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本文引用的文献

1
Emergency Medicine Resident Assessment of the Emergency Ultrasound Milestones and Current Training Recommendations.急诊医学住院医师对急诊超声里程碑及当前培训建议的评估
Acad Emerg Med. 2017 Mar;24(3):353-361. doi: 10.1111/acem.13113. Epub 2017 Feb 18.
2
Are Live Ultrasound Models Replaceable? Traditional versus Simulated Education Module for FAST Exam.实时超声模型可被替代吗?FAST检查的传统教育模块与模拟教育模块对比
West J Emerg Med. 2015 Nov;16(6):818-22. doi: 10.5811/westjem.2015.9.27276. Epub 2015 Oct 22.
3
Ocular Injuries: New Strategies In Emergency Department Management.眼部损伤:急诊科管理的新策略
Emerg Med Pract. 2015 Nov;17(11):1-21; quiz 21-2. Epub 2015 Nov 1.
4
Evaluation of an initiative to reduce radiation exposure from CT to children in a non-pediatric-focused facility.在一家非以儿科为重点的机构中,对一项减少儿童CT辐射暴露的倡议进行评估。
Emerg Radiol. 2015 Dec;22(6):631-41. doi: 10.1007/s10140-015-1335-4. Epub 2015 Aug 12.
5
Radiation Protection of the Child from Diagnostic Imaging.儿童诊断性成像的辐射防护
Curr Pediatr Rev. 2015;11(4):235-42. doi: 10.2174/1573396311666150729121930.
6
Accuracy of optic nerve sheath diameter measurement by emergency physicians using bedside ultrasound.急诊医生使用床旁超声测量视神经鞘直径的准确性。
J Emerg Med. 2015 Apr;48(4):450-7. doi: 10.1016/j.jemermed.2014.09.060. Epub 2014 Dec 9.
7
The diagnostic accuracy of bedside ocular ultrasonography for the diagnosis of retinal detachment: a systematic review and meta-analysis.床边眼部超声检查对视网膜脱离诊断的准确性:系统评价和荟萃分析。
Ann Emerg Med. 2015 Feb;65(2):199-203.e1. doi: 10.1016/j.annemergmed.2014.02.020. Epub 2014 Mar 27.
8
Towards evidence-based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 2: The use of bedside ultrasound in diagnosing retinal detachment in emergency department.迈向循证急诊医学:曼彻斯特皇家医院的最佳临床实践建议。最佳临床实践建议2:急诊科床边超声在诊断视网膜脱离中的应用
Emerg Med J. 2014 Apr;31(4):337-9. doi: 10.1136/emermed-2014-203646.2.
9
Emergency department bedside ultrasound diagnosis of retinoblastoma in a child.儿童视网膜母细胞瘤的急诊科床旁超声诊断
Pediatr Emerg Care. 2013 Oct;29(10):1128-31. doi: 10.1097/PEC.0b013e3182a64234.
10
Bedside ocular ultrasound in the emergency department.急诊科的床边眼部超声检查。
Eur J Emerg Med. 2014 Aug;21(4):246-53. doi: 10.1097/MEJ.0000000000000070.

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.

DOI:10.1007/s40477-021-00578-8
PMID:33797736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9148320/
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。