Department of Emergency Medicine, University of Arizona Medical Center, Tucson, Arizona USA (S.Ad.); Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York USA (C.R.); Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey USA (D.M.); Department of Emergency Medicine, Mount Sinai School of Medicine, New York, New York USA (J.T.); Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Florida USA (S.L.); Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia USA (J.M.); Department of Emergency Medicine, Georgia Regents University, Augusta, Georgia USA (M.L.); Division of Emergency Medicine, Duke University, Durham, North Carolina (F.L.); and Department of Emergency Medicine, Albert Einstein Beth Israel Medical Center, New York, New York USA (S.Ak.).
J Ultrasound Med. 2014 Jun;33(6):999-1004. doi: 10.7863/ultra.33.6.999.
Recent years have seen a rapid proliferation of emergency ultrasound (EUS) programs in the United States. To date, there is no evidence supporting that EUS fellowships enhance residents' ultrasound (US) educational experiences. The purpose of this study was to determine the impact of EUS fellowships on emergency medicine (EM) residents' US education.
We conducted a cross-sectional study at 9 academic medical centers. A questionnaire on US education and bedside US use was pilot tested and given to EM residents. The primary outcomes included the number of US examinations performed, scope of bedside US applications, barriers to residents' US education, and US use in the emergency department. The secondary outcomes were factors that would impact residents' US education. The outcomes were compared between residency programs with and without EUS fellowships.
A total of 244 EM residents participated in this study. Thirty percent (95% confidence interval, 24%-35%) reported they had performed more than 150 scans. Residents in programs with EUS fellowships reported performing more scans than those in programs without fellowships (P = .04). Significant differences were noted in most applications of bedside US between residency programs with and without fellowships (P < .05). There were also significant differences in the barriers to US education between residency programs with and without fellowships (P < .05).
Emergency US fellowship programs had a positive impact on residents' US educational experiences. Emergency medicine residents performed more scans overall and also used bedside US for more advanced applications in programs with EUS fellowships.
近年来，美国的急诊超声（EUS）项目迅速增多。迄今为止，尚无证据表明 EUS 奖学金能增强住院医师的超声（US）教育体验。本研究旨在确定 EUS 奖学金对急诊医学（EM）住院医师 US 教育的影响。
我们在 9 所学术医疗中心进行了一项横断面研究。对 US 教育和床边 US 使用的问卷进行了试点测试，并分发给 EM 住院医师。主要结局包括进行的 US 检查次数、床边 US 应用范围、住院医师 US 教育障碍以及急诊部 US 使用情况。次要结局是影响住院医师 US 教育的因素。将有和没有 EUS 奖学金的住院医师计划的结果进行了比较。
共有 244 名 EM 住院医师参加了这项研究。30%（95%置信区间，24%-35%）报告他们进行了超过 150 次扫描。有 EUS 奖学金的住院医师比没有奖学金的住院医师进行的扫描更多（P=.04）。有和没有奖学金的住院医师计划之间，床边 US 的大多数应用之间存在显著差异（P <.05）。有和没有奖学金的住院医师计划之间，US 教育障碍也存在显著差异（P <.05）。
急诊 US 奖学金计划对住院医师的 US 教育体验产生了积极影响。在有 EUS 奖学金的计划中，住院医师进行的扫描总数更多，并且还将床边 US 用于更先进的应用。
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