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妇产科超声课程和住院医师培训计划中的能力评估:共识报告。

Obstetric and gynecologic ultrasound curriculum and competency assessment in residency training programs: consensus report.

机构信息

Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, VA, USA.

American Institute of Ultrasound in Medicine, Laurel, MD, USA.

出版信息

Ultrasound Obstet Gynecol. 2018 Jan;51(1):150-155. doi: 10.1002/uog.18967.

DOI:10.1002/uog.18967
PMID:29297616
Abstract

Ultrasound imaging has become integral to the practice of obstetrics and gynecology. With increasing educational demands and limited hours in residency programs, dedicated time for training and achieving competency in ultrasound has diminished substantially. The American Institute of Ultrasound in Medicine assembled a multi-Society Task Force to develop a consensus-based, standardized curriculum and competency assessment tools for obstetric and gynecologic ultrasound training in residency programs. The curriculum and competency-assessment tools were developed based on existing national and international guidelines for the performance of obstetric and gynecologic ultrasound examinations and thus are intended to represent the minimum requirement for such training. By expert consensus, the curriculum was developed for each year of training, criteria for each competency assessment image were generated, the pass score was established at or close to 75% for each, and obtaining a set of five ultrasound images with pass score in each was deemed necessary for attaining each competency. Given the current lack of substantial data on competency assessment in ultrasound training, the Task Force expects that the criteria set forth in this document will evolve with time. The Task Force also encourages use of ultrasound simulation in residency training and expects that simulation will play a significant part in the curriculum and the competency-assessment process. Incorporating this training curriculum and the competency-assessment tools may promote consistency in training and competency assessment, thus enhancing the performance and diagnostic accuracy of ultrasound examination in obstetrics and gynecology. Copyright © 2018 ISUOG. Published by John Wiley & Sons Ltd.

摘要

超声成像是妇产科实践不可或缺的一部分。随着教育需求的增加和住院医师培训时间的限制,专门用于培训和达到超声能力的时间大大减少。美国超声医学研究所组织了一个多学会工作组,为住院医师培训中的妇产科超声培训制定基于共识的标准化课程和能力评估工具。该课程和能力评估工具是基于现有的国家和国际妇产科超声检查指南制定的,因此旨在代表此类培训的最低要求。通过专家共识,为每个培训年度制定了课程,为每个能力评估图像生成了标准,每个标准的及格分数设定为 75%或接近 75%,并且在每个标准中获得五张具有及格分数的超声图像被认为是获得每个能力的必要条件。鉴于目前在超声培训中的能力评估方面缺乏实质性数据,工作组预计本文件中规定的标准将随着时间的推移而发展。工作组还鼓励在住院医师培训中使用超声模拟,并预计模拟将在课程和能力评估过程中发挥重要作用。纳入该培训课程和能力评估工具可能会促进培训和能力评估的一致性,从而提高妇产科超声检查的性能和诊断准确性。版权所有©2018 ISUOG。由 John Wiley & Sons Ltd 出版。

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