Division of Pulmonary and Critical Care Medicine, Oregon Health & Science University, Portland, OR.
Division of Pulmonary, Critical Care, and Sleep Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
Chest. 2021 Jul;160(1):231-237. doi: 10.1016/j.chest.2021.01.068. Epub 2021 Feb 1.
Competence in ultrasonography is essential for pulmonary and critical care medicine (PCCM) fellows, but little is known about fellow-reported barriers to acquiring this crucial skill during fellowship training.
How do PCCM fellows acquire experience performing and interpreting ultrasonography during their training, what is their perspective on barriers to acquiring ultrasound expertise during fellowship, and what is their comfort with a range of ultrasound examinations?
A 20-item survey including questions about procedural training and acquisition of ultrasound skills during PCCM fellowship was developed. The survey instrument was sent to PCCM fellowship program directors to distribute to their fellows at program directors' discretion.
Four hundred seventy-five responses were received. The most common method of learning ultrasonography was performing it independently at the bedside. Fellows reported that the greatest barrier to acquiring ultrasound skills was the lack of trained faculty experts, followed by lack of a formal curriculum. Fellow comfort was greatest with thoracic ultrasound and least with advanced cardiac ultrasound.
Significant barriers to ultrasound training during PCCM fellowship exist, and future educational efforts should address these barriers at both program and institutional levels.
超声技能对于肺科和重症监护医学（PCCM）住院医师至关重要，但对于住院医师在培训期间获得这一关键技能的障碍，人们知之甚少。
PCCM 住院医师在培训期间如何获得进行和解读超声检查的经验，他们对在住院医师培训期间获得超声专业知识的障碍有何看法，以及他们对一系列超声检查的舒适度如何？
开发了一份 20 项的调查问卷，其中包括关于在 PCCM 住院医师培训期间进行程序培训和获得超声技能的问题。调查工具由 PCCM 住院医师培训项目主任分发给他们的住院医师，由项目主任自行决定。
共收到 475 份回复。学习超声的最常见方法是在床边独立进行。住院医师报告说，获得超声技能的最大障碍是缺乏经过培训的专家教员，其次是缺乏正式课程。住院医师对胸部超声的舒适度最高，对高级心脏超声的舒适度最低。
在 PCCM 住院医师培训期间，超声培训存在重大障碍，未来的教育工作应在项目和机构层面上解决这些障碍。
