Do medical students studying in the United Kingdom have an adequate factual knowledge of basic life support?
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摘要
BACKGROUND: Healthcare professionals have a duty to maintain basic life support(BLS) skills. This study aims to evaluate medical students' factual knowledge of BLS and the training they receive.METHODS: A cross-sectional, closed-response questionnaire was distributed to the fi rst-and fourth-year students studying at institutions in the United Kingdom. The paper questionnaire sought to quantify respondent's previous BLS training, factual knowledge of the BLS algorithm using five multiple choice questions(MCQs), and valuate their desire for further BLS training. Students received 1 point for each correctly identifi ed answer to the 5 MCQ's.RESULTS: A total of 3,732 complete responses were received from 21 medical schools. Eighty percent(n=2,999) of students completed a BLS course as part of their undergraduate medical studies. There was a signifi cant difference(P<0.001) in the percentage of the fourth-year students selecting the correct answer in all the MCQ's compared to the fi rst-year students except in identifyingthe correct depth of compressions required during CPR(P=0.095). Overall 10.3%(95% CI 9.9% to 10.7%) of respondents correctly identified the answer to 5 MCQ's on BLS: 9% of the first-year students(n=194) and 12% of the fourth-year students(n=190). On an institutional level the proportion of students answering all MCQ's correctly ranged from 2% to 54% at different universities. Eighty-one percent of students(n=3,031) wished for more BLS training in their curriculum.CONCLUSION: Factual knowledge of BLS is poor among medical students in the UK. There is a disparity in standards of knowledge across institutions and respondents indicating that they would like more training.
BACKGROUND: Healthcare professionals have a duty to maintain basic life support(BLS) skills. This study aims to evaluate medical students' factual knowledge of BLS and the training they receive.METHODS: A cross-sectional, closed-response questionnaire was distributed to the fi rst-and fourth-year students studying at institutions in the United Kingdom. The paper questionnaire sought to quantify respondent's previous BLS training, factual knowledge of the BLS algorithm using five multiple choice questions(MCQs), and valuate their desire for further BLS training. Students received 1 point for each correctly identifi ed answer to the 5 MCQ's.RESULTS: A total of 3,732 complete responses were received from 21 medical schools. Eighty percent(n=2,999) of students completed a BLS course as part of their undergraduate medical studies. There was a signifi cant difference(P<0.001) in the percentage of the fourth-year students selecting the correct answer in all the MCQ's compared to the fi rst-year students except in identifyingthe correct depth of compressions required during CPR(P=0.095). Overall 10.3%(95% CI 9.9% to 10.7%) of respondents correctly identified the answer to 5 MCQ's on BLS: 9% of the first-year students(n=194) and 12% of the fourth-year students(n=190). On an institutional level the proportion of students answering all MCQ's correctly ranged from 2% to 54% at different universities. Eighty-one percent of students(n=3,031) wished for more BLS training in their curriculum.CONCLUSION: Factual knowledge of BLS is poor among medical students in the UK. There is a disparity in standards of knowledge across institutions and respondents indicating that they would like more training.
BACKGROUND: Healthcare professionals have a duty to maintain basic life support(BLS) skills. This study aims to evaluate medical students' factual knowledge of BLS and the training they receive.METHODS: A cross-sectional, closed-response questionnaire was distributed to the fi rst-and fourth-year students studying at institutions in the United Kingdom. The paper questionnaire sought to quantify respondent's previous BLS training, factual knowledge of the BLS algorithm using five multiple choice questions(MCQs), and valuate their desire for further BLS training. Students received 1 point for each correctly identifi ed answer to the 5 MCQ's.RESULTS: A total of 3,732 complete responses were received from 21 medical schools. Eighty percent(n=2,999) of students completed a BLS course as part of their undergraduate medical studies. There was a signifi cant difference(P<0.001) in the percentage of the fourth-year students selecting the correct answer in all the MCQ's compared to the fi rst-year students except in identifyingthe correct depth of compressions required during CPR(P=0.095). Overall 10.3%(95% CI 9.9% to 10.7%) of respondents correctly identified the answer to 5 MCQ's on BLS: 9% of the first-year students(n=194) and 12% of the fourth-year students(n=190). On an institutional level the proportion of students answering all MCQ's correctly ranged from 2% to 54% at different universities. Eighty-one percent of students(n=3,031) wished for more BLS training in their curriculum.CONCLUSION: Factual knowledge of BLS is poor among medical students in the UK. There is a disparity in standards of knowledge across institutions and respondents indicating that they would like more training.
