Department of Emergency Medicine, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Acad Emerg Med. 2009 Dec;16 Suppl 2:S32-6. doi: 10.1111/j.1553-2712.2009.00589.x.
Over the past 25 years, research performed by emergency physicians (EPs) demonstrates that bedside ultrasound (US) can improve the care of emergency department (ED) patients. At the request of the Council of Emergency Medicine Residency Directors (CORD), leaders in the field of emergency medicine (EM) US met to delineate in consensus fashion the model "US curriculum" for EM residency training programs. The goal of this article is to provide a framework for providing US education to EM residents. These guidelines should serve as a foundation for the growth of resident education in EM US. The intent of these guidelines is to provide minimum education standards for all EM residency programs to refer to when establishing an EUS training program. The document focuses on US curriculum, US education, and competency assessment. The use of US in the management of critically ill patients will improve patient care and thus should be viewed as a required skill set for all future graduating EM residents. The authors consider EUS skills critical to the development of an emergency physician, and a minimum skill set should be mandatory for all graduating EM residents. The US education provided to EM residents should be structured to allow residents to incorporate US into daily clinical practice. Image acquisition and interpretation alone are insufficient. The ability to integrate findings with patient care and apply them in a busy clinical environment should be stressed.
在过去的 25 年中,急诊医师(EP)进行的研究表明,床边超声(US)可以改善急诊科(ED)患者的护理。应急诊医学住院医师培训主任委员会(CORD)的要求,急诊医学超声领域的领导者开会一致划定了急诊医学住院医师培训计划的“US 课程”模式。本文的目的是为急诊住院医师提供 US 教育提供框架。这些准则应作为急诊医学 US 住院医师教育发展的基础。这些准则的目的是为所有急诊住院医师培训计划提供最低教育标准,以便在建立 EUS 培训计划时参考。该文件侧重于 US 课程、US 教育和能力评估。在危重病患者的管理中使用 US 将改善患者的护理,因此应将其视为所有未来毕业的急诊住院医师的必备技能。作者认为 EUS 技能对急诊医师的发展至关重要,所有毕业的急诊住院医师都应强制具备最低技能。向急诊住院医师提供的 US 教育应进行结构化,以允许住院医师将 US 纳入日常临床实践。仅获取和解释图像是不够的。应强调将发现与患者护理相结合并将其应用于繁忙的临床环境中的能力。