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Hands-On Workshops Improve Emergency Department Physicians' Self-Reported Understanding of Pediatric Hand Injuries.
Market, Marisa; Zhu-Pawlowsky, Julia; Bhatt, Maala; Cheung, Kevin.
Afiliação
  • Bhatt M; Emergency Medicine, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
  • Cheung K; Divisions of Plastic Surgery.
Pediatr Emerg Care ; 38(2): e493-e496, 2022 Feb 01.
Article em En | MEDLINE | ID: mdl-34116553
OBJECTIVES: The aims of this study were to assess emergency department (ED) physician perception of hand injuries and improve their understanding and confidence in treating these injuries. METHODS: Combined didactic and hands-on workshops for ED physicians were developed and run by a team of medical students, plastic surgeons, and ED physicians. The workshops consisted of a short review by a hand surgeon followed by hands-on sessions involving radiograph assessment, administration of local anesthetic, closed reduction, and splinting. Two sessions, 6 months apart, were provided. The workshops were evaluated using preworkshop and postworkshop questionnaires to assess the following domains: confidence and competence in treating hand injuries, knowledge of basic hand injury care, and feedback on the intervention itself. RESULTS: Fifty physicians participated in the workshops. After the workshops, physician recognition of hand fracture reduction as a critical skill increased. Self-efficacy ratings of fracture assessment, administration of local anesthetic, performing a reduction, and applying postreduction immobilization increased. Median scores on knowledge-testing questions also increased postintervention from 73.3% (95% confidence interval, 70.2-78.5) to 86.7% (95% confidence interval, 79.3-86.2) (P < 0.05). Finally, physicians reported that they found the intervention educational, useful, and important, and approximately 90% of participants indicated they intended to change their practice based on this intervention. CONCLUSIONS: Knowledge sharing between specialists and generalists through combined didactic and hands-on workshops is an effective and well-received method of refining physician knowledge and increasing confidence in treating subspecialty-specific clinical presentations.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Traumatismos da Mão Limite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Traumatismos da Mão Limite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article