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日本儿科床边超声培训课程的实施和评估:一项试点研究。

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study.

机构信息

Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.

Department of Emergency and Disaster Medicine, Hirosaki University, 5 Zaifu-cho, Hirosaki, Aomori, 035-8562, Japan.

出版信息

J Med Ultrason (2001). 2022 Jan;49(1):85-93. doi: 10.1007/s10396-021-01155-6. Epub 2021 Oct 22.

Abstract

PURPOSE

The popularity of point-of-care ultrasound (POCUS) has led to the creation of educational guidelines for its use. In Japan, however, a comprehensive training course for POCUS use in pediatric emergency medicine has yet to be developed. The present study aimed to implement a pilot course for pediatric POCUS training in Japan and to compare participants' self-efficacy level before and after the course.

METHODS

A half-day training course in pediatric POCUS was implemented at a meeting of the Japan Society of Point-of-Care Ultrasound. A standardized training course, including pre-learning materials, live lectures, and hands-on sessions, was developed based on the US consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation and completed a self-evaluation survey before and after the course to access their background, self-efficacy in performing selected ultrasound procedures before and after the course, and their overall satisfaction with the course.

RESULTS

In total, 31 physicians participated. Of these, 25 completed the survey. Ten participants were in post-graduate year (PGY) 1-2, 13 were in PGY 3-5, and eight were in PGY 6 or higher. The post-training self-efficacy score was significantly higher than the pre-course assessment score (86.0 [standard deviation (SD): 19.2] vs. 35.6 [SD 17.6], p =  < 0.05, mean difference: 49.6 [95% confidence interval 39.6-61.2]). Furthermore, overall satisfaction with the course was high at 8.6 (SD 1.8).

CONCLUSION

The present study implemented a pilot training course in pediatric POCUS and found the participants' self-efficacy level to be significantly higher after the course.

摘要

目的

即时护理超声(POCUS)的普及促使其使用的教育指南应运而生。然而,在日本,尚未开发出针对儿科急诊医学中 POCUS 使用的综合培训课程。本研究旨在日本实施小儿 POCUS 培训的试点课程,并比较课程前后参与者的自我效能感水平。

方法

在日本即时护理超声学会的一次会议上实施了小儿 POCUS 半天培训课程。根据美国共识教育指南,制定了包括预学习材料、现场讲座和实践课程在内的标准化培训课程。招募对小儿 POCUS 感兴趣的医师参与,并在课程前后完成自我评估调查,以了解他们的背景、课程前后进行特定超声检查程序的自我效能感以及对课程的总体满意度。

结果

共有 31 名医师参加,其中 25 名完成了调查。10 名参与者为研究生 1-2 年级,13 名为研究生 3-5 年级,8 名为研究生 6 年级或更高年级。培训后的自我效能感评分明显高于课前评估评分(86.0 [标准差(SD):19.2] 与 35.6 [SD 17.6],p<0.05,平均差异:49.6 [95%置信区间 39.6-61.2])。此外,对课程的总体满意度很高,为 8.6(SD 1.8)。

结论

本研究实施了小儿 POCUS 培训试点课程,并发现课程后参与者的自我效能感水平显著提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe6/8532428/ce7adb696e33/10396_2021_1155_Fig1_HTML.jpg

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