Division of Diagnostic Radiology, Massachusetts General Hospital, Boston MA.
Warren Alpert Medical School, Brown University.
Ultrasound Q. 2020 Sep;36(3):268-274. doi: 10.1097/RUQ.0000000000000494.
Hands-on ultrasound training is included in the curriculum of many medical specialties and is increasingly incorporated into medical school curricula. Despite published curricula for ultrasound training in these specialties, there remains a dearth of such programs for radiology residency programs. At our institution, there has been a perceived decline in ultrasound scanning comfort and skill in trainees. The purpose of this project was to assess the utility and efficacy of a hands-on simulation-based ultrasound course for radiology residents.First-year radiology residents were enrolled in a 2-week simulation-based course for the instruction of hands-on ultrasound training. With the use of a customizable commercial simulation software platform, residents completed didactic modules, virtual simulations, and phantom scans for a 2-week rotation. A dedicated simulation center with scanning models and computer-based software was provided to all residents. Self-assessments and assignments provided benchmarks of performance. All radiology residents were surveyed at the start of the academic year to assess prior experience and comfort with ultrasound scanning. First-year residents were surveyed a second time upon course completion.Presurvey and postsurvey responses suggest that participation in the 2-week ultrasound scanning course contributed to an improvement in perceived scanning knowledge and comfort for participating residents. Based on our initial experience, the scanning curriculum presented here provides a comprehensive introductory course for first-year radiology residents both for ultrasound anatomy and for scanning technique. Continued education in hands-on ultrasound skills is a crucial factor in maintaining radiology's dominance in the modality.
实践超声培训包含在许多医学专业的课程中，并越来越多地纳入医学院课程。尽管这些专业的超声培训课程已经出版，但放射科住院医师培训计划仍然缺乏此类课程。在我们的机构中，受训者的超声扫描舒适度和技能已经下降。该项目的目的是评估针对放射科住院医师的基于实践的模拟超声课程的实用性和效果。
第一年的放射科住院医师参加了为期两周的基于模拟的课程，以接受实践超声培训。使用可定制的商业模拟软件平台，住院医师完成了为期两周的轮转的理论模块、虚拟模拟和体模扫描。为所有住院医师提供了带有扫描模型和基于计算机的软件的专用模拟中心。自我评估和作业提供了绩效基准。在学年开始时，对所有放射科住院医师进行了调查，以评估他们以前的超声扫描经验和舒适度。第一年的住院医师在课程结束后进行了第二次调查。
预调查和后调查的结果表明，参加为期两周的超声扫描课程有助于提高参与住院医师对扫描知识和舒适度的认知。根据我们的初步经验，这里呈现的扫描课程为第一年的放射科住院医师提供了全面的超声解剖学和扫描技术入门课程。持续的实践超声技能教育是保持放射科在该领域主导地位的关键因素。
