Department of Clinical Science and Services, Royal Veterinary College, Hatfield, UK.
Vet Rec. 2023 Oct 21;193(8):e3174. doi: 10.1002/vetr.3174. Epub 2023 Jul 16.
Point-of-care ultrasound (POCUS) is gaining popularity in the veterinary field, but there is little information on operator confidence.
A survey was distributed to primary care veterinarians (PCVs) via social media between May and July 2020. Details of participants' training in and use of POCUS were recorded. Participants' confidence in using thoracic and abdominal POCUS was also assessed using a five-point Likert scale.
Two hundred and one PCVs used POCUS, of which 32% reported using a non-standardised protocol. Fifty percent of PCVs were self-taught and 17.4% had attended a specific practical course. The median confidence score was 4 out of 5 (interquartile range [IQR] 2-5) for identifying abdominal abnormalities, irrespective of the training method. The median confidence score for thoracic abnormalities was 3 out of 5 (IQR 1-4) for those taught by a colleague or who were self-taught using journal articles or videos.
The survey-based nature of the study relies on self-reporting and is therefore liable to recall bias.
PCVs' confidence in using POCUS is lacking, particularly with thoracic POCUS. Standardised practical training for PCVs, particularly in thoracic POCUS, would be beneficial. Future studies should explore how best to deliver this training.
即时护理超声(POCUS)在兽医领域越来越受欢迎,但关于操作人员信心的信息却很少。
2020 年 5 月至 7 月,通过社交媒体向初级保健兽医(PCV)分发了一份调查。记录了参与者在 POCUS 方面的培训和使用细节。还使用五点李克特量表评估了参与者使用胸腹部 POCUS 的信心。
201 名 PCV 使用了 POCUS,其中 32%的人报告使用了非标准化方案。50%的 PCV 是自学的,17.4%的人参加过专门的实践课程。无论培训方法如何,识别腹部异常的中位数信心得分为 5 分制中的 4 分(四分位距 [IQR] 2-5)。对于通过同事教授或使用期刊文章或视频自学的人,诊断胸部异常的中位数信心得分为 3 分(IQR 1-4)。
该研究基于调查的性质,依赖于自我报告,因此容易受到回忆偏倚的影响。
PCV 使用 POCUS 的信心不足,特别是在胸 POCUS 方面。对 PCV 进行标准化的实践培训,特别是在胸 POCUS 方面,将是有益的。未来的研究应探讨如何最好地提供这种培训。