Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
J Am Soc Echocardiogr. 2013 Oct;26(10):1187-1192. doi: 10.1016/j.echo.2013.06.001. Epub 2013 Jul 13.
Dynamic training schedules introduce novel challenges to medical specialty training programs that require manual dexterity. The aim of this study was to examine the effect of a 3-day, intensive pediatric echocardiography course ("boot camp") on trainee self-efficacy and on the acquisition and short-term retention of basic echocardiographic knowledge and skills for first-year pediatric cardiology fellows (CFs).
The boot camp consisted of hands-on structured practice guided by sonographers and cardiology faculty members, didactic lectures, and reading. Pre-boot camp experience was assessed using an experience score. Outcome measures included written precamp and postcamp examinations, a performance-based test, precamp and postcamp self-efficacy assessments, and the number and quality of echocardiographic examinations performed in the first 3 months of fellowship.
Six CFs completed the boot camp. Two of the six CFs reported experience scores of 2 out of 10, whereas the remainder reported experience scores of 0 out of 10. Performance-based test scores ranged from 68 to 99 out of 147. All six CFs reported precamp self-efficacy scores of 21 (the minimum score), compared with median postcamp scores of 82 (range, 49-94) (P = .01). Scores on the written examination improved from median of 16 (range, 11-18) to 23.5 (range, 22-28) (P = .01). CFs who completed the boot camp completed 28 independent echocardiographic examinations (median, 4 per CF) during the first 3 months of fellowship, an increase from six independent examinations (median, 1 per CF) by CFs during the year before institution of the boot camp (P = .030). Echocardiograms obtained by CFs who had completed the boot camp scored higher on total quality (P = .004), overall two-dimensional image quality (P = .011), functional assessments (P = .015), and assessment for pericardial effusion (P = .031).
The echocardiography boot camp improves self-efficacy in performing an echocardiographic examination and the acquisition and short-term retention of skills and knowledge required to perform pediatric echocardiography.
动态训练计划为需要手巧的医学专业培训项目带来了新的挑战。本研究旨在探讨为期 3 天的密集儿科超声心动图课程（“训练营”）对第一年儿科心脏病学研究员（CF）的自我效能感以及对基本超声心动图知识和技能的获取和短期保留的影响。
训练营由超声医师和心脏病学教师指导的实践练习、讲座和阅读组成。使用经验评分评估训练营前的经验。结果测量包括训练营前和后考试、基于表现的测试、训练营前和后自我效能评估，以及在研究员的前 3 个月内进行的超声心动图检查的数量和质量。
六名 CF 完成了训练营。六名 CF 中有两名报告的经验评分为 2 分（满分 10 分），而其余的报告的经验评分为 0 分（满分 10 分）。基于表现的测试成绩范围为 147 分中的 68 到 99 分。所有六名 CF 在训练营前报告的自我效能感评分为 21 分（最低分），而中位数训练营后的评分则为 82 分（范围为 49-94 分）（P=0.01）。书面考试的成绩从中位数 16 分（范围为 11-18 分）提高到 23.5 分（范围为 22-28 分）（P=0.01）。参加训练营的 CF 在研究员的前 3 个月内完成了 28 项独立的超声心动图检查（中位数为每位 CF 4 次），而在训练营实施前一年，CF 完成的独立检查数量为 6 项（中位数为每位 CF 1 次）（P=0.030）。完成训练营的 CF 获得的超声心动图在总质量（P=0.004）、整体二维图像质量（P=0.011）、功能评估（P=0.015）和心包积液评估（P=0.031）方面的评分更高。
超声心动图训练营提高了进行超声心动图检查的自我效能感，以及获取和短期保留执行儿科超声心动图所需的技能和知识。
