RESUMEN
OBJECTIVE: The coronavirus disease (COVID-19) pandemic necessitated alternative methods to ensure the continuity of medical education. Our study explores the efficacy and acceptability of a digital continuous medical education initiative for medical residents during this challenging period. METHODS: From September to December 2020, 47 out of 60 enrolled trainee doctors participated in this innovative digital Continuous Medical Education (CME) approach. We utilized the Script Concordance Test to bolster clinical reasoning skills. Three simulation scenarios, namely Advanced Trauma Life Support (ATLS), Advanced Life Support (ALS), and European Paediatric Life Support (EPLS), were transformed into interactive online sessions via Zoom™. Participant feedback was also collected through a survey. RESULTS: Consistent Script Concordance Testing (SCT) scores among participants indicated the effectiveness of the online training module. Feedback suggested a broad acceptance of this novel training approach. However, discrepancies observed between formative SCT scores, and summative Multiple-Choice Questions (MCQ) assessments highlighted areas for potential refinement. CONCLUSIONS: Our findings showcase the resilience and adaptability of medical education amidst challenges like the global pandemic. The success of methodologies such as SCT, endorsed by prestigious bodies like the European Resuscitation Council and the American Heart Association, suggests their potential in preparing health care professionals for emergent situations. This research offers valuable insights for shaping future online CME strategies.
Asunto(s)
COVID-19 , Medicina de Emergencia , Internado y Residencia , Humanos , Niño , Evaluación Educacional/métodos , Pandemias , COVID-19/epidemiología , Educación Médica Continua/métodos , Medicina de Emergencia/educación , Competencia Clínica , InternetRESUMEN
OBJECTIVES: The aim of the study was to determine the relationship between the severity of post-traumatic stress disorder (PTSD) symptoms and such predictors as coping style and dispositional optimism in the group of professional paramedics. METHODS: The study was conducted in a group of 440 paramedics employed by various units of the Polish Emergency Medical Service in five voivodships. Finally, research data obtained from 159 people were analyzed. The mean age of the respondents was 34.14 (SD = 8.67), mean work experience - 9.22 years (SD = 7.67). The majority of participants were male (N = 139, 87.4%), which reflects the gender balance observed in this particular professional group. Intensity of PTSD symptoms was assessed using the Impact of Event Scale - Revised (IES-R). Dispositional optimism was evaluated by means of the Life Orientation Test - Revised (LOT-R) and coping styles were measured with the use of the multi-faceted Coping Orientations to Problems Expected (COPE) inventory. RESULTS: On the basis of the conducted studies, it can be concluded that PTSD concerns 28% of the participants. Hierarchical regression analysis revealed that general risk of PTSD symptoms occurrence is caused by preferred coping style, namely the emotion-focused coping style (positive predictor). Furthermore, two-factor interaction regression analysis showed that dispositional optimism can play a role as a mediator of the relationship between PTSD general index and the emotion-focused coping style. CONCLUSIONS: Paramedics are more prone to develop PTSD symptoms than general population. This indicates the need for preventive steps to be taken in the professional group of paramedics taking into consideration their coping styles and level of dispositional optimism.
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Adaptación Psicológica , Técnicos Medios en Salud/psicología , Exposición Profesional/efectos adversos , Personalidad , Trastornos por Estrés Postraumático/psicología , Adulto , Técnicos Medios en Salud/estadística & datos numéricos , Femenino , Humanos , Masculino , Polonia , Factores de Riesgo , Trastornos por Estrés Postraumático/epidemiología , Encuestas y Cuestionarios , Adulto JovenRESUMEN
In 1980 a third edition of Diagnostic and Statistical Manual of Mental Disorders (DSM) brought diagnostic criteria for a new diagnosis - posttraumatic stress disorder (PTSD). This disorder is a result of highly intensive stressor and in many cases leads to sever psychiatric distress. Despite relatively recent introduction of PTSD as a new diagnosis, this disorder was excessively described in scientific papers as well as in fiction novels. Analysis of those descriptions across ages allows for the conclusion that character and type of stressors has changed, however, people's reactions to highly intensive stressors are basically similar. First descriptions are found in notes of Egyptian physicians and then in papers of Homer, Herodotus and Plutarch. In consecutive parts of this paper, the authors present history of posttraumatic stress disorder describing contribution of Polish authors - Kepinski and Szymusik. Presented historical perspective of posttraumatic stress disorder allows for better understanding of reasons for introducing PTSD into classifications as well as controversies related to it.
Asunto(s)
Salud Mental/historia , Trastornos por Estrés Postraumático/historia , Historia Antigua , HumanosRESUMEN
Cardiopulmonary resuscitation (CPR) is relatively novel branch of medical science, however first descriptions of mouth-to-mouth ventilation are to be found in the Bible and literature is full of descriptions of different resuscitation methods - from flagellation and ventilation with bellows through hanging the victims upside down and compressing the chest in order to stimulate ventilation to rectal fumigation with tobacco smoke. The modern history of CPR starts with Kouwenhoven et al. who in 1960 published a paper regarding heart massage through chest compressions. Shortly after that in 1961Peter Safar presented a paradigm promoting opening the airway, performing rescue breaths and chest compressions. First CPR guidelines were published in 1966. Since that time guidelines were modified and improved numerously by two leading world expert organizations ERC (European Resuscitation Council) and AHA (American Heart Association) and published in a new version every 5 years. Currently 2010 guidelines should be obliged. In this paper authors made an attempt to present history of development of resuscitation techniques and methods and assess the influence of previous lifesaving methods on nowadays technologies, equipment and guidelines which allow to help those women and men whose life is in danger due to sudden cardiac arrest.
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Reanimación Cardiopulmonar/historia , Reanimación Cardiopulmonar/normas , Cardioversión Eléctrica/historia , Cardioversión Eléctrica/normas , Europa (Continente) , Masaje Cardíaco/historia , Historia del Siglo XVI , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Historia Antigua , Humanos , Respiración Artificial/historia , Respiración Artificial/normas , Estados UnidosRESUMEN
Suicide is a serious public health problem, being, according to WHO, a third leading cause of death among people aged 15-44. In 2001 the total number of suicide deaths was higher than war deaths (500.000 and 23.0000 respectively). Due to such a high incidence of suicides it is likely that a doctor may encounter a suicide or attempted suicide. According to NHS data an average GP will most likely have 10-15 suicidal patients during career. A doctor who encounters a suicidal patient or is approached by a worried family member of a suicidal patient should make right decisions and inform a patient as well as his/her family what to do in the future. The aim of this paper is to present basic data regarding epidemiology of suicides and suggestions which may help the doctor to prevent suicide attempts.
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Prevención del Suicidio , Suicidio/estadística & datos numéricos , Adolescente , Adulto , Femenino , Humanos , Masculino , Polonia/epidemiología , Factores de Riesgo , Intento de Suicidio/prevención & control , Intento de Suicidio/estadística & datos numéricos , Adulto JovenRESUMEN
Suicide is a serious public health problem, being, according to WHO, a third leading cause of death among people aged 15-44. In 2001 the total number of suicide deaths was higher than war deaths ( 500.000 and 23.0000 respectively). Due to such a high incidence of suicides it is likely that a doctor may encounter a suicide or attempted suicide. According to NHS data an average GP will most likely have 10-15 suicidal patients during career. A doctor who encounters a suicidal patient or is approached by a worried family member of a suicidal patient should make right decisions and inform a patient as well as his/her family what to do in the future. The aim of this paper is to present basic data regarding epidemiology of suicides and suggestions which may help the doctor to prevent suicide attempts.