| Titre : | ACQUISITION OF COMPETENCIES IN MECHANICAL VENTILATION : COMPARISON OF THREE LEARNING METHODS | | Type de document : | thèse | | Auteurs : | AMMAR NADIR, Auteur | | Année de publication : | 2024 | | Langues : | Anglais (eng) | | Mots-clés : | Critical care Mechanical ventilation Medical education Self-perceived-knowledge Mechanical ventilation handbook Soins intensifs Ventilation mécanique enseignement médical connaissance perçue Manuel de ventilation mécanique العناية المركزة التنفس الصناعي التعليم الطبي المعرفة المتصورة دليل التنفس الصناعي | | Résumé : | Introduction
Residents and interns play vital role in caring for critically ill patients, and proficiency in mechanical ventilation (MV) is essential for their success. This study investigated the gap between their self-perceived knowledge and actual competency in MV.
Methods
The study involved interns and residents within four Intensive Care Units. Participants completed a self-reported survey to assess their perceived knowledge, satisfaction with training, and comfort level in caring for MV patients followed by a standardized test to assess their knowledge of MV.
Results
The study revealed concerning weaknesses in residents' MV management skills. Scores on the standardized test were low, particularly in interpreting waveforms (25.74%) and understanding patient-ventilator interactions (37.06%). Residents' SPK scores were significantly higher than their test scores (65.32% vs. 45.67%), indicating an overestimation of their abilities. Most participants reported limited dedicated MV training during their residency programs, averaging only 3.2 hours, with prevalent dissatisfaction (75%) even among those who received training. Residents' comfort levels in caring for MV patients varied, with no significant correlations found between knowledge, SPK scores, satisfaction, and comfort within departments during the initial residency months.
Discussion
77% of critical care residency programs allocate less than three hours per year for MV training, mirroring our observations. Dissatisfaction levels varied across studies but were consistently above 50%, reaching as high as 89% dissatisfaction. The lack of correlations between knowledge, SPK, satisfaction, and comfort levels during the initial residency months suggests that current training programs may not be effectively equipping residents with the necessary MV skills and confidence early on. Other factors, such as prior knowledge or individual learning styles, might also play a significant role in residents' MV proficiency.
Conclusion
Residents often lack the confidence and knowledge to manage MV patients effectively within the first six months, highlighting a critical gap in residency training programs. | | Numéro (Thèse ou Mémoire) : | M2532024 | | Président : | Mamoun FAROUDY | | Directeur : | Mamoun FAROUDY | | Juge : | Aziza BENTALHA | | Juge : | Rachid MOUSSAOUI | | Juge : | Hamza HAMZAOUI ; Mohamed ANDALOUSSI |
ACQUISITION OF COMPETENCIES IN MECHANICAL VENTILATION : COMPARISON OF THREE LEARNING METHODS [thèse] / AMMAR NADIR, Auteur . - 2024. Langues : Anglais ( eng) | Mots-clés : | Critical care Mechanical ventilation Medical education Self-perceived-knowledge Mechanical ventilation handbook Soins intensifs Ventilation mécanique enseignement médical connaissance perçue Manuel de ventilation mécanique العناية المركزة التنفس الصناعي التعليم الطبي المعرفة المتصورة دليل التنفس الصناعي | | Résumé : | Introduction
Residents and interns play vital role in caring for critically ill patients, and proficiency in mechanical ventilation (MV) is essential for their success. This study investigated the gap between their self-perceived knowledge and actual competency in MV.
Methods
The study involved interns and residents within four Intensive Care Units. Participants completed a self-reported survey to assess their perceived knowledge, satisfaction with training, and comfort level in caring for MV patients followed by a standardized test to assess their knowledge of MV.
Results
The study revealed concerning weaknesses in residents' MV management skills. Scores on the standardized test were low, particularly in interpreting waveforms (25.74%) and understanding patient-ventilator interactions (37.06%). Residents' SPK scores were significantly higher than their test scores (65.32% vs. 45.67%), indicating an overestimation of their abilities. Most participants reported limited dedicated MV training during their residency programs, averaging only 3.2 hours, with prevalent dissatisfaction (75%) even among those who received training. Residents' comfort levels in caring for MV patients varied, with no significant correlations found between knowledge, SPK scores, satisfaction, and comfort within departments during the initial residency months.
Discussion
77% of critical care residency programs allocate less than three hours per year for MV training, mirroring our observations. Dissatisfaction levels varied across studies but were consistently above 50%, reaching as high as 89% dissatisfaction. The lack of correlations between knowledge, SPK, satisfaction, and comfort levels during the initial residency months suggests that current training programs may not be effectively equipping residents with the necessary MV skills and confidence early on. Other factors, such as prior knowledge or individual learning styles, might also play a significant role in residents' MV proficiency.
Conclusion
Residents often lack the confidence and knowledge to manage MV patients effectively within the first six months, highlighting a critical gap in residency training programs. | | Numéro (Thèse ou Mémoire) : | M2532024 | | Président : | Mamoun FAROUDY | | Directeur : | Mamoun FAROUDY | | Juge : | Aziza BENTALHA | | Juge : | Rachid MOUSSAOUI | | Juge : | Hamza HAMZAOUI ; Mohamed ANDALOUSSI |
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