引文
1 Daya MR,Schmicker RH,Zive DM,Rea TD,Nichol G,Buick JE,et al.Out-of-hospital cardiac arrest survival improving over time:Results from the Resuscitation Outcomes Consortium(ROC).Resuscitation.2015;91:108-15.
2 WHO.Fact Sheet:310-The 10 leading causes of death in the world,2014.
3 Yasunaga H,Horiguchi H,Tanabe S,Akahane M,Ogawa T,Koike S,et al.Collaborative effects of bystander-initiated cardiopulmonary resuscitation and prehospital advanced cardiac life support by physicians on survival of out-of-hospital cardiac arrest:a nationwide population-based observational study.Crit Care.2010;14(6):R199.
4 Leary M,Buckler DG,Ikeda DJ,Saraiva DA,Berg RA,Nadkarni VM,et al.The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance.World J Emerg Med.2017;8(1):12-8.
5(UK)RC.Quality standards for cardiopulmonary resuscitation.Secondary Quality standards for cardiopulmonary resuscitation November 2013.https://www.resus.org.uk/quality-standards/.
6 Council GM.Tomorrow’s Doctors Online.2009.http://www.gmc-uk.org/static/documents/content/Tomorrows_Doctors_1214.pdf(accessed 1st October 2016).
7 Gabbott D,Smith G,Mitchell S,Colquhoun M,Nolan J,Soar J,et al.Cardiopulmonary resuscitation standards for clinical practice and training in the UK.Resuscitation.2005;64(1):13-9.
8 Kelley K,Clark B,Brown V,Sitzia J.Good practice in the conduct and reporting of survey research.Int J Qual Health Care.2003;15(3):261-6.
9 Almesned A,Almeman A,Alakhtar AM,AlAboudi AA,Alotaibi AZ,Al-Ghasham YA,et al.Basic life support knowledge of healthcare students and professionals in the Qassim University.Int J Health Sci(Qassim).2014;8(2):141-50.
10 Kila T,Yockopua S.Knowledge of cardiopulmonary resuscitation among doctors at the Port Moresby General Hospital.P N G Med J.2012;55(1-4):76-87.
11 Roshana S,Kh B,Rm P,Mw S.Basic life support:knowledge and attitude of medical/paramedical professionals.World JEmerg Med.2012;3(2):141-5.
12 Abbas A,Bukhari SI,Ahmad F.Knowledge of fi rst aid and basic life support amongst medical students:a comparison between trained and un-trained students.J Pak Med Assoc.2011;61(6):613-6.
13 Council GM.Clinical placements for medical students.GMC-UK.org:GMC,2009:6.
14 Brown TB,Dias JA,Saini D,Shah RC,Cofield SS,Terndrup TE,et al.Relationship between knowledge of cardiopulmonary resuscitation guidelines and performance.Resuscitation.2006;69(2):253-61.
15 Somaraj V,Shenoy RP,Panchmal GS,Jodalli PS,Sonde L,Karkal R.Knowledge,attitude and anxiety pertaining to basic life support and medical emergencies among dental interns in Mangalore City,India.World J Emerg Med.2017;8(2):131-5.
16 Freund Y,Duchateau FX,Baker EC,Goulet H,Carreira S,Schmidt M,et al.Self-perception of knowledge and confi dence in performing basic life support among medical students.Eur JEmerg Med.2013;20(3):193-6.
17 Idris AH,Guffey D,Pepe PE,Brown SP,Brooks SC,Callaway CW,et al.Chestcompression rates and survival following out-ofhospital cardiac arrest.Crit Care Med.2015;43(4):840-8.
18 Chojnacki P,Ilieva R,Ko?odziej A,Królikowska A,Lipka J,Ruta J.Knowledge of BLS and AED resuscitation algorithm amongst medical students--preliminary results.Anestezjol Intens Ter.2011;43(1):29-32.
19 Reddy S,Doshi D,Reddy P,Kulkarni S,Reddy S.Awareness of basic life support among staff and students in a dental school.JContemp Dent Pract.2013;14(3):511-7.
