Department of Internal Medicine, Univ Groningen, University Medical Center Groningen, Huispostcode AA41, Postbus 30.0016, 9700, RB, Groningen, the Netherlands.
BMC Med Educ. 2020 Jan 31;20(1):30. doi: 10.1186/s12909-020-1949-4.
Point-of-care Ultrasound is a relative new diagnostic tool for internists. Since 2019, it is a mandatory skill for internal medicine residents in the Netherlands but an ultrasound curriculum still has to be developed. In this study we explored the current ultrasound training program and educational wishes from internal medicine residents.
We have undertaken a national study in March 2019 using an online questionnaire. All internal medicine residents in the Netherlands were invited to respond.
A total of 247 from 959 (26%) residents completed the questionnaire. The majority of residents (78.6%) received less than 10 h of ultrasound training and 40% has never made an ultrasound at all. Almost all residents (92%) indicate that ultrasound is a useful skill for the internist. They report that the most useful applications are ultrasound of the inferior vena cava, kidneys, abdominal free fluid, deep vein thrombosis, heart and lungs. The main perceived barrier to perform ultrasound is the lack of availability of experts for bedside supervision.
This study confirms the need for a national ultrasound curriculum for internal medicine residents and may contribute to the development of an ultrasound curriculum in line with residents educational needs. We should begin the curriculum with the previously mentioned applications, perceived by internal residents as most useful. Additional applications can be appended in the future. Finally it is necessary to expand the number of experts to supervise the residents.
床边超声是内科医生的一种相对较新的诊断工具。自 2019 年以来，它已成为荷兰内科住院医师的必修技能，但仍需开发超声课程。在这项研究中，我们探讨了内科住院医师目前的超声培训计划和教育需求。
我们于 2019 年 3 月进行了一项全国性研究，使用在线问卷。邀请荷兰所有内科住院医师作答。
共有 959 名住院医师中的 247 名（26%）完成了问卷。大多数住院医师（78.6%）接受的超声培训少于 10 小时，40%的住院医师从未进行过超声检查。几乎所有住院医师（92%）都表示超声对内科医生来说是一项有用的技能。他们报告称，最有用的应用是下腔静脉、肾脏、腹部游离液、深静脉血栓形成、心脏和肺部的超声检查。进行超声检查的主要感知障碍是缺乏床边监督的专家。
这项研究证实了内科住院医师需要国家超声课程，并可能有助于制定符合住院医师教育需求的超声课程。我们应该从内科住院医师认为最有用的上述应用开始课程。未来可以添加其他应用。最后，有必要扩大专家数量以监督住院医师。
