Center for General Practice at Aalborg University, Aalborg, Denmark.
Department of Public Health, Faculty of Health Sciences, Research Unit for General Practice and Section of General Practice, University of Copenhagen, Copenhagen, Denmark.
Scand J Prim Health Care. 2022 Mar;40(1):67-77. doi: 10.1080/02813432.2022.2036483. Epub 2022 Feb 15.
Point-of-care ultrasonography (POCUS) is increasingly used in general practice despite the lack of official educational programmes or guidelines for general practitioners (GPs).
To explore how GPs have learnt to use POCUS and which barriers they have encountered in their learning process.
Qualitative study conducted in office-based general practice in Denmark.
Semi-structured interviews were conducted with 13 GPs who had implemented POCUS without supporting guidelines or regulations. Analysis was carried out using systematic text condensation. The interview data for this study were collected along with data used in a previous study.
The participating GPs described having composed their own ultrasound education following a continuous learning process. Basic POCUS competences were achieved through formalized training sessions at hospital departments or courses. The GPs further developed and expanded their scanning skills through additional courses and continuous self-study practice on patients often while consulting internet sources, textbooks or colleagues. Lack of available ultrasound courses, supervision, and clinical guidelines together with time constraints and financial aspects were mentioned as barriers to their ultrasound training.
This study showed how GPs had composed their own ultrasound education individually and differently, guided by their own experiences and beliefs about good clinical practice. Formalized ultrasound training was considered a prerequisite for achieving basic ultrasound competences while continuous practice was considered paramount to develop and maintain scanning skills. There were several obstacles to overcome in the learning process including lack of supervision, guidance, and opportunity for practicing skills.Key pointsLittle is known about the educational needs of general practitioners striving to achieve ultrasound competences.General practitioners described using formalized training to achieve basic scanning competences and continuous self-study and practice to further develop their skills.Lack of time, supervision, clinical guidelines and ultrasound courses were considered barriers in the learning process together with financial aspects.
尽管缺乏针对全科医生的官方教育计划或指南，床边即时超声检查（POCUS）在全科医疗中应用越来越广泛。
探索全科医生如何学习使用 POCUS 以及他们在学习过程中遇到的障碍。
在丹麦的以诊所为基础的全科医疗中进行的定性研究。
对 13 名在没有支持性指南或规定的情况下实施 POCUS 的全科医生进行了半结构式访谈。使用系统文本凝结进行分析。本次研究的访谈数据与之前研究中使用的数据一起收集。
参与的全科医生描述了他们在持续学习过程中自行组成的超声教育。基本的 POCUS 能力是通过在医院部门或课程中的正规培训课程获得的。全科医生通过额外的课程和对患者的持续自我学习实践进一步发展和扩展他们的扫描技能，经常在咨询互联网资源、教科书或同事的情况下进行。缺乏可用的超声课程、监督和临床指南以及时间限制和财务方面的问题被提及是他们超声培训的障碍。
本研究表明，全科医生如何根据自己对良好临床实践的经验和信念，各自独立地组成自己的超声教育。正规的超声培训被认为是获得基本超声能力的先决条件，而持续的实践被认为是发展和维持扫描技能的关键。在学习过程中存在许多障碍，包括缺乏监督、指导和实践技能的机会。
对于努力获得超声能力的全科医生的教育需求知之甚少。
全科医生描述使用正规培训来获得基本的扫描能力，并通过持续的自我学习和实践来进一步发展他们的技能。
时间、监督、临床指南和超声课程的缺乏以及财务方面的问题被认为是学习过程中的障碍，此外还有监督、指导和实践技能的机会。
