Kennedy Sarah K, Duncan Taylor, Herbert Audrey G, Rood Loren K, Rutz Matt A, Zahn Gregory S, Welch Julie L, Russell Frances M
Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA.
Emergency Department, St. Elizabeth Hospital, Edgewood, USA.
Cureus. 2021 Aug 17;13(8):e17248. doi: 10.7759/cureus.17248. eCollection 2021 Aug.
Introduction Although clinical ultrasound (CUS) is a core skill that is a requirement for emergency medicine (EM) residency graduation, only a fraction of EM practitioners who trained prior to this requirement are certified in CUS. The objective of the study was to implement a CUS workshop for practicing EM physicians, identify barriers to utilization, and assess comfort with the machine, obtaining and interpreting images, and incorporating CUS into clinical practice. Methods This was a prospective descriptive cohort study of EM physician faculty who participated in an interactive 5-hour CUS workshop intervention that introduced four core CUS modalities via didactics and hands-on scanning stations. Pre- and post-surveys were administered to identify barriers to utilization and assess perceived comfort with CUS using a 5-point Likert scale. Results were analyzed using Fisher's exact and paired t-tests. Results Thirty-five EM physicians participated with a 100% survey response rate. Only five of the physicians were ultrasound certified at the time of the workshop. On average, physicians were 16 years post-residency. Prior to the workshop, 29% had minimal ultrasound experience and 43% had not performed more than 50 ultrasounds. In the pre-course survey, every physician expressed at least one barrier to CUS utilization. Post-workshop, physicians felt significantly more comfortable using the ultrasound machine (p=0.0008), obtaining and interpreting images (p=0.0009 and p=0.0004), and incorporating CUS into clinical practice (p=0.002). Conclusion This workshop is an effective tool to expose practicing physicians to core concepts of CUS, improve their comfort level, and reduce barriers to ultrasound utilization.
引言 尽管临床超声（CUS）是急诊医学（EM）住院医师毕业所需的一项核心技能，但在此要求之前接受培训的EM从业者中，只有一小部分获得了CUS认证。本研究的目的是为在职EM医生举办一个CUS工作坊，识别使用障碍，并评估他们对超声设备的操作舒适度、获取和解读图像的能力以及将CUS纳入临床实践的情况。方法 这是一项针对EM医生教员的前瞻性描述性队列研究，他们参加了一个为期5小时的互动式CUS工作坊干预，该干预通过理论教学和实际操作扫描站介绍了四种核心CUS模式。通过前后调查来识别使用障碍，并使用5点李克特量表评估对CUS的感知舒适度。结果采用Fisher精确检验和配对t检验进行分析。结果 35名EM医生参与了研究，调查回复率为100%。工作坊举办时，只有5名医生获得了超声认证。医生平均已从住院医师培训毕业16年。在工作坊之前，29%的医生超声经验极少，43%的医生进行的超声检查不超过50次。在课前调查中，每位医生都表达了至少一个CUS使用障碍。工作坊结束后，医生们在使用超声设备（p = 0.0008）、获取和解读图像（p = 0.0009和p = 0.0004）以及将CUS纳入临床实践（p = 0.002）方面感觉明显更自在。结论 这个工作坊是一个有效的工具，可让在职医生接触CUS的核心概念，提高他们的舒适度，并减少超声使用的障碍。
