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超声引导下即时超声培训对住院医师态度和刻板印象的混合方法评估。

A Mixed-Methods Evaluation of Medical Residents' Attitudes Towards Interprofessional Learning and Stereotypes Following Sonography Student-Led Point-of-Care Ultrasound Training.

机构信息

Department of Internal Medicine, Division of General Internal Medicine, Section of Hospital Medicine, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE, USA.

Interprofessional Academy of Educators, University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

J Gen Intern Med. 2020 Oct;35(10):3081-3086. doi: 10.1007/s11606-020-06105-5. Epub 2020 Aug 10.

DOI:10.1007/s11606-020-06105-5
PMID:32779142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7572976/
Abstract

BACKGROUND

Point-of-care ultrasound (POCUS) training is growing across internal medicine graduate medical education, but lack of trained faculty is a barrier to many programs. Interprofessional education (IPE) may offer a solution but must overcome potential biases of trainees.

AIM

To evaluate the impact of an interprofessional POCUS training on residents' attitudes towards interprofessional learning and stereotypes.

SETTING

Midwestern health sciences university.

PARTICIPANTS

Diagnostic medical sonography (DMS) students (n = 13) served as teachers for first-year internal medicine residents (IMR) (n = 49).

PROGRAM DESCRIPTION

DMS students participated in a train-the-trainer session to learn teaching strategies via case-based simulation, then coached IMR to acquire images of the kidneys, bladder, and aorta on live models.

PROGRAM EVALUATION

Mixed-methods evaluation, including pre-/post-surveys and focus group interviews. The survey response rate was 100% (49/49 IMR). Composite survey scores evaluating residents' attitudes towards IPE and stereotyping of sonographers improved significantly following the intervention. Qualitative analysis of focus group interviews yielded four themes: enhanced respect for other disciplines, implications for future practice, increased confidence of DMS students, and interest in future IPE opportunities.

DISCUSSION

Interprofessional POCUS education can improve residents' perceptions towards IPE, increase their level of respect for sonographers, and motivate interest in future interprofessional collaboration.

摘要

背景

床边超声(POCUS)培训在内科学研究生医学教育中不断发展,但缺乏受过培训的教师是许多项目的障碍。跨专业教育(IPE)可能提供解决方案,但必须克服学员的潜在偏见。

目的

评估跨专业 POCUS 培训对住院医师对跨专业学习和刻板印象的态度的影响。

地点

中西部健康科学大学。

参与者

诊断性医学超声(DMS)学生(n = 13)担任第一年内科住院医师(IMR)(n = 49)的教师。

项目描述

DMS 学生参加了培训师培训课程,通过基于案例的模拟学习教学策略,然后指导 IMR 在活体模型上获取肾脏、膀胱和主动脉的图像。

项目评估

混合方法评估,包括预/后调查和焦点小组访谈。调查的回复率为 100%(49/49 IMR)。评估住院医师对 IPE 和对超声技师刻板印象的态度的综合调查评分在干预后显著提高。焦点小组访谈的定性分析得出了四个主题:增强对其他学科的尊重、对未来实践的影响、DMS 学生信心的提高以及对未来 IPE 机会的兴趣。

讨论

跨专业 POCUS 教育可以提高住院医师对 IPE 的看法,增加他们对超声技师的尊重程度,并激发对未来跨专业合作的兴趣。

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Am J Med. 2019 Nov;132(11):1356-1360. doi: 10.1016/j.amjmed.2019.07.019. Epub 2019 Aug 7.
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Eur J Heart Fail. 2019 Jun;21(6):754-766. doi: 10.1002/ejhf.1379. Epub 2019 Jan 28.
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Am J Emerg Med. 2019 Feb;37(2):298-303. doi: 10.1016/j.ajem.2018.10.059. Epub 2018 Oct 30.
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