Glas Kathryn E
Emory University School of Medicine, Atlanta, Georgia, USA.
Curr Opin Anaesthesiol. 2006 Dec;19(6):640-4. doi: 10.1097/ACO.0b013e3280110f6f.
Echocardiography has been used perioperatively as an important diagnostic tool since the 1980s. Introduction of this new technique has been beneficial to our practice, but has also introduced questions and issues related to methods of teaching, requirements for demonstration of competence and testing and certification processes as evidence of satisfactory completion of necessary learning parameters. This article will review the issues presented to date, how they have been addressed, and what options could be arriving in the future.
The introduction of Adult Cardiothoracic Anesthesiology fellowship accreditation by the American College of Graduate Medical Education provides a venue for completion of the guidelines for advanced echocardiographer status. The option of obtaining certification without formal training will remain for anyone who completes core residency training by 30 June, 2008. The written testing process is advancing to development of a recertification examination. There continue to be difficulties with learning and certification outside a training program. Recent evidence in the literature shows that formal cardiology training programs do not have the same correlation between experience and test success as past anesthesia data show. Like many other specialties, perioperative echocardiography provides time-limited certifications for 10 years from the time the examination is taken, meaning the original test group will recertify next year.
Perioperative echocardiography has rapidly become an integral part of anesthetic practice. The training and certification process has been formalized. There are still issues related to difficulty of training individuals outside core residency programs.
自20世纪80年代以来，超声心动图一直被用作围手术期重要的诊断工具。这项新技术的引入对我们的实践有益，但也带来了与教学方法、能力证明要求以及测试和认证流程相关的问题，这些都是完成必要学习参数后令人满意的证据。本文将回顾迄今为止出现的问题、解决方式以及未来可能出现的选择。
美国毕业后医学教育委员会引入成人心胸麻醉学专科医师培训认证，为完成高级超声心动图医师资格指南提供了途径。2008年6月30日前完成核心住院医师培训的人员仍可选择在未经正规培训的情况下获得认证。书面测试过程正在推进到重新认证考试的开发阶段。在培训项目之外进行学习和认证仍存在困难。文献中的最新证据表明，正规心脏病学培训项目中经验与考试成功之间的相关性与过去麻醉学数据显示的情况不同。与许多其他专科一样，围手术期超声心动图从考试通过时起提供为期10年的限时认证，这意味着最初的考试群体明年将重新认证。
围手术期超声心动图已迅速成为麻醉实践中不可或缺的一部分。培训和认证过程已正式确立。在核心住院医师培训项目之外培训人员仍存在困难。
