加拿大急诊医学项目中超声培训的现状：项目主任的观点。

The current state of ultrasound training in canadian emergency medicine programs: perspectives from program directors.

机构信息

Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Acad Emerg Med. 2012 Sep;19(9):E1073-8. doi: 10.1111/j.1553-2712.2012.01430.x.

DOI:10.1111/j.1553-2712.2012.01430.x

PMID:22978735

Abstract

OBJECTIVES

There is a paucity of data about emergency ultrasound (EUS) training in emergency medicine (EM) residency programs accredited by the Royal College of Physicians and Surgeons of Canada (Royal College) and the College of Family Physicians of Canada (CFPC). Historically the progress of EUS in Canada has been different from that in the United States. We describe the current state of EUS training in both Royal College and CFPC-EM programs.

METHODS

All Royal College EM program directors and all CFPC-EM program directors were invited to participate in a website-based survey. Main outcome measures were characteristics of currently offered EUS training.

RESULTS

The response rate of the survey was 100% (30/30). EUS is part of the formal residency curriculum in 100% (13/13) of Royal College EM programs and in 88% (15/17) of CFPC-EM programs. EM resident rotations in ultrasound (US) are provided by 77% (10/13) of Royal College programs but only 47% (8/17) of CFPC-EM programs. There are specific requirements for numbers of EUS exams to be completed by graduation in 77% (10/13) of Royal College programs and 47% (8/17) of CFPC-EM programs. EM faculty and residents make clinical decisions and patient dispositions based on their EUS interpretation without a consultative study by radiology in 100% (13/13) of Royal College programs and 88% (15/17) of CFPC-EM programs. However, 69% (9/13) of Royal College programs and 53% (9/17) of CFPC-EM programs have no formal quality assurance program in place.

CONCLUSIONS

EUS training in Canadian EM programs is prevalent, but there are considerable discrepancies among residency programs in scope of training, curricula, determination of proficiency, and quality assurance. These findings suggest variability in both the level and the quality of EUS training in Canada.

摘要

目的

在加拿大皇家医师学院和加拿大家庭医师学院（CFPC）认证的急诊医学（EM）住院医师项目中，有关急诊超声（EUS）培训的数据很少。从历史上看，加拿大的 EUS 发展与美国不同。我们描述了皇家学院和 CFPC-EM 项目中 EUS 培训的现状。

方法

邀请所有皇家学院 EM 项目主任和所有 CFPC-EM 项目主任参加基于网站的调查。主要观察指标为目前提供的 EUS 培训的特点。

结果

调查的回复率为 100％（30/30）。EUS 是 100％（13/13）皇家学院 EM 项目和 88％（15/17）CFPC-EM 项目正规住院医师课程的一部分。77％（10/13）的皇家学院计划提供超声（US）EM 住院医师轮换，但只有 47％（8/17）的 CFPC-EM 计划提供。在 77％（10/13）的皇家学院计划和 47％（8/17）的 CFPC-EM 计划中，有完成 EUS 检查的具体要求，以完成毕业。在 100％（13/13）的皇家学院计划和 88％（15/17）的 CFPC-EM 计划中，EM 教职员工和住院医师根据其 EUS 解释做出临床决策和患者处置，而无需放射学咨询研究。然而，在 69％（9/13）的皇家学院计划和 53％（9/17）的 CFPC-EM 计划中，没有正式的质量保证计划。