ICU ROTATION OF HOUSE OFFICERS; DOES IT MAKE ANY DIFFERENCE?
Keywords:
KEYWORDS: Pakistan, Intensive Care Unit, Critical Care, Knowledge.Abstract
ABSTRACT
INTRODUCTION: An emerging subspecialty with promising prospects is critical care medicine.
OBJECTIVES: After 15 days of posting in the Medical ICU, House Officers' of critical care medicine
were asked to evaluate their subjective improvement and interest in the field. Study design: Crosssectional descriptive study PLACE AND DURATION: From December 2015 to May 2016, Civil
Hospital Karachi's medical intensive care unit. METHODS AND MATERIALS: The house officers
were required to complete a pre-designed questionnaire to assess the subjective improvement in their
knowledge of critical care medicine, basic mechanical ventilation, and commonly performed ICU
procedures after 15 days of posting in the Medical ICU. Additionally, they provided feedback on the
ICU rotation's duration and format in the questionnaire. Additionally, they were asked about the growing
interest in critical care. RESULTS: Hundred and six house officers of Medical ICU participated in the
study. 95.3% respondents concurred that ICU rotation improved their knowledge about mechanical
ventilation while 90.6% acknowledged an improvement in their knowledge of critical care medicine.
69.8% house officers felt that 15 days are inadequate for ICU posting and suggested that ICU rotation
should be extended to one month. Finally 62.3% interns admitted that their interest in the field of Critical
Care Medicine has increased and 32.1% expressed interest to pursue Critical Care as their field of
specialization. CONCLUSION: Rotation of House officers in Medical ICU improved their critical care
knowledge and skills and positively influenced their attitude towards critical care medicine as a
specialty.
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