Uetake Chizu, Nakamoto Akihiro, Suda Toshikuni, Tamano Masaya
Department of Gastroenterology, Dokkyo Medical University Koshigaya Hospital, 2-1-50 Minami-Koshigaya, Koshigaya-shi, Saitama, 343-8555, Japan.
J Med Ultrason (2001). 2016 Jul;43(3):381-6. doi: 10.1007/s10396-016-0706-0. Epub 2016 Feb 26.
The purpose of this study was to examine the effects of using an ultrasound phantom (ECHOZY) and a volume navigation system (Vnavi) in abdominal ultrasonography training for young residents.
Nine third-year residents underwent abdominal ultrasonography training: controls, comprising five residents; and the ECHOZY + Vnavi group, comprising four residents. Residents were trained in abdominal ultrasound examinations using both educational videos and hands-on clinical training. The ECHOZY + Vnavi group also received training using an ultrasound phantom and volume navigation system. The time needed for abdominal ultrasound examination was calculated at 4 months (early), 8 months (middle), and 12 months (late) after starting training. The ability of each resident to visualize 20 abdominal structures on normal patients was also evaluated retrospectively.
In the early period, the ECHOZY + Vnavi group needed significantly longer to complete examinations than controls (545 ± 125 s versus 392 ± 81 s, p < 0.01), but showed significantly better ability scores (17.5 ± 0.6 versus 13.4 ± 1.1, p < 0.05). Both these differences disappeared by the middle period (338 ± 107 s versus 259 ± 130 s and 17.8 ± 0.5 versus 16.0 ± 0.7).
In spite of longer examination times, training residents in abdominal ultrasonography using an ultrasound phantom and volume navigation system may be useful in the early period.
本研究旨在探讨使用超声体模(ECHOZY)和容积导航系统(Vnavi)对年轻住院医师进行腹部超声检查培训的效果。
9名三年级住院医师接受腹部超声检查培训:对照组5名住院医师;ECHOZY + Vnavi组4名住院医师。住院医师通过教育视频和实际临床操作培训进行腹部超声检查培训。ECHOZY + Vnavi组还使用超声体模和容积导航系统进行培训。在开始培训后的4个月(早期)、8个月(中期)和12个月(后期)计算腹部超声检查所需时间。还回顾性评估了每位住院医师对正常患者20个腹部结构的可视化能力。
在早期,ECHOZY + Vnavi组完成检查所需时间明显长于对照组(545±125秒对392±81秒,p<0.01),但能力得分明显更高(17.5±0.6对13.4±1.1,p<0.05)。到中期时,这两个差异均消失(338±107秒对259±130秒,17.8±0.5对16.0±0.7)。
尽管检查时间较长,但使用超声体模和容积导航系统对住院医师进行腹部超声检查培训在早期可能是有用的。