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首页> 外文期刊>BMC Medical Education >Managing Obstetric Emergencies and Trauma (MOET) structured skills training in Armenia, utilising models and reality based scenarios
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Managing Obstetric Emergencies and Trauma (MOET) structured skills training in Armenia, utilising models and reality based scenarios

机译：利用模型和基于现实的情景管理亚美尼亚的产科急诊和创伤（MOET）结构化技能培训

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Background Mortality rates in Western Europe have fallen significantly over the last 50 years. Maternal mortality now averages 10 maternal deaths per 100,000 live births but in some of the Newly Independent States of the former Soviet Union, the ratio is nearly 4 times higher. The availability of skilled attendants to prevent, detect and manage major obstetric complications may be the single most important factor in preventing maternal deaths. A modern, multidisciplinary, scenario and model based training programme has been established in the UK (Managing Obstetric Emergencies and Trauma (MOET)) and allows specialist obstetricians to learn or revise the undertaking of procedures using models, and to have their skills tested in scenarios. Methods Given the success of the MOET course in the UK, the organisers were keen to evaluate it in another setting (Armenia). Pre-course knowledge and practice questionnaires were administered. In an exploratory analysis, post-course results were compared to pre-course answers obtained by the same interviewer. Results All candidates showed an improvement in post-course scores. The range was far narrower afterwards (167–188) than before (85–129.5). In the individual score analysis only two scenarios showed a non-significant change (cord prolapse and breech delivery). Conclusion This paper demonstrates the reliability of the model based scenarios, with a highly significant improvement in obstetric emergency management. However, clinical audit will be required to measure the full impact of training by longer term follow up. Audit of delays, specific obstetric complications, referrals and near misses may all be amenable to review.
机译：背景信息在过去的50年中，西欧的死亡率大大下降。产妇死亡率目前平均为每十万活产中有10例产妇死亡，但在前苏联的一些新独立国家中，这一比率几乎高出4倍。预防，发现和管理重大产科并发症的熟练服务员的可用性可能是预防孕产妇死亡的最重要因素。英国已经建立了一个基于现代，多学科，基于情景和模型的培训计划（管理产科急诊和创伤（MOET）），并允许专业的产科医生使用模型来学习或修改程序，并在情景中对其技能进行测试。方法鉴于MOET课程在英国取得了成功，组织者热衷于在其他环境（亚美尼亚）进行评估。课前进行了知识和实践问卷调查。在探索性分析中，将课程后的结果与同一位面试官获得的课程前答案进行比较。结果所有候选人的课程后成绩均得到改善。此后的范围（167-188）比以前的范围（85-129.5）要窄得多。在个人评分分析中，只有两种情况显示出无明显变化（软线脱垂和臀位分娩）。结论本文证明了基于模型的方案的可靠性，并在产科急诊管理方面有重大改进。但是，将需要进行临床审核，以通过长期随访来衡量培训的全部影响。延误，特定的产科并发症，转诊和未命中的审核都可以接受审核。

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