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[超声培训在放射科专家专业发展中的作用:概念与挑战]

[Ultrasound training in the professional development of radiological specialists : Concepts and challenges].

作者信息

Weber Marc-André, Delorme Stefan

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

出版信息

Radiologe. 2017 Nov;57(11):967-972. doi: 10.1007/s00117-017-0307-y.

Abstract

ISSUE

Ultrasound is an integral part of imaging diagnostics but, unlike CT or MRI, requires the physician to have advanced technical skills for the implementation and documentation of studies.

CURRENT SITUATION

Owing to poor remuneration and the large effort required, ultrasound is not a priority at many institutions, and compared to CT, MRI or interventions, little reward is given to those committed to ultrasound. Intense practical teaching is rarely given. As a result, residents have to teach themselves or gain experience during rotations outside radiology. In some cases, they are not educated at all. Only rarely do residents in radiology participate in certified ultrasound courses, compared to other clinical disciplines. ONGOING DEVELOPMENTS: (1) Standardized ultrasound curricula accompanying resident training, training focused on contrast-enhanced ultrasound, ultrasound-guided interventions, vascular ultrasound, and typical radiological applications of ultrasound like image fusion for biopsies or therapeutic interventions; (2) interdisciplinary ultrasound centers; (3) fostering of ultrasound education by the German Radiological Society (DRG) through intensive courses during the annual meeting.

ACHIEVEMENTS

The above measures will help to increase skill and dexterity of radiologists in ultrasound, to introduce typical radiological applications of ultrasound into a broader field of applications and increase the awareness of these methods, and to strengthen the role of ultrasound in resident training. FUTURE REQUIREMENTS: (1) One senior radiologist in charge of ultrasound in each department; (2) communication of and adherence to examination and documentation standards; (3) demonstration of ultrasound studies during rounds and boards; (4) interdisciplinary centers for ultrasound education.

摘要

问题

超声是影像诊断的重要组成部分,但与CT或MRI不同,它要求医生具备先进的技术技能来实施和记录检查。

现状

由于报酬低且工作量大,超声在许多机构中并非优先事项,与CT、MRI或介入治疗相比,致力于超声的人员获得的回报很少。很少有强化实践教学。因此,住院医师不得不自学或在放射科以外的轮转期间积累经验。在某些情况下,他们根本没有接受过相关教育。与其他临床学科相比,放射科住院医师很少参加经认证的超声课程。

持续发展

(1)伴随住院医师培训的标准化超声课程,培训重点为超声造影、超声引导介入、血管超声以及超声在放射学中的典型应用,如图像融合用于活检或治疗干预;(2)跨学科超声中心;(3)德国放射学会(DRG)通过年会期间的强化课程促进超声教育。

成果

上述措施将有助于提高放射科医生在超声方面的技能和操作熟练程度,将超声在放射学中的典型应用引入更广泛的应用领域并提高对这些方法的认识,以及加强超声在住院医师培训中的作用。

未来要求

(1)每个科室有一名负责超声的资深放射科医生;(2)传达并遵守检查和记录标准;(3)在查房和会诊期间展示超声检查;(4)跨学科超声教育中心。

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