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在住院医师培训中评估即时超声课程和眼部模型。

Evaluation of a point-of-care ultrasound curriculum and ocular phantom in residency training.

机构信息

Department of Radiology, Eastern Virginia Medical School, Norfolk, VA, USA.

Department of Emergency Medicine, Eastern Virginia Medical School, 600 Gresham Drive, Suite 304 Raleigh Bldg, Norfolk, VA, 23501, USA.

出版信息

J Ultrasound. 2022 Jun;25(2):259-263. doi: 10.1007/s40477-021-00578-8. Epub 2021 Apr 2.

Abstract

Specialized training in ocular ultrasound is not a focus for most emergency medicine residencies, despite the fact that it allows physicians to quickly and accurately identify ocular pathology and prioritize emergency ophthalmological consultations. Therefore, we tested the value of utilizing normal and pathologic ocular ultrasound phantoms as a training tool for residents. Twenty emergency medicine residents were given a pre-test including written and practical skills diagnosis of ocular phantom pathologies, a short video on common ocular pathologies, practice time with the phantoms and a post-test including written and scanning components. Residents were then asked to complete an overall evaluation of the learning activity. After didactic and hands-on training with phantoms, residents demonstrated a significant increase in knowledge, skills and preparedness for diagnosing real patients with ocular pathologies. Overall, the phantoms allowed residents an unrestricted opportunity to practice and refine their technique. This study provided a framework for teaching emergency medicine residents the basics of ocular US through a brief didactic and practical intervention using novel ocular pathology US phantoms. Our curriculum resulted in both objective and subjective improvement in residents' performance and understanding of ocular US.

摘要

尽管眼部超声检查可以帮助医生快速准确地识别眼部病变,并优先安排紧急眼科会诊,但大多数急诊医学住院医师培训并未将其作为专业培训重点。因此,我们测试了使用正常和病理性眼部超声模型作为住院医师培训工具的价值。20 名急诊医学住院医师接受了一项测试,包括眼部幻影病变的书面和实际技能诊断、常见眼部病变的短视频、使用幻影的练习时间以及书面和扫描部分的后测。然后要求住院医师对学习活动进行整体评估。在使用模型进行理论和实践培训后,住院医师在诊断眼部病变患者方面的知识、技能和准备情况均有显著提高。总的来说,这些模型让住院医师有机会不受限制地练习和完善他们的技术。本研究通过使用新型眼部病理超声模型进行简短的理论和实践干预,为教授急诊医学住院医师眼部超声基础知识提供了框架。我们的课程使住院医师的眼部超声表现和理解得到了客观和主观的改善。

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