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基于模拟的培训对超声引导乳腺活检中放射科学员教育的影响。

Impact of Simulation-Based Training on Radiology Trainee Education in Ultrasound-Guided Breast Biopsies.

机构信息

Department of Radiology, Baylor College of Medicine, Houston, Texas.

Department of Radiology, Baylor College of Medicine, Houston, Texas.

出版信息

J Am Coll Radiol. 2018 Oct;15(10):1458-1463. doi: 10.1016/j.jacr.2017.09.016. Epub 2017 Dec 6.

Abstract

PURPOSE

The aim of this study is to determine the impact of a simulation-based ultrasound-guided (USG) breast biopsy training session on radiology trainee procedural knowledge, comfort levels, and overall procedural confidence and anxiety.

METHODS

Twenty-one diagnostic radiology residents from a single academic institution were recruited to participate in an USG breast biopsy training session. The residents filled out a questionnaire before and after the training session. Ten multiple-choice questions tested general knowledge in diagnostic breast ultrasound and USG breast biopsy concepts. Subjective comfort levels with ultrasound machine and biopsy device functionality, patient positioning, proper biopsy technique, image documentation, needle safety and overall procedural confidence and anxiety levels were reported on a 5-point Likert scale before and after training.

RESULTS

Participants demonstrated significant improvement in number of correctly answered general knowledge questions after training (P < .0001). Significant improvement was seen in resident comfort level in ultrasound machine functionality, patient positioning, biopsy device functionality, biopsy technique, image documentation, as well as overall confidence level (all P < .05). Participants indicated a slight but not significant reduction in anxiety levels (P = .27).

CONCLUSIONS

A simulation-based USG breast biopsy training session may improve radiology trainee procedural knowledge, comfort levels, and overall procedural confidence.

摘要

目的

本研究旨在确定基于模拟的超声引导(USG)乳腺活检培训课程对放射科学员操作知识、舒适度以及整体操作信心和焦虑的影响。

方法

从一家学术机构招募了 21 名诊断放射科住院医师参加 USG 乳腺活检培训课程。学员在培训前后填写了一份问卷。10 个多项选择题测试了诊断性乳腺超声和 USG 乳腺活检概念的一般知识。培训前后,学员使用 5 分制 Likert 量表报告对超声机和活检设备功能、患者定位、正确活检技术、图像记录、针安全以及整体操作信心和焦虑水平的主观舒适度。

结果

参与者在培训后正确回答的一般知识问题数量显著增加(P <.0001)。学员对超声机功能、患者定位、活检设备功能、活检技术、图像记录以及整体信心水平的舒适度显著提高(均 P <.05)。学员的焦虑水平略有但无统计学意义的降低(P =.27)。

结论

基于模拟的 USG 乳腺活检培训课程可以提高放射科学员的操作知识、舒适度和整体操作信心。

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