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新冠疫情时代的教育:神经肌肉骨骼超声远程培训

Education in the Time of COVID: At-a-Distance Training in Neuromusculoskeletal Ultrasonography.

作者信息

Cook Amy E, Inkpen Peter

机构信息

Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, Ontario, Canada.

Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Arch Rehabil Res Clin Transl. 2021 Mar;3(1):100098. doi: 10.1016/j.arrct.2020.100098. Epub 2020 Dec 17.

DOI:10.1016/j.arrct.2020.100098
PMID:33723529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7946444/
Abstract

Point of care ultrasound is important to the specialty of physical medicine and rehabilitation (PM&R) to aid in the diagnosis and treatment of a variety of neuromusculoskeletal conditions commonly seen in practice. However, across Canada, resident education of sonoanatomy skills is variable. There remain no standards in terms of how ultrasound is taught as part of the residency curriculum as set by the Royal College of Physicians and Surgeons of Canada. As such, residents are often required to find their own educational opportunities. This report describes an alternative approach to learning these skills that was inspired by disruption due to coronavirus disease 2019 in first year residency. This report explores how a PM&R resident was able to develop valuable ultrasound skills from home using not only textbooks and videos, but also new and novel teleguidance technology, namely an ultrasound probe that connects to a clinician's own smart devices to display images.

摘要

床旁超声对于物理医学与康复(PM&R)专业很重要,有助于诊断和治疗实践中常见的各种神经肌肉骨骼疾病。然而,在加拿大各地,住院医师超声解剖技能的教育情况参差不齐。加拿大皇家内科医师和外科医师学院制定的住院医师课程中,关于如何教授超声检查尚无标准。因此,住院医师常常需要自己寻找教育机会。本报告描述了一种学习这些技能的替代方法,该方法受到2019年冠状病毒病导致的第一年住院医师培训中断的启发。本报告探讨了一名PM&R住院医师如何在家中不仅利用教科书和视频,还利用新型远程指导技术,即一种可连接临床医生自己的智能设备以显示图像的超声探头,来培养有价值的超声技能。

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本文引用的文献

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Sports Ultrasound Training During a Pandemic: Developing a "Hands-on" Skill Through Distance Learning.疫情期间的运动超声培训:通过远程学习发展“动手”技能。
Am J Phys Med Rehabil. 2020 Sep;99(9):860-862. doi: 10.1097/PHM.0000000000001515.
2
Identifying and Monitoring Deficiencies in Physical Examination of the Foot and Ankle With Diagnostic Ultrasound: Experience From a Physical Medicine and Rehabilitation Residency Training Program.使用诊断超声识别和监测足部和踝关节体格检查中的缺陷:来自物理医学与康复住院医师培训计划的经验。
Am J Phys Med Rehabil. 2020 Oct;99(10):961-967. doi: 10.1097/PHM.0000000000001425.
3
Brief Ultrasound-Aided Teaching to Improve the Accuracy and Confidence of Resident Musculoskeletal Palpation.简短的超声辅助教学可提高住院医师肌肉骨骼触诊的准确性和信心。
PM R. 2020 Apr;12(4):391-396. doi: 10.1002/pmrj.12246. Epub 2019 Oct 24.
4
Toward a Consensus for Musculoskeletal Ultrasonography Education in Physical Medicine and Rehabilitation: A National Poll of Residency Directors.肌骨超声医学教育在物理医学与康复中的共识:一项针对住院医师主任的全国调查。
Am J Phys Med Rehabil. 2019 Aug;98(8):715-724. doi: 10.1097/PHM.0000000000001195.
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Long-Term Retention of Musculoskeletal Ultrasound Training During Residency.住院医师规范化培训中肌肉骨骼超声培训的长期保留。
Am J Phys Med Rehabil. 2018 Jul;97(7):523-530. doi: 10.1097/PHM.0000000000000924.
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Can Ultrasound Be Used to Improve the Palpation Skills of Physicians in Training? A Prospective Study.超声能否提高培训医师的触诊技能?一项前瞻性研究。
PM R. 2018 Jul;10(7):730-737. doi: 10.1016/j.pmrj.2017.11.016. Epub 2017 Dec 7.
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Simulating the multi-disciplinary care team approach: Enhancing student understanding of anatomy through an ultrasound-anchored interprofessional session.模拟多学科护理团队方法:通过基于超声的跨专业课程增强学生对解剖学的理解。
Anat Sci Educ. 2018 Jan;11(1):94-99. doi: 10.1002/ase.1731. Epub 2017 Sep 15.
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An Introduction to Recording, Editing, and Streaming Picture-in-Picture Ultrasound Videos.
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