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内科住院医师对住院医师培训中即时超声的看法:强调未满足的需求。

Internal Medicine Residents' Perceptions of Point-of-Care Ultrasound in Residency Program: Highlighting the Unmet Needs.

机构信息

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

出版信息

Acta Med Indones. 2021 Jul;53(3):299-307.

Abstract

BACKGROUND

Point-of-care ultrasound (POCUS) is increasingly used in internal medicine   field. Ultrasound training has been part of the training provided in the Internal Medicine Residency Program (IMRP). The aim of this study is to examine the residents' needs and perceptions regarding their competency and needs of POCUS.

METHODS

We conducted a cross-sectional descriptive study using secondary data from a survey  among internal medicine residents at the Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo National General Hospital. The survey was conducted to evaluate and improve the curriculum in IMRP.

RESULTS

A total of 175 out of 197 residents (88.8%) completed the questionnaire. Almost all the residents (99.4%) agreed that POCUS is a beneficial must-have skill during residency. Nevertheless, only 40% of residents identified themselves as competent in POCUS. Sixty-two percent residents reckoned that the training received during the residency program is insufficient. They indicated that the most useful skills are US of hepatobiliary, lungs, heart, kidneys, and US-guided procedures.

CONCLUSION

This study confirms that there is a need for POCUS training for   IM residents, as the majority perceived themselves as unable to perform US. It is necessary to optimize the training provided to ensure proficiency.

摘要

背景

床边超声(POCUS)在内科领域的应用日益增多。超声培训已成为内科住院医师培训计划(IMRP)的一部分。本研究旨在探讨住院医师对其 POCUS 能力和需求的认知和看法。

方法

我们使用印度尼西亚大学医学院 Cipto Mangunkusumo 国家综合医院内科住院医师调查的二手数据,进行了一项横断面描述性研究。该调查旨在评估和改进 IMRP 的课程。

结果

共有 197 名住院医师中的 175 名(88.8%)完成了问卷。几乎所有住院医师(99.4%)都认为 POCUS 是住院期间有益的必备技能。然而,只有 40%的住院医师认为自己在 POCUS 方面有能力。62%的住院医师认为住院期间接受的培训不足。他们表示,最有用的技能是超声检查肝胆、肺部、心脏、肾脏和超声引导下的操作。

结论

这项研究证实,内科住院医师需要进行 POCUS 培训,因为大多数人认为自己无法进行超声检查。有必要优化提供的培训,以确保熟练程度。

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