Torralba Karina D, Cannella Amy C, Kissin Eugene Y, Bolster Marcy B, Salto Lorena M, Higgs Jay, Samuels Jonathan, Nishio Midori Jane, Kaeley Gurjit S, Evangelisto Amy, De Marco Paul, Kohler Minna J
Loma Linda University, Loma Linda, California.
University of Nebraska Medical Center, Omaha.
Arthritis Care Res (Hoboken). 2020 Jun;72(6):859-870. doi: 10.1002/acr.23336. Epub 2020 May 25.
Musculoskeletal ultrasound (MSUS) in rheumatology in the US has advanced by way of promotion of certifications and standards of use and inclusion of core fellowship curriculum. In order to inform endeavors for curricular integration, the objectives of the present study were to assess current program needs for curricular incorporation and the teaching methods that are being employed.
A needs-assessment survey (S1) was sent to 113 rheumatology fellowship program directors. For programs that taught MSUS, a curriculum survey (S2) was sent to lead faculty. Programs were stratified according to program size and use of a formal written curriculum.
S1 (108 of 113 respondents; response rate 96%) revealed that 94% of programs taught MSUS, with 41% having a curriculum. Curricular implementation was unaffected by program size. Formal curricular adoption of MSUS was favored by 103 directors (95.3%), with 65.7% preferring such adoption to be optional. S2 (74 of 101 respondents; response rate 73%) showed that 41% of programs utilized a formal curriculum. Multiple teaching strategies were used, with content that was generally similar. Use of external courses, including the Ultrasound School of North American Rheumatologists course, was prevalent. Fewer barriers were noted compared to past surveys, but inadequate time, funding, and number of trained faculty still remained. Lack of divisional interest (P = 0.046) and interest of fellows (P = 0.012) were noted among programs without a formal curriculum.
MSUS is taught by a significantly larger number of rheumatology fellowship programs today. Multiple teaching strategies are used with common content, and barriers still remain for some programs. Most program directors favor inclusion of a standardized MSUS curriculum, with many favoring inclusion to be optional.
美国风湿病学领域的肌肉骨骼超声（MSUS）通过推广认证、使用标准以及纳入核心专科培训课程得到了发展。为了为课程整合工作提供信息，本研究的目的是评估当前课程纳入的项目需求以及正在采用的教学方法。
向113名风湿病专科培训项目主任发送了一份需求评估调查问卷（S1）。对于教授MSUS的项目，向主要教员发送了一份课程调查问卷（S2）。根据项目规模和是否使用正式书面课程对项目进行分层。
S1（113名受访者中有108名回复；回复率96%）显示，94%的项目教授MSUS，其中41%有课程。课程实施不受项目规模影响。103名主任（95.3%）赞成正式采用MSUS课程，65.7%的人倾向于将这种采用设为可选。S2（101名受访者中有74名回复；回复率73%）显示，41%的项目使用正式课程。使用了多种教学策略，内容总体相似。包括北美风湿病学家超声学院课程在内的外部课程的使用很普遍。与过去的调查相比，注意到的障碍较少，但时间、资金和受过培训的教员数量仍然不足。在没有正式课程的项目中，注意到科室兴趣缺乏（P = 0.046）和学员兴趣缺乏（P = 0.012）。
如今，大量的风湿病专科培训项目教授MSUS。使用了多种教学策略且内容相同，一些项目仍然存在障碍。大多数项目主任赞成纳入标准化的MSUS课程，许多人倾向于将纳入设为可选。
