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基于床旁即时超声心动图工作坊的医学本科生教学效果研究。

Efficacy of a Point-of-Care Transthoracic Echocardiography Workshop for Medical Students.

机构信息

Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.

Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.

出版信息

J Cardiothorac Vasc Anesth. 2021 Mar;35(3):826-833. doi: 10.1053/j.jvca.2020.10.010. Epub 2020 Oct 10.

Abstract

OBJECTIVE

To assess the efficacy of a 5-week point-of-care transthoracic echocardiography workshop for medical students.

DESIGN

Prospective, time-series design.

SETTING

A single institution, including students at one US medical school.

PARTICIPANTS

The study comprised eight second- and third-year medical students.

INTERVENTIONS

Subjects enrolled in a voluntary educational workshop designed to teach basic point-of-care transthoracic echocardiography.

MEASUREMENTS AND MAIN RESULTS

The primary outcome was change on the total examination score (0-100) that assessed hands-on performance of four basic transthoracic echocardiography views, identification of relevant anatomy, and echocardiography knowledge. Secondary outcomes were scores on the practical (0-40) and written (0-60) subsections of the examination. Mean and standard deviation (±SD) total examination scores increased to 83.6 (±5.2) after the workshop versus 54 (±7.1) at baseline (p < 0.0001). Mean (±SD) practical examination scores increased to 38 (±2.5) after the workshop versus 22 (±4.6) at baseline (p < 0.0001). Mean (±SD) written examination scores increased to 46 (±4.8) after the workshop versus 32 (±5.8) at baseline (p = 0.0003).

CONCLUSIONS

Results of this pilot study indicated that the workshop curriculum may be an effective way to teach basic point-of-care transthoracic echocardiography to medical students.

摘要

目的

评估为期 5 周的即时护理经胸超声心动图工作坊对医学生的疗效。

设计

前瞻性、时间序列设计。

地点

单机构,包括一所美国医学院的学生。

参与者

研究包括 8 名二、三年级医学生。

干预措施

受试者参加了一个自愿的教育工作坊,旨在教授基本的即时护理经胸超声心动图。

测量和主要结果

主要结果是评估四项基本经胸超声心动图视图的实际操作、相关解剖结构的识别以及超声心动图知识的总考试成绩(0-100)的变化。次要结果是考试的实践(0-40)和书面(0-60)部分的分数。工作坊后的总考试平均分数为 83.6(±5.2),而基线时为 54(±7.1)(p<0.0001)。工作坊后的实践考试平均分数为 38(±2.5),而基线时为 22(±4.6)(p<0.0001)。工作坊后的书面考试平均分数为 46(±4.8),而基线时为 32(±5.8)(p=0.0003)。

结论

这项试点研究的结果表明,该工作坊课程可能是向医学生教授基本即时护理经胸超声心动图的有效方法。

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