目的 调查人工智能(artificial intelligence,AI)辅助系统在青年医师处理呕血急症能力提升中的需求和应用效果。方法 对2023年在北京大学第三医院参加住院医师规范化培训和专科医师规范化培训的77名青年医师开展问卷调查,了解其处置呕血急症情况,分析能力提升主要需求点,以及其使用AI辅助系统的意愿和满意度。采用描述性统计分析相关数据。结果 青年医师对突发呕血急症处理的理论知识知晓程度较高,具体处置细节的掌握程度有限,如突发呕血首要措施知晓程度的自我评分为(3.40±0.78)分,只有40名(51.9%)青年医师掌握了相关的处置细节。70名(90.9%)青年医师表示愿意使用经专家知识训练的AI辅助系统;经AI辅助系统实时答疑,所有青年医师均可掌握呕血处置疑难点。75名(97.4%)青年医师认为AI辅助系统对处置呕血急症能力提升有所帮助。结论 细节实践能力提升是青年医师增强呕血急症处置能力的重要需求点。AI辅助系统可针对青年医师处置呕血急症能力提升的需求点,高效、实时提升实践能力,青年医师使用意愿高,初步应用满意度高。
Objective To investigate the need and efficacy of artificial intelligence (AI) systems in enhancing young physicians′ ability to manage emergencies of hematemesis. Methods A questionnaire survey was conducted among 77 young physicians undergoing standardized residency training and specialized physician training at Peking University Third Hospital in 2023. The survey assessed their experience in managing emergencies of hematemesis, identified key areas for competency improvement, and evaluated their willingness and satisfaction regarding AI-assisted systems. Descriptive statistics were used for data analysis. Results Young physicians demonstrated relatively high theoretical knowledge of acute hematemesis management but showed limited proficiency in practical details. For instance, the self-assessed score for awareness of initial emergency measures was (3.40±0.78), and only 40 (51.9%) young physicians had mastered the critical procedural details. Notably, 70 (90.9%) young physicians expressed willingness to use AI-assisted systems trained with expert knowledge. With real-time AI guidance, all young physicians successfully addressed clinical uncertainties in hematemesis management. Moreover, 75 (97.4%) young physicians reported that AI systems effectively enhanced their emergencies management skills. Conclusions Refining practical skills is a critical need for young physicians in managing hematemesis emergencies. AI-assisted systems can efficiently and instantaneously address these competency gaps, with high user acceptance and preliminary satisfaction among young physicians.
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