20 Suzuki A,Kurosawa A,Sasakawa T,Tampo A,Yasuda S,Iwasaki H.OSCE improves medical student’s BLSknowledge,but its long-term memory is not well maintained.Masui.2006;55(11):1423-7.
2 WHO.Fact Sheet:310-The 10 leading causes of death in the world,2014.
3 Yasunaga H,Horiguchi H,Tanabe S,Akahane M,Ogawa T,Koike S,et al.Collaborative effects of bystander-initiated cardiopulmonary resuscitation and prehospital advanced cardiac life support by physicians on survival of out-of-hospital cardiac arrest:a nationwide population-based observational study.Crit Care.2010;14(6):R199.
4 Leary M,Buckler DG,Ikeda DJ,Saraiva DA,Berg RA,Nadkarni VM,et al.The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance.World J Emerg Med.2017;8(1):12-8.
5(UK)RC.Quality standards for cardiopulmonary resuscitation.Secondary Quality standards for cardiopulmonary resuscitation November 2013.https://www.resus.org.uk/quality-standards/.
6 Council GM.Tomorrow’s Doctors Online.2009.http://www.gmc-uk.org/static/documents/content/Tomorrows_Doctors_1214.pdf(accessed 1st October 2016).
7 Gabbott D,Smith G,Mitchell S,Colquhoun M,Nolan J,Soar J,et al.Cardiopulmonary resuscitation standards for clinical practice and training in the UK.Resuscitation.2005;64(1):13-9.
8 Kelley K,Clark B,Brown V,Sitzia J.Good practice in the conduct and reporting of survey research.Int J Qual Health Care.2003;15(3):261-6.
9 Almesned A,Almeman A,Alakhtar AM,AlAboudi AA,Alotaibi AZ,Al-Ghasham YA,et al.Basic life support knowledge of healthcare students and professionals in the Qassim University.Int J Health Sci(Qassim).2014;8(2):141-50.
10 Kila T,Yockopua S.Knowledge of cardiopulmonary resuscitation among doctors at the Port Moresby General Hospital.P N G Med J.2012;55(1-4):76-87.
11 Roshana S,Kh B,Rm P,Mw S.Basic life support:knowledge and attitude of medical/paramedical professionals.World JEmerg Med.2012;3(2):141-5.
12 Abbas A,Bukhari SI,Ahmad F.Knowledge of fi rst aid and basic life support amongst medical students:a comparison between trained and un-trained students.J Pak Med Assoc.2011;61(6):613-6.
13 Council GM.Clinical placements for medical students.GMC-UK.org:GMC,2009:6.
14 Brown TB,Dias JA,Saini D,Shah RC,Cofield SS,Terndrup TE,et al.Relationship between knowledge of cardiopulmonary resuscitation guidelines and performance.Resuscitation.2006;69(2):253-61.
15 Somaraj V,Shenoy RP,Panchmal GS,Jodalli PS,Sonde L,Karkal R.Knowledge,attitude and anxiety pertaining to basic life support and medical emergencies among dental interns in Mangalore City,India.World J Emerg Med.2017;8(2):131-5.
16 Freund Y,Duchateau FX,Baker EC,Goulet H,Carreira S,Schmidt M,et al.Self-perception of knowledge and confi dence in performing basic life support among medical students.Eur JEmerg Med.2013;20(3):193-6.
17 Idris AH,Guffey D,Pepe PE,Brown SP,Brooks SC,Callaway CW,et al.Chestcompression rates and survival following out-ofhospital cardiac arrest.Crit Care Med.2015;43(4):840-8.
18 Chojnacki P,Ilieva R,Ko?odziej A,Królikowska A,Lipka J,Ruta J.Knowledge of BLS and AED resuscitation algorithm amongst medical students--preliminary results.Anestezjol Intens Ter.2011;43(1):29-32.
19 Reddy S,Doshi D,Reddy P,Kulkarni S,Reddy S.Awareness of basic life support among staff and students in a dental school.JContemp Dent Pract.2013;14(3):511-7.
20 Suzuki A,Kurosawa A,Sasakawa T,Tampo A,Yasuda S,Iwasaki H.OSCE improves medical student’s BLSknowledge,but its long-term memory is not well maintained.Masui.2006;55(11):1423-7.