Shaffer Mark, Brown Heather A, McCoy Chloé, Bashaka Prosper
Departments of Family and Preventive Medicine, University of South Carolina/Palmetto Health Richland, Columbia, South Carolina, USA.
Department of Emergency Medicine, Palmetto Health Richland, Columbia, South Carolina, USA.
J Ultrasound Med. 2017 Mar;36(3):515-521. doi: 10.7863/ultra.16.04006. Epub 2017 Jan 15.
To evaluate the effect of a short-term training program in emergency ultrasound on physician skills and attitudes in southwestern Tanzania.
Eight registrar physicians at Mbeya Zonal Referral Hospital (Mbeya, Tanzania) underwent a 5-day course in bedside emergency ultrasound, focusing primarily on the focused assessment with sonography for trauma examination, including didactic sessions, practical sessions, and on-job training. The impact on ultrasound knowledge was assessed by pretest and posttest evaluations. Provider skill was evaluated by a standardized observed simulated patient encounter. Attitudes toward ultrasound training, utility, and self-confidence were assessed by a post-training questionnaire.
All 8 physicians who began the training completed the course and successfully passed their objective structured clinical examination. There was a statistically significant improvement in written ultrasound test scores from 31% to 66% (P < .01) after the course. Most trainees felt confident performing and interpreting a basic focused assessment with sonography for trauma examination at the end of the course, and 7 of 8 stated that they would consider paying tuition for similar courses in the future. Main concerns with the course revolved around insufficient time dedicated to practicing under supervision.
Registrar physicians in Tanzania can effectively learn basic emergency ultrasound skills in a short-term training program. Similar future programs may consider heavier emphasis on practical hands-on training with experts. Ongoing data collection is required to understand the true impact of such training on long-term ultrasound use and patient outcomes.
评估坦桑尼亚西南部的一项急诊超声短期培训项目对医生技能和态度的影响。
姆贝亚地区转诊医院（坦桑尼亚姆贝亚）的8名住院医师参加了为期5天的床边急诊超声课程，主要侧重于创伤超声重点评估检查，包括理论课程、实践课程和在职培训。通过课前和课后评估来评估对超声知识的影响。通过标准化的模拟患者会诊来评估医生的技能。通过培训后的问卷来评估对超声培训、实用性和自信心的态度。
所有开始培训的8名医生都完成了课程，并成功通过了客观结构化临床考试。课程结束后，书面超声测试成绩从31%提高到66%，差异有统计学意义（P < 0.01）。大多数受训者在课程结束时对进行和解释创伤超声重点评估检查感到自信，8人中有7人表示他们未来会考虑为类似课程支付学费。对该课程的主要担忧集中在监督下练习的时间不足。
坦桑尼亚的住院医师可以在短期培训项目中有效地学习基本的急诊超声技能。未来类似的项目可能会考虑更加强调与专家进行实际操作培训。需要持续收集数据以了解此类培训对长期超声使用和患者预后的真正影响。
