Eventov Michelle, Bean Allison C, D'Amico Ella, Fultz Connor, Cerana Kerry, Helkowski Wendy, Schroeder Allison N
From the Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (ME, ACB, ED, CF, KC, WH, ANS); and Division of Sports Medicine, Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio (ANS).
Am J Phys Med Rehabil. 2023 May 1;102(5):e63-e66. doi: 10.1097/PHM.0000000000002149. Epub 2022 Nov 23.
Physiatrists are increasingly using musculoskeletal ultrasound for both diagnostic and therapeutic purposes. However, a standardized longitudinal curriculum for instructing physical medicine and rehabilitation residents in performing ultrasound-guided interventional procedures has yet to be established. The purpose of this study is to develop and assess the effectiveness of a longitudinal curriculum in training residents to perform common ultrasound-guided musculoskeletal injections using fresh-frozen cadaveric specimens. The course included six weekly hands-on educational sessions, divided by anatomical region, integrated into an established anatomy and physical examination curriculum. After completion of the curriculum, residents reported improved comfort and confidence and displayed improved competence in performing these injections. Other physiatry residency programs should consider implementing longitudinal, hands-on cadaveric training courses to better prepare trainees to perform ultrasound-guided injections as part of their future clinical practice.
物理治疗师越来越多地将肌肉骨骼超声用于诊断和治疗目的。然而，尚未建立一个标准化的纵向课程来指导物理医学与康复住院医师进行超声引导介入操作。本研究的目的是开发并评估一个纵向课程在使用新鲜冷冻尸体标本培训住院医师进行常见超声引导肌肉骨骼注射方面的有效性。该课程包括每周六次的实践教学课程，按解剖区域划分，并融入既定的解剖学和体格检查课程。课程结束后，住院医师报告称舒适度和信心有所提高，并且在进行这些注射操作时表现出更高的能力。其他物理医学与康复住院医师培训项目应考虑实施纵向的尸体实践培训课程，以便更好地让学员为未来临床实践中进行超声引导注射做好准备。
