Alrahmani Layan, Codsi Elisabeth, Borowski Kristi S
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Sainte-Justine University Hospital of Quebec, University of Montreal, Montreal, Quebec, Canada.
J Ultrasound Med. 2018 Sep;37(9):2201-2207. doi: 10.1002/jum.14570. Epub 2018 Feb 21.
We evaluated the current state of ultrasound training in obstetrics and gynecology (OB-GYN) residency programs across the United States.
An electronic survey was sent to OB-GYN residency program directors and OB-GYN residents. Responses were obtained in September 2016. Program directors and residents were asked to reflect on their current ultrasound curriculum.
A total of 93 program directors and 437 residents responded. Respondents were mostly from university programs located in tertiary centers. Ultrasound curricula varied: 11% of program directors and 23% of residents did not have any ultrasound-related didactics; of those who did, 27% of program directors and 40% of residents had it yearly or less. Three-quarters had mandatory ultrasound rotations, and few offered ultrasound electives (program directors, 52%; residents, 28%). Most residents were required to perform ultrasound examinations daily or weekly (98%). Most stated that the main focus of the rotation was OB only. Skill was evaluated mainly subjectively by direct observation. Although most program directors stated that residents were satisfactory/excellent in ultrasound, 22% would not treat patients on the basis of ultrasound examinations performed by their senior residents. Similarly, of all postgraduate year 4 respondents (n = 86), 76% stated that they will require additional training to be able to perform or read ultrasound examinations independently, and 43% would not treat a patient on the basis of their own ultrasound examinations without further confirmation. Residents believed that the biggest obstacle in ultrasound training is lack of dedicated faculty time (41%).
Recognizing the lack of clearly defined milestones in ultrasound training in OB-GYN residency, this study confirms the substantial heterogeneity in curricula between programs, highlighting a need for a standardized ultrasound curriculum.
我们评估了美国妇产科住院医师培训项目中超声培训的现状。
向妇产科住院医师培训项目主任和妇产科住院医师发送了电子调查问卷。于2016年9月获得了回复。要求项目主任和住院医师反思他们当前的超声课程。
共有93名项目主任和437名住院医师做出了回应。受访者大多来自位于三级医疗中心的大学项目。超声课程各不相同：11%的项目主任和23%的住院医师没有任何与超声相关的教学内容；在有相关教学内容的人中，27%的项目主任和40%的住院医师每年或更少进行一次。四分之三的项目有强制性的超声轮转，很少提供超声选修课程（项目主任为52%；住院医师为28%）。大多数住院医师被要求每天或每周进行超声检查（98%）。大多数人表示轮转的主要重点仅为产科。技能主要通过直接观察进行主观评估。尽管大多数项目主任表示住院医师在超声方面令人满意/优秀，但22%的人不会根据其高年级住院医师进行的超声检查来治疗患者。同样，在所有四年级受访者（n = 86）中，76%的人表示他们需要额外培训才能独立进行或解读超声检查，43%的人在没有进一步确认的情况下不会根据自己的超声检查来治疗患者。住院医师认为超声培训中最大的障碍是缺乏专职教员时间（41%）。
认识到妇产科住院医师培训中超声培训缺乏明确界定的里程碑，本研究证实了各项目之间课程存在很大异质性，突出了对标准化超声课程的需求。
