15 research outputs found
Endotracheal intubation skill acquisition by medical students
During the course of their training, medical students may receive introductory experience with advanced resuscitation skills. Endotracheal intubation (ETI â the insertion of a breathing tube into the trachea) is an example of an important advanced resuscitation intervention. Only limited data characterize clinical ETI skill acquisition by medical students. We sought to characterize medical student acquisition of ETI procedural skill.11Presented as a poster discussion on 17 October 2007 at the annual meeting of the American Society of Anesthesiologists in San Francisco, CA.The study included third-year medical students participating in a required anesthesiology clerkship. Students performed ETI on operating room patients under the supervision of attending anesthesiologists. Students reported clinical details of each ETI effort, including patient age, sex, Mallampati score, number of direct laryngoscopies and ETI success. Using mixed-effects regression, we characterized the adjusted association between ETI success and cumulative ETI experience.ETI was attempted by 178 students on 1,646 patients (range 1â23 patients per student; median 9 patients per student, IQR 6â12). Overall ETI success was 75.0% (95% CI 72.9â77.1%). Adjusted for patient age, sex, Mallampati score and number of laryngoscopies, the odds of ETI success improved with cumulative ETI encounters (odds ratio 1.09 per additional ETI encounter; 95% CI 1.04â1.14). Students required at least 17 ETI encounters to achieve 90% predicted ETI success.In this series medical student ETI proficiency was associated with cumulative clinical procedural experience. Clinical experience may provide a viable strategy for fostering medical student procedural skills
At the coalface and the cutting edge: general practitionersâ accounts of the rewards of engaging with HIV medicine
The interviews we conducted with GPs suggest that an engagement with HIV medicine enables clinicians to develop
strong and long-term relationships with and expertise
about the care needs of people living with HIV âat the
coalfaceâ, while also feeling connected with a broader
network of medical practitioners and other professionals
concerned with and contributing to the ever-changing
world of science: âthe cutting edgeâ. The general practice
HIV prescriber is being modelled here as the interface between these two worlds, offering a rewarding opportunity
for general practitioners to feel intimately connected to
both community needs and scientific change