Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Jay B. Langner Critical Care Service, Montefiore Medical Center, Bronx, NY, USA.
Crit Care Med. 2010 Oct;38(10):1978-83. doi: 10.1097/CCM.0b013e3181eeda53.
Ultrasonography is an effective tool for making quick diagnoses and guiding therapeutic procedures. National organizations have advocated increasing the use of critical care ultrasonography. The purpose of this study was to investigate the prevalence of teaching of critical care ultrasonography in fellowship programs. In addition, we hoped to identify barriers to establishment of ultrasound training programs.
All pulmonary/critical care and critical care medicine (CCM) program directors in the United States were invited to participate in an online survey. We asked respondents for demographic information about their programs and perceived barriers to training, as well as current training opportunities for their fellows in five aspects of critical care ultrasonography. A five-point Likert scale was used for survey answers.
Web-based survey.
Pulmonary/critical care and CCM program directors in the United States.
Web-based survey.
Ninety (66%) of 136 program directors responded. Ultrasonography training was offered by fellowship programs in the following areas: vascular access (98%), lung and pleural (74%), cardiac (55%), vascular diagnostic (33%), and abdominal (37%). Ninety-two percent of respondents agreed or strongly agreed that ultrasound training is useful, and 80% were interested in getting their fellows trained. Forty-one percent indicated that they lacked sufficient faculty trained in ultrasound use. Eighty-four percent agreed or strongly agreed that fellow turnover was an impediment to training. Forty-eight percent believed that cardiac echocardiography required a long training time.
Although ultrasound training in vascular access was nearly universal, training in other aspects of ultrasound was less prevalent. We identified several barriers, including fellow turnover, insufficient faculty training, and perceived length of time required for echocardiography training.
超声检查是快速诊断和指导治疗程序的有效工具。国家组织倡导增加重症监护超声的使用。本研究旨在调查 fellowship项目中重症监护超声教学的普及情况。此外，我们希望确定建立超声培训计划的障碍。
邀请美国所有的肺/重症监护和重症监护医学（CCM）项目主任参加在线调查。我们要求受访者提供有关其项目的人口统计学信息和培训障碍，以及他们的学员在重症监护超声的五个方面的当前培训机会。使用五点李克特量表回答调查问题。
基于网络的调查。
美国的肺/重症监护和 CCM 项目主任。
基于网络的调查。
90 名（66%）136 名项目主任做出了回应。以下是 fellowship 项目提供的超声培训领域：血管通路（98%）、肺和胸膜（74%）、心脏（55%）、血管诊断（33%）和腹部（37%）。92%的受访者同意或强烈同意超声培训是有用的，80%的人对让他们的学员接受培训感兴趣。41%的人表示他们缺乏接受过超声使用培训的足够教员。84%的人同意或强烈同意学员轮换是培训的障碍。48%的人认为心脏超声心动图需要较长的培训时间。
尽管血管通路的超声培训几乎普及，但在超声的其他方面的培训则不太普遍。我们确定了几个障碍，包括学员轮换、教员培训不足以及认为超声心动图培训所需的时间过长。
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