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Evaluación de competencias de intubación traqueal mediante un escenario simulado en internos de medicina / Evaluation of competencies for tracheal intubation among medical students
ANDRESEN, MAX; RIQUELME, ARNOLDO; HASBÚN, PABLO; DÍAZ, CARLA; MONTAÑA, RODRIGO; REGUEIRA, TOMÁS.
Afiliación
  • ANDRESEN, MAX; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Medicina Intensiva. CL
  • RIQUELME, ARNOLDO; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento Gastroenterología. CL
  • HASBÚN, PABLO; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Medicina Intensiva. CL
  • DÍAZ, CARLA; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento Gastroenterología. CL
  • MONTAÑA, RODRIGO; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Anestesiología. CL
  • REGUEIRA, TOMÁS; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Medicina Intensiva. CL
Rev. méd. Chile ; 139(2): 165-170, feb. 2011. ilus
Article en Es | LILACS | ID: lil-595282
Biblioteca responsable: BR1.1
ABSTRACT

Background:

Chilean medical schools curricula are focused on the acquisition of competencies. Tracheal intubation is considered a terminal competence.

Aim:

To evaluate the competencies related to airway management including tracheal intubation in undergraduate medical students. Material and

Methods:

Prospective observational study. Thirty medical students in the sixth year of a seven years undergraduate program (25.2 percent of the cohort) were randomly chosen and invited to participate in a simulated environment of elective tracheal intubation using a manikin. The students were assessed according to a checklist validated with the Delphi technique and a written self-assessment questionnaire.

Results:

Seventeen students (57 percent) accepted to participate, corresponding to 14.3 percent of the cohort. Tracheal intubation was achieved by 64 percent, with 60 seconds as the mean time of apnea. Less than half of the students checked the instruments, performed pre-oxygenation or evaluated the airway. Eighty-seven percent of the students said that the current curriculum offers them minimal competencies for airway management in a real clinical situation and all prefer simulated scenarios for the acquisition of clinical skills.

Conclusions:

The methodology currently used to teach tracheal intubation is not assuring the acquisition of the competencies to the students in this curriculum stage. More effective teaching methods are required, and the use of simulated scenarios can be a useful tool.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Estudiantes de Medicina / Competencia Clínica / Educación de Pregrado en Medicina / Intubación Intratraqueal Tipo de estudio: Observational_studies Límite: Humans Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 2011 Tipo del documento: Article / Project document País de afiliación: Chile Pais de publicación: Chile
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Estudiantes de Medicina / Competencia Clínica / Educación de Pregrado en Medicina / Intubación Intratraqueal Tipo de estudio: Observational_studies Límite: Humans Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 2011 Tipo del documento: Article / Project document País de afiliación: Chile Pais de publicación: Chile