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圭亚那的急诊超声培训项目:资源有限环境下的系统认证过程

Emergency Ultrasound Training Program in Guyana: Systematic Credentialing Process in a Resource-limited Setting.

作者信息

Rupp Jordan D, Jagjit Sri Devi, Ferre Robinson M

机构信息

Vanderbilt University Medical Center Nashville TN.

Georgetown Public Hospital Corporation Georgetown Guyana.

出版信息

AEM Educ Train. 2018 Dec 21;3(2):197-199. doi: 10.1002/aet2.10313. eCollection 2019 Apr.

DOI:10.1002/aet2.10313
PMID:31008433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6457359/
Abstract

Ultrasound has become an important skill for emergency physicians. Ultrasound is more crucial in resource-limited settings where diagnostic testing may not be as timely or available at all. In 2015, an emergency medicine ultrasound curriculum was implemented at Georgetown Public Hospital Corporation in Georgetown, Guyana. Implementing an ultrasound-training curriculum in Guyana had four main challenges: limited ultrasound equipment, lack of informational technology infrastructure to record and review ultrasound examinations, availability of local emergency ultrasound expertise, and competing educational needs within the curriculum. These challenges were met with creative solutions and the formation of a formalized curriculum and credentialing process. The experience of creating the program is described along with the curriculum, credentialing process, and plan for sustainability. Since implementation, every graduating resident has displayed competency on final assessment.

摘要

超声已成为急诊医生的一项重要技能。在资源有限的环境中,超声更为关键,因为在这些环境中,诊断测试可能无法及时进行或根本无法进行。2015年,圭亚那乔治敦的乔治敦公立医院公司实施了急诊医学超声课程。在圭亚那实施超声培训课程面临四个主要挑战:超声设备有限、缺乏记录和审查超声检查的信息技术基础设施、当地急诊超声专业知识的可用性以及课程内相互竞争的教育需求。通过创造性的解决方案以及形成正式的课程和认证流程,这些挑战得到了应对。文中描述了创建该项目的经验,以及课程、认证流程和可持续发展计划。自实施以来,每一位毕业的住院医生在最终评估中都表现出了能力。

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引用本文的文献

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Ultrasound J. 2020 Nov 26;12(1):48. doi: 10.1186/s13089-020-00194-3.
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Observational descriptive study of ultrasound use and its impact on clinical decisions in the accident and emergency department at Georgetown public hospital corporation.对乔治敦公立医院公司急诊部门中超声使用及其对临床决策影响的观察性描述性研究。
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本文引用的文献

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Focused cardiac ultrasound training: how much is enough?聚焦心脏超声培训:多少才算足够?
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Successful sonographic visualisation of the abdominal aorta differs significantly among a diverse group of credentialed emergency department providers.在不同背景的有资质的急诊科医生中,成功进行腹部主动脉的超声可视化检查差异显著。
Emerg Med J. 2011 Jun;28(6):472-6. doi: 10.1136/emj.2009.086462. Epub 2010 Aug 2.
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