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一般重症监护超声学工作坊:一种新型基于网络的学习计划与基于模拟的实践培训相结合的结果。

A general Critical Care Ultrasonography workshop: results of a novel Web-based learning program combined with simulation-based hands-on training.

机构信息

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

J Crit Care. 2013 Apr;28(2):217.e7-12. doi: 10.1016/j.jcrc.2012.04.014. Epub 2012 Jul 2.

DOI:10.1016/j.jcrc.2012.04.014
PMID:22762931
Abstract

PURPOSE

The aim of this study was to facilitate attainment of Critical Care Ultrasonography (CCUS) competence.

MATERIALS AND METHODS

We developed a Web-based learning program followed by simulation-based hands-on training in noncardiac CCUS for novice learners. We administered knowledge and skills tests before and after the workshop and conducted surveys on confidence levels using a 10-point Likert scale. Knowledge tests were conducted online, and skills tests were video-captured for evaluation.

RESULTS

Sixteen physicians participated in a 4-hour combined vascular and thoracic CCUS workshop, and 23 in a 2-hour abdominal CCUS workshop. In the combined vascular and thoracic workshop, the mean (SD) pre-workshop and post-workshop knowledge scores were 24 (4) and 33 (5), respectively, out of 43 (P < .001). The pre-workshop and post-workshop skill scores were 15 (5) and 23 (2), out of 28 (P < .001). In the abdominal workshop, the pre-workshop and post-workshop knowledge scores were 11 (3) and 18 (2), out of 20 (P < .001). The pre-workshop and post-workshop skill scores were 6 (3) and 15 (2), out of 16 (P < .001). Learners' confidence increased significantly in both workshops (P < .001).

CONCLUSIONS

Our novel hybrid educational workshop on general CCUS significantly improved knowledge, skills, and confidence levels. Our flexibly scheduled module can be a practical option for the busy intensivist.

摘要

目的

本研究旨在促进重症超声(CCUS)能力的达成。

材料和方法

我们为新手学习者开发了一个基于网络的学习计划,随后是针对非心脏 CCUS 的基于模拟的实践培训。在研讨会前后进行了知识和技能测试,并使用 10 分制李克特量表对信心水平进行了调查。知识测试在线进行,技能测试则进行视频录制以供评估。

结果

16 名医师参加了 4 小时的综合血管和胸腔 CCUS 研讨会,23 名医师参加了 2 小时的腹部 CCUS 研讨会。在综合血管和胸腔研讨会中,课前和课后的平均(SD)知识分数分别为 43 分中的 24 分(4 分)和 33 分(5 分)(P <.001)。课前和课后的技能分数分别为 28 分中的 15 分(5 分)和 23 分(2 分)(P <.001)。在腹部研讨会中,课前和课后的知识分数分别为 20 分中的 11 分(3 分)和 18 分(2 分)(P <.001)。课前和课后的技能分数分别为 16 分中的 6 分(3 分)和 15 分(2 分)(P <.001)。两个研讨会中学习者的信心都显著提高(P <.001)。

结论

我们关于一般 CCUS 的新颖混合教育研讨会显著提高了知识、技能和信心水平。我们灵活安排的模块对于忙碌的重症监护医师来说是一个实用的选择。

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