Demystifying Acute Pain Management in the Emergency Department: A Case-Based Approach.
| Autor: | Sehdev M; Third-Year Resident, Department of Emergency Medicine, Massachusetts General Hospital., Lewis J; Assistant Professor, Department of Emergency Medicine, Beth Israel Deaconess Medical Center., Barreveld A; Assistant Professor, Department of Anesthesiology, Newton-Wellesley Hospital. |
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| Jazyk: | angličtina |
| Zdroj: | MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2023 Aug 22; Vol. 19, pp. 11339. Date of Electronic Publication: 2023 Aug 22 (Print Publication: 2023). |
| DOI: | 10.15766/mep_2374-8265.11339 |
| Abstrakt: | Introduction: Acute pain is one of the most common complaints that presents to the emergency department. Despite its ubiquity, oligoanalgesia, or the undertreatment of pain, remains a problem in medicine, possibly due to minimal dedicated pain teaching for senior medical students transitioning to residency. Methods: We designed a 2.5-hour interactive seminar for senior medical students transitioning into residency. The seminar included a chalk talk and case-based discussion, reviewed pain physiology, revisited pain assessment, and introduced pain management strategies using a novel acute pain plan to organize an analgesic approach from presentation through disposition from the emergency department. The didactic chalk talk was interwoven with a case of acute pain. Seminar materials promoted a near-peer teaching opportunity for future facilitators. Learners completed open-ended pre-/postsession knowledge assessments. Results: Data were obtained from 19 fourth-year medical students enrolled in three iterations of a preinternship course at Harvard Medical School. Prior to the seminar, learners scored an average of 23.0 out of 53.0 points ( SD = 9.0) on the knowledge assessment, which improved to 36.6 out of 53.0 points ( SD = 6.7) following the seminar (paired t test p < .001). Learner satisfaction data revealed a positive response to the seminar: Learners felt more confident managing pain and highly recommended the seminar's continuation in the future. Discussion: Initial data from this seminar suggest a need for and benefit of targeted pain education for senior medical students. Seminar materials can easily be adapted for learners in other departments or in early graduate medical education. (© 2023 Sehdev et al.) |
| Databáze: | MEDLINE |
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