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四年制纵向医学院超声课程毕业生对床旁超声的应用情况。

Utilization of point-of-care ultrasound among graduates of a 4-year longitudinal medical school ultrasound curriculum.

作者信息

Nguyen Andy Phan, Saadat Soheil, Nguyen Michelle Thao, Desai Monica Devang, Rowland Jonathan Wesley, Fox John Christian

机构信息

Department of Emergency Medicine, Temecula Valley Hospital, Universal Health Services, Temecula, CA, USA.

Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA.

出版信息

Clin Exp Emerg Med. 2023 Jun;10(2):224-229. doi: 10.15441/ceem.22.357. Epub 2023 Jan 30.

Abstract

OBJECTIVE

In 2011, School of Medicine, University of California, Irvine was among the first schools to implement a 4-year ultrasound curriculum. We aimed to find the point-of-care ultrasound (POCUS) utilization pattern among University of California, Irvine alumni.

METHODS

We surveyed University of California, Irvine alumni from the class of 2011 and beyond. Survey questions included POCUS reliance, frequency of use, and comfort with image acquisition and interpretation compared with peers. The primary outcomes were self-reported comfort and reliance on POCUS.

RESULTS

We received 93 responses from 624 surveyed alumni (response rate, 14.9%), of which 87 were analyzed. Although 46 respondents (52.9%) reported more reliance on POCUS, three (3.4%) relied on it less than their peers. At the same time, 72 (82.7%) and 67 (77.0%) felt more comfortable than their colleagues in obtaining and interpreting POCUS, respectively. No respondents felt less comfortable obtaining or interpreting POCUS than their peers. The frequency of POCUS use correlated directly with the frequency with which POCUS changed the responder's case management (rho, 0.860; P<0.001). POCUS reliance also correlated with respondents' comfort level in obtaining (rho, 0.321; P<0.001) and interpreting (rho, 0.378; P<0.001) POCUS results.

CONCLUSION

University of California, Irvine graduates had higher reliance on POCUS than peers in their respective specialties. Their POCUS findings frequently changed their case management.

摘要

目的

2011年,加利福尼亚大学欧文分校医学院是首批实施为期4年超声课程的院校之一。我们旨在了解加利福尼亚大学欧文分校校友的床旁超声(POCUS)使用模式。

方法

我们对2011届及以后的加利福尼亚大学欧文分校校友进行了调查。调查问题包括对POCUS的依赖程度、使用频率,以及与同行相比在图像采集和解读方面的舒适度。主要结果是自我报告的对POCUS的舒适度和依赖程度。

结果

我们收到了624名被调查校友中的93份回复(回复率为14.9%),其中87份进行了分析。虽然46名受访者(52.9%)报告称对POCUS的依赖程度更高,但有3名(3.4%)受访者表示比同行对其依赖程度更低。同时,分别有72名(82.7%)和67名(77.0%)受访者感觉在获取和解读POCUS方面比同事更得心应手。没有受访者感觉在获取或解读POCUS方面比同行更不自在。POCUS的使用频率与POCUS改变受访者病例管理的频率直接相关(rho值为0.860;P<0.001)。对POCUS的依赖程度也与受访者在获取(rho值为0.321;P<0.001)和解读(rho值为0.378;P<0.001)POCUS结果时的舒适度相关。

结论

加利福尼亚大学欧文分校的毕业生比各自专业的同行对POCUS的依赖程度更高。他们的POCUS检查结果经常改变其病例管理方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c8d/10350349/2fd66d03e998/ceem-22-357f1.jpg

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