形式方面,外科医师选择专科讲课(86.7%)比例最高;内科医师选择疼痛门诊见习(88.1%)比例最高;急重症医师选择疼痛治疗见习(90.5%)及专科讲课(81.0%)比例居前两位。结论 疼痛诊疗培训存在广泛需求,培训方式可根据不同专科医师的临床特点按需施教,以提高继续教育质量和可及性,促进疼痛综合管理的开展。

关键词: 疼痛, 医学继续教育, 住院医师, 调查问卷

Abstract: Objective To investigate the current status and training requirements of pain medicine among non-anesthetic residents rotating in the Department of Anesthesiology at a tertiary hospital in Beijing. Methods A self-designed questionnaire of “pain medicine education requirements of rotating residents” was administered to each resident on their first day of rotation, and voluntary responses were collected. Results A total of 108 questionnaires were collected (87.1% response rate), comprising 45 from surgical residents, 42 from internal medicine residents, and 21 from emergency and intensive care residents. The results showed that surgical residents encountered a higher prevalence of surgery-related pain as compared to internal medicine residents or emergency and intensive care residents(P<0.001). Internal medicine residents experienced a greater incidence of inflammatory pain than surgical residents(P<0.05) or emergency and intensive care residents(P<0.01). All residents expressed continuing education requirements on pain management. Regarding training modalities, surgical residents favored medical course (86.7%); internal medicine residents preferred outpatient clinic rotation (88.1%); and emergency and intensive care residents preferred interventional treatment rotations (90.5%). Conclusions There are a wide need for continuing medical education on pain management. The training should be tailored diversely based on the specific clinical needs of each department to improve the overall quality of continuing medical education and accelerate the development of integrative pain management.

Key words: ain, continuing medical education, resident, questionnaire

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