Internal Medicine and Family Medicine, Division of Geriatrics, Palmetto Health Alliance/University of South Carolina, School of Medicine, Columbia, SC, USA.
J Am Med Dir Assoc. 2012 Mar;13(3):308.e7-10. doi: 10.1016/j.jamda.2011.06.002. Epub 2011 Jul 14.
Technological advances have allowed ultrasound machines to become portable, pocket-size aids to diagnosis and clinical examination. As technology becomes more available, physicians are challenged to educate themselves and new generations of health providers in the usage of bedside portable ultrasonography.
OBJECTIVES/DESIGN: The aim of this study was to survey a representative sample of geriatricians in South Carolina to evaluate their current knowledge about the use of ultrasound machines in the primary care of the elderly, to determine their willingness to adopt the technology and willingness to educate physicians and medical students, and to identify hurdles for the implementation in the clinical and educational environment.
Fourteen physicians and geriatricians participated in the survey.
Outpatient geriatric practice, Program of All-inclusive Care for the Elderly, inpatient geriatric practice, home-based care, Veterans Affairs hospital program.
A 22-item survey regarding geriatric bedside ultrasound (GEBUS) in the clinical setting and in education.
Most physicians (92.8%) had heard of GEBUS performed by primary care physicians, and 21.4% had previous formal training. That same percentage also had some training in interpreting ultrasound. Only one physician felt comfortable using the machine and none felt ready to instruct other medical staff and students. Most of the participating group of physicians (71%-85%) expressed an interest in learning this new skill to apply in clinic, research, and medical education. Challenges for wide implementation were identified.
GEBUS is a technology that is now available to the practitioner. Participating geriatricians are ready to embrace this technology in clinical practice and in medical education. Challenges to current implementation include cost, training, liability, credentialing, and lack of reimbursement.
技术进步使超声机变得便携，成为诊断和临床检查的袖珍辅助工具。随着技术的普及，医生们面临着挑战，需要自我教育，并让新一代医疗服务提供者了解床边便携式超声的使用。
目的/设计：本研究旨在调查南卡罗来纳州的一组代表性老年病医生，以评估他们对老年人初级保健中使用超声机的现有知识，确定他们采用该技术的意愿和教育医生和医学生的意愿，并确定在临床和教育环境中实施的障碍。
14 名医生和老年病学家参与了这项调查。
老年病门诊、全面关怀老年人计划、老年病住院、家庭护理、退伍军人事务医院项目。
一项关于临床和教育环境中老年床边超声（GEBUS）的 22 项调查。
大多数医生（92.8%）听说过初级保健医生进行的 GEBUS，21.4%有过之前的正式培训。同样比例的医生也接受过一些解读超声的培训。只有一名医生对使用该机器感到舒适，没有医生感到准备好指导其他医务人员和学生。大多数参与调查的医生（71%-85%）表示有兴趣学习这项新技能，以便在诊所、研究和医学教育中应用。
GEBUS 是一种现在可供医生使用的技术。参与的老年病医生准备在临床实践和医学教育中采用这项技术。当前实施的挑战包括成本、培训、责任、认证和缺乏报销。
