Girişimsel Yeterlilik, Acil Tıp Rotasyonu için Aile Hekimliği Asistanlarının Bakış Açısından Öz Değerlendirmeleri Hedefler

Yıl 2024, Cilt: 34 Sayı: 1, 15 - 21, 29.02.2024

Cüneyt Arıkan , Kurtuluş Öngel , Ejder Saylav Bora , Seval Çalışkan Pala , Efe Kanter , Merve Alban , Pelin Çomak

https://doi.org/10.54005/geneltip.1267230

Öz

Amaç: Bu çalışmanın amacı, aile hekimliği asistanlarının acil tıp rotasyonunda hedeflenen girişimsel yeterlilik hedeflerinde kendilerini ne kadar yetkin gördüklerini ve yeterlilik düzeyleri ile ilişkili faktörleri değerlendirmektir.
Gereç ve Yöntem: Çalışma, 01 Mayıs-31 Ekim 2022 tarihleri arasında gerçekleştirilen metodolojik ve kesitsel bir çalışmadır. Acil tıp rotasyonunu tamamlamış ve araştırmaya katılmayı kabul eden 138 aile hekimliği asistanı çalışmaya dahil edilmiştir. Araştırmada veri toplamak için kullanılan ankette, aile hekimliği uzmanlık eğitimi müfredatı ve sosyodemografik özellikler temel alınarak araştırmacılar tarafından geliştirilen Acil Tıp Rotasyon Girişimsel Yeterlilik Ölçeği (EMRICS) bulunmaktadır.
Bulgular: Çalışma grubunun yaş ortalaması 29,71±4,27 (Ort±SS) yıl ve %60,10'u (n:83) kadındı. Çalışma grubunda ölçekten alınan ortalama puanlar 59,86±11,72 (Ort±SS) idi. Aile hekimliği asistanlarının en yüksek yeterliliğe sahip olduğu girişimsel yeterlilik %97,80 (n:135) ile arteriyel kan gazı iken, en düşük ise %15,20 (n:21) ile trakeostomi idi. Beş ve üzeri uygulama yapan çalışma grubunda TYD değerlendirmesi (p:0,037), entübasyon (p:0,028), trakeostomi (p:0,034), travma hastası değerlendirmesi (p:0,004) yapmayanlara göre daha yüksek EMRICS aldı. hiç.
Sonuç: Girişimsel yeterlik hedeflerinde istenilen yeterliliğe ulaşılabilmesi için en az 5 kez tekrarlanması önerilmektedir.

Anahtar Kelimeler

Aile hekimliği, acil tıp, girişimsel yeterlilik ölçeği, tıp eğitimi.

Interventional Competency Goals Self-evaluations from the Perspective of Family Medicine Residents for Emergency Medicine Rotation

Öz

Backround: The aim of this study is to evaluate how competent family medicine residents see themselves in the interventional competency goals targeted in emergency medicine rotation and the factors associated with their competency levels.
Methods: The study is a methodological and cross-sectional study carried out between 01 May-31 October 2022. 138 family medicine residents who completed their emergency medicine rotation and agreed to participate in the study were included in the study. In the questionnaire used to collect data in the study, there were the Emergency Medicine Rotation Interventional Competence Scale (EMRICS) developed by the researchers based on the family medicine specialty training curriculum and sociodemographic characteristics.
Results: The mean ages of the study group 29.71±4.27 (Mean±SD) years, and 60.10% (n:83) were women. The mean scores obtained from the scale in the study group were 59.86±11.72 (Mean±SD). While the interventional competence in which family physician residents had the highest proficiency was arterial blood gas with 97.80% (n:135), the lowest was tracheostomy with 15.20% (n:21). Evaluation of BLS (p:0.037), intubation (p:0.028), tracheostomy (p:0.034), trauma patient assessment (p:0.004) in the study group who applied five or more applications received higher EMRICS than those who did not apply at all.
Conclusion: In order to achieve the desired competence in interventional competency goals, it is recommended to be repeated at least 5 times.

Anahtar Kelimeler

Family medicine, emergency medicine, interventional competency scale, medical education.

Kaynakça

• Medical Specialization Board Curriculum Formation and Standard Setting System (TUKMOS). Family Medicine Specialization Education Core Curriculum [Internet] https://tuk.saglik.gov.tr/Eklenti/34104/0/ailehekimligimufredatv24pdf.pdf (Accessed: 28.11.2022).
• Kodaş H. Current problems and future perspectives of family medicine assistants on specialization training (Thesis). Istanbul: University of Health Sciences, Gaziosmanpaşa Taksim Health Practice and Research Center Family Medicine Clinic; 2017.
• Wonca Europe 2011. The European Definition of General Practice/Family Medicine. 2011 edition. [Internet]. https://www.woncaeurope.org/file/520e8ed3-30b4-4a74-bc35-87286d3de5c7/Definition%203rd%20ed%202011%20with%20revised%20w onca%20tree.pdf (Accessed: 28.11.2022).
• Lloyd S, Streiner D, Shannon S. Family medicine residency programs. Evaluating the need for different third-year programs. Can Fam Physician. February 1994;40:273-8.
• Arslan EM. Evaluation of the rotation practices of family medicine residency students in the education process and their opinions about rotation practices (Thesis). Sakarya: Sakarya University Medical Faculty Department Of Family Medicine; 2021.
• Uğurlu M, Üstü Y. The process of family medicine specialty training and points to be improved. Ankara Medical Journal. 2018; 18(1): 123-128.
• Kilic S. Cronbach’s alpha reliability coefficient. JMOOD. 2016;6(1):47.
• Abdi H, Williams LJ. Principal component analysis: Principal component analysis. WIREs Comp Stat. July 2010;2(4):433-59.
• Chan BTB. Do family physicians with emergency medicine certification practice family medicine? CMAJ. 15 October 2002;167(8):869-70.
• Cebeci S, Konur M, Özdemir H, Özünal M, Sayalı E, Uzuner A et al. Family medicine residents' thoughts on family medicine practices and specialization training in Turkey. Working Report. 2007.
• Yıldırım B, Eğici MT. On‐site training of family medicine and training family health centers with the perspective of family medicine residents. Ankara Med J, 2018; 18(3): 300‐11.
• Us M. Evaluation of the family medicine residents in Ankara knowledge level about upper respiratory tract i̇nfections, antiviral use in upper respiratory tract infections and influenza vaccine (Thesis). Ankara: Yıldırım Beyazıt University, Faculty of Medicine, Department of Family Medicine; 2020.
• Cikman O, Ozkan A, Kiraz HA et al. A questionaire study evaluating the knowledge and approach by physicians about arterial blood gas. la Clinica Terapeutica. 30 June 2014;(3):e194-8.
• Taylor C, Barrass L, Drewery H. Training for tracheostomy. British Journal of Anaesthesia. November 2013;111(5):842-3.
• Sanyal SD, Raychowdhury R. Tracheostomy Experience among Indian Otolaryngology-Head and Neck Surgery Residents – A Survey. J Head Neck Physicians Surg [serial online] 2020 [cited 2022 Nov 28];8:102-8.
• Muallem-Kalmovich L, Pitaro J, Asaly A et al. Open tracheostomy training: a nationwide survey among Otolaryngology-Head and Neck Surgery residents. Eur Arch Otorhinolaryngol. November 2017;274(11):4035-42.