a Department of Medicine , University of Minnesota Medical School , Minneapolis , MN , USA.
b Department of Pediatrics , University of Minnesota Medical School , Minneapolis , MN , USA.
Med Teach. 2018 Nov;40(11):1130-1135. doi: 10.1080/0142159X.2018.1457210. Epub 2018 May 23.
Internal medicine physicians and trainees are increasingly using, and seeking training in, diagnostic point of care ultrasound (POCUS). Numerous internal medicine training programs have described their curricula, but little has been written about how learners should be assessed, supervised, and allowed to progress toward independent practice, yet these practices are imperative for safe and effective use. Entrustable professional activities (EPAs) offer a practical method to assess observable units of professional work and make supervision decisions. An EPA for POCUS is used as a framework to assess and determine appropriate levels of supervision in an internal medicine residency program. All learners have been able to advance to level 2 with a mandatory introductory boot camp course. Learners have been able to advance to higher levels of independence, often after taking formal elective programmatic coursework. However, not all learners taking the same coursework have been granted the same level of independence. It is feasible to assess and supervise internal medicine residents' ability to use diagnostic point of care ultrasound using an EPA.
内科医生和学员越来越多地使用并寻求诊断即时护理超声（POCUS）方面的培训。许多内科培训计划都描述了他们的课程，但对于如何评估、监督和允许学员朝着独立实践的方向发展，几乎没有什么可写的，然而这些实践对于安全和有效使用是至关重要的。可委托的专业活动（EPAs）为评估和做出监督决策提供了一种实用的方法，可以评估和确定内科住院医师培训计划中适当的监督水平。将 POCUS 的 EPA 用作框架，以评估和确定内科住院医师培训计划中适当的监督水平。所有学员都能够通过必修的入门基础训练营课程晋升到第 2 级。学员们已经能够在完成正式选修课程后，更独立地进入更高水平的学习。然而，并非所有参加相同课程的学员都被授予相同程度的独立性。使用 EPA 评估和监督内科住院医师使用诊断即时护理超声的能力是可行的。
