University of Colorado, Anschutz Medical Campus, Denver, Colorado.
The Ohio State University College of Medicine, Columbus, Ohio.
Hosp Pediatr. 2022 Jun 1;12(6):607-617. doi: 10.1542/hpeds.2021-006444.
Many medical disciplines incorporate point-of-care ultrasound (POCUS) into their practice. Despite well-defined applications, POCUS has not been widely adopted in pediatrics and is not commonly taught during residency. Our objective was to profile the current state of POCUS education in pediatric residency training from the resident perspective.
We surveyed pediatric trainees about their POCUS education, general opinions about POCUS, and perceived barriers to POCUS training in residency. We distributed the survey to a random sample of Ohio pediatric residents, stratified by program size and training level. Descriptive statistics were used to characterize responses.
We sampled 66.4% of the population (371 of 559) of Ohio pediatric residents and achieved a response rate of 59.3%. Only 15% of respondents received POCUS training during residency, with 85% having never performed a POCUS scan. Most (86%) desired POCUS education and 67% believed it should be required during residency. Residents felt that POCUS would be useful for procedural guidance (95%), clinical diagnosis (94%), and patient safety (74%). Most residents (61%) believed POCUS education would benefit their careers, particularly those planning on subspecialization. Barriers to POCUS education included lack of an established curriculum (75%), competing educational priorities (58%), and a shortage of qualified instructors (52%).
Although Ohio pediatric residents do not receive formal POCUS education in residency, they desire such training and believe it would benefit their future practice. Consensus on scope of practice, development of a standardized curriculum, and increased faculty training in POCUS may help address this educational gap.
许多医学学科将即时护理超声（POCUS）纳入其实践。尽管有明确的应用，但 POCUS 在儿科尚未广泛采用，也不是住院医师培训中的常见教学内容。我们的目标是从住院医师的角度了解儿科住院医师培训中 POCUS 教育的现状。
我们调查了儿科住院医师的 POCUS 教育、他们对 POCUS 的总体看法以及他们认为在住院医师培训中进行 POCUS 培训的障碍。我们向俄亥俄州儿科住院医师的随机样本分发了调查，样本按项目规模和培训水平进行分层。使用描述性统计数据来描述回答。
我们对俄亥俄州儿科住院医师人群的 66.4%（559 名中的 371 名）进行了抽样，并实现了 59.3%的回应率。只有 15%的受访者在住院医师期间接受了 POCUS 培训，85%的人从未进行过 POCUS 扫描。大多数（86%）希望接受 POCUS 教育，67%的人认为 POCUS 应该在住院医师培训期间成为必修课程。住院医师认为 POCUS 将有助于指导程序（95%）、临床诊断（94%）和患者安全（74%）。大多数住院医师（61%）认为 POCUS 教育将使他们的职业生涯受益，特别是那些计划专科化的住院医师。POCUS 教育的障碍包括缺乏既定的课程（75%）、教育优先事项冲突（58%）和合格教员短缺（52%）。
尽管俄亥俄州儿科住院医师在住院医师培训期间没有接受正式的 POCUS 教育，但他们希望接受此类培训，并认为这将有助于他们未来的实践。在实践范围达成共识、制定标准化课程以及增加教员在 POCUS 方面的培训，可能有助于解决这一教育差距。
