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保证质量的超声模拟器训练用于胎儿畸形的检测。

Quality assured ultrasound simulator training for the detection of fetal malformations.

机构信息

Department of Gynecology and Obstetrics, University Medical School of Hannover, Hannover, Germany.

出版信息

Acta Obstet Gynecol Scand. 2010 Mar;89(3):350-4. doi: 10.3109/00016340903280941.

DOI:10.3109/00016340903280941
PMID:20199350
Abstract

OBJECTIVE

Sonographic training in obstetrics differs broadly in Germany, although there are clearly defined quality-oriented requirements. In order to improve professional education, a training concept was devised utilizing an ultrasound simulator system.

DESIGN

Between October 2004 and May 2006, 100 obstetric ultrasound training courses were held in 12 federal states of Germany. In these daily courses, doctors were trained in the detection of the most common malformations.

SAMPLE

One hundred training courses with a total of 1,266 participants.

METHODS

As a measure of quality assurance, a standardized questionnaire focusing on testing sonographic proficiency before and after the courses was issued in order to analyze the effect of these simulator-based ultrasound courses.

MAIN OUTCOME MEASURES

Effectiveness of the method with reference to its potential role in structured sonographic training.

RESULTS

The concept found prevailing approval (90%) at the level of principle, practical implementation, and clinical usefulness. Of the participants, 91% estimated their subjective training effect as good. The questionnaire analysis showed significant improvement. On average, 75.3% of the questions relating to sonographic proficiency were answered correctly at the end of the course as opposed to 48.6% at the beginning.

CONCLUSION

Structured ultrasound training courses based on an ultrasound simulator system seem to be useful for defining a basic standardized quality of training and significantly improving examiners' skills. This is a suitable additional instrument to improve the education in obstetric ultrasound.

摘要

目的

尽管德国的妇产科超声培训存在广泛差异,但仍有明确的以质量为导向的要求。为了提高专业教育水平,我们利用超声模拟器系统设计了一种培训概念。

设计

2004 年 10 月至 2006 年 5 月期间,在德国 12 个联邦州举办了 100 场妇产科超声培训课程。在这些日常课程中,医生们接受了检测最常见畸形的培训。

样本

100 个培训课程,共有 1266 名参与者。

方法

作为质量保证措施,我们发布了一份重点关注课程前后超声技能测试的标准化问卷,以分析这些基于模拟器的超声课程的效果。

主要观察指标

方法的有效性,以及其在结构化超声培训中的潜在作用。

结果

该概念在原则、实际执行和临床实用性方面得到了广泛认可(90%)。91%的参与者认为他们的主观培训效果良好。问卷调查分析显示出显著的改善。平均而言,与超声技能相关的 75.3%的问题在课程结束时得到正确回答,而在课程开始时只有 48.6%的问题得到正确回答。

结论

基于超声模拟器系统的结构化超声培训课程似乎有助于定义基本的标准化培训质量,并显著提高检查者的技能。这是一种适合的附加工具,可以提高妇产科超声教育水平。

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