Tana Tenneille, Al Osaimi Noura, Gazel Ummugulsum, Roth Johannes, Zehra Aydin Sibel Zehra, Humphrey-Murto Susan
Department of Medicine, University of Ottawa, Faculty of Medicine, Ottawa, ON, Canada.
Department of Rheumatology, University of Ottawa Faculty of Medicine, Ottawa, ON, Canada; Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Eur J Rheumatol. 2023 Jan;10(1):8-11. doi: 10.5152/eurjrheum.2022.21081.
This study aimed to assess the current state of musculoskeletal point-of-care ultrasonography training among the rheumatology postgraduate programs in Canada and explored the interest in developing a national curriculum.
A Canadian survey was developed by academic rheumatologists including point-of-care ultrasonography experts and point-of-care ultrasonography non-users. Across Canada, all 15 adult and 3 pediatric rheumatology English and French postgraduate programs were surveyed via Survey Monkey with a standardized questionnaire.
The completed response rates were 27% (24/89) for postgraduate year-4 and -5 rheumatology trainees and 61% (11/18) for program directors. Forty-two percent (10/24) of trainees had access to formal point-of-care ultrasonography training, and 67% (16/24) had some form of informal nonstructured exposure. Of all respondents, 87.5% (21/24) trainees and 82% (9/11) program directors agreed or strongly agreed that point-of-care ultrasonography is an important clinical tool in rheumatology. Eighty-nine percent (8/9) of program directors felt that point-of-care ultrasonography should be a formal part of rheumatology training.
This national survey demonstrates that while musculoskeletal point-of-care ultrasonography is considered an important component of clinical practice, significant training barriers exist. The majority of both trainees and program directors felt that point-of-care ultrasonography should be a formal part of training and would be interested in a national standardized point-of-care ultrasonography curriculum in Canada.
本研究旨在评估加拿大风湿病学研究生项目中肌肉骨骼即时超声检查培训的现状，并探讨制定全国性课程的意向。
由包括即时超声检查专家和非即时超声检查使用者的学术风湿病学家开展一项加拿大调查。通过“调查猴子”平台，使用标准化问卷对加拿大所有15个成人及3个儿科风湿病学英语和法语研究生项目进行了调查。
四年级和五年级风湿病学实习生的完整回复率为27%（24/89），项目主任的完整回复率为61%（11/18）。42%（10/24）的实习生有机会接受正式的即时超声检查培训，67%（16/24）有某种形式的非正式非结构化接触。在所有受访者中，87.5%（21/24）的实习生和82%（9/11）的项目主任同意或强烈同意即时超声检查是风湿病学中的一项重要临床工具。89%（8/9）的项目主任认为即时超声检查应成为风湿病学培训的正式组成部分。
这项全国性调查表明，虽然肌肉骨骼即时超声检查被认为是临床实践的重要组成部分，但存在重大的培训障碍。大多数实习生和项目主任都认为即时超声检查应成为培训的正式组成部分，并对加拿大全国标准化的即时超声检查课程感兴趣。
