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家庭医学住院医师对即时超声的态度和信心。

Point-of-Care Ultrasound for Family Medicine Residents: Attitudes and Confidence.

机构信息

Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM.

出版信息

Fam Med. 2021 Jun;53(6):457-460. doi: 10.22454/FamMed.2021.930080.

DOI:10.22454/FamMed.2021.930080
PMID:34077965
Abstract

BACKGROUND AND OBJECTIVES

Point-of-care ultrasound (POCUS) is increasingly being incorporated into family medicine residency training. Attitudes towards POCUS among family medicine residents (FMRs) are largely unknown, and confidence levels with performing and interpreting POCUS exams are also unknown among this group of learners. Our aim was to evaluate FMRs' attitudes and confidence levels before and after the implementation of a new POCUS curriculum.

METHODS

Study participants included FMRs in all postgraduate years (ie, PGY1-PGY3) at the University of New Mexico (UNM) Family Medicine Residency Program. Our intervention was a yearlong implementation of a new POCUS curriculum based on the American Academy of Family Physicians POCUS curriculum guidelines. Our interventions included hands-on training sessions for both FMRs and faculty along with a resource website. We assessed attitudes and confidence levels with various POCUS exams using a pre- and postintervention survey.

RESULTS

Overall, FMRs felt significantly more confident in their ability to perform and interpret a point-of-care ultrasound after the implementation of POCUS curriculum. There was no significant difference in participants' expectations of their use of POCUS during or after residency.

CONCLUSIONS

Overall, this study provides evidence that the implementation of a POCUS curriculum that includes hands-on and didactic training is associated with increased confidence in utilizing POCUS among FMRs.

摘要

背景与目的

即时超声检查(POCUS)越来越多地被纳入家庭医学住院医师培训。家庭医学住院医师(FMR)对 POCUS 的态度在很大程度上是未知的,而且该学习群体对执行和解释 POCUS 检查的信心水平也未知。我们的目的是在实施新的 POCUS 课程前后评估 FMR 的态度和信心水平。

方法

研究参与者包括新墨西哥大学(UNM)家庭医学住院医师培训计划所有研究生年级(即 PGY1-PGY3)的 FMR。我们的干预措施是根据美国家庭医师学会 POCUS 课程指南实施为期一年的新 POCUS 课程。我们的干预措施包括为 FMR 和教师提供实践培训课程以及资源网站。我们使用预干预和后干预调查评估了各种 POCUS 检查的态度和信心水平。

结果

总体而言,FMR 在实施 POCUS 课程后,对自己进行和解释即时超声检查的能力更有信心。参与者对在住院期间或之后使用 POCUS 的期望没有显着差异。

结论

总体而言,这项研究表明,实施包括实践和理论培训的 POCUS 课程与 FMR 对使用 POCUS 的信心增强有关。

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