Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Accident & Emergency Department, Princess Margaret Hospital, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong, China.
Tomography. 2022 Apr 6;8(2):1052-1059. doi: 10.3390/tomography8020085.
Point of care ultrasound (POCUS) competency is now required learning for emergency medicine trainees. However, there is a wide range of areas that need to be assessed when determining competence. Therefore, this study aims to evaluate competence levels of POCUS skill acquisition including the areas of image acquisition, image interpretation and clinical integration of the emergency medicine residents while on shift in real clinical practice situations. This was a retrospective descriptive study. This study was conducted at Srinagarind Hospital, Thailand from January 2021 through December 2021. The data were collected and reviewed from electronic medical records, ultrasound images and video clips. All POCUS competency skills were assessed by researcher staff. Our results demonstrated that our learners had overall satisfactory competence of image acquisition, satisfactory image interpretation skills, and good clinical integration skills. However, obstetrics and gynecology (OB-GYN) ultrasound scores were poor and cardiac ultrasound had the most varied score of image quality. This study clearly showed the measurable benefits of a POCUS course being integrated into real clinical practice.
即时护理超声（POCUS）能力现在是急诊医学实习生的必修学习内容。然而，在确定能力时，需要评估广泛的领域。因此，本研究旨在评估急诊医学住院医师在实际临床实践情况下轮班时获取 POCUS 技能的能力水平，包括图像采集、图像解释和临床整合等方面。这是一项回顾性描述性研究。本研究于 2021 年 1 月至 12 月在泰国的诗里叻医院进行。数据从电子病历、超声图像和视频剪辑中收集和审查。所有 POCUS 能力技能均由研究人员评估。我们的结果表明，我们的学习者在图像采集方面总体上具有令人满意的能力，在图像解释技能方面具有满意的水平，在临床整合技能方面具有良好的水平。然而，妇产科（OB-GYN）超声评分较差，心脏超声的图像质量评分变化最大。本研究清楚地表明，将 POCUS 课程整合到实际临床实践中具有可衡量的益处。
