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儿科住院医师对与急诊医学开展床旁超声协作的看法。

Pediatric Residents' Perceptions of a Point-of-Care Ultrasound Collaboration With Emergency Medicine.

作者信息

Wubben Brandon M, Oberbillig Megan, Wittrock Cory, Rytlewski Kacie, Thirnbeck Caitlin K, Junker Christian, Stier Amy

机构信息

Emergency Medicine, University of Iowa, Iowa City, USA.

Pediatrics, University of Iowa, Iowa City, USA.

出版信息

Cureus. 2023 Jul 10;15(7):e41645. doi: 10.7759/cureus.41645. eCollection 2023 Jul.

Abstract

Background Pediatric residencies expanding their point-of-care ultrasound (POCUS) education face barriers, including a lack of established curriculum and qualified educators. Prior studies report partnerships between pediatrics and pediatric emergency medicine (PEM); however, many non-PEM emergency medicine (EM) physicians with POCUS fellowship training also have experience with pediatric POCUS and represent an alternate educational partner. Objectives To improve pediatric residents' POCUS skills through collaborative education with EM and evaluate perceptions of the teaching format and instructors. Methods First through third-year pediatric residents attended a half-day didactic and hands-on session about renal, lung, and musculoskeletal (MSK) POCUS. These educational sessions were led by EM faculty with POCUS fellowship training and assisted by EM residents. Post-session surveys were administered to pediatric residents to assess prior POCUS experience, changes in confidence in acquiring and interpreting renal, lung, and MSK POCUS images, and opinions about the educational format. Statistical analyses of the post-session survey data were performed using SPSS. Results Thirty-nine pediatric residents attended the session and completed the survey of 45 total residents in the program (86.7%), with 89.7% completing 10 or fewer POCUS studies. Residents' comfort level with performing lung POCUS increased from 5.1% to 82.1% (< .001), renal POCUS from 10.3% to 76.9% (< .001), and MSK POCUS from 7.7% to 84.6% (< .001). 87.2% rated the educational format as effective, and 94.9% (37/39) rated emergency medicine faculty as 'very effective' in providing ultrasound education relevant to the practice of pediatrics. Conclusion Pediatric resident POCUS education taught by EM faculty with POCUS fellowship training was well-received by pediatric residents and significantly improved confidence in acquiring and interpreting POCUS.

摘要

背景 扩大即时超声(POCUS)教育的儿科住院医师培训面临诸多障碍,包括缺乏既定课程和合格教育工作者。先前的研究报告了儿科与儿科急诊医学(PEM)之间的合作关系;然而,许多接受过POCUS专项培训的非PEM急诊医学(EM)医生也有儿科POCUS经验,可作为另一种教育合作伙伴。目的 通过与EM的合作教育提高儿科住院医师的POCUS技能,并评估他们对教学形式和教员的看法。方法 一至三年级的儿科住院医师参加了为期半天的关于肾脏、肺部和肌肉骨骼(MSK)POCUS的理论和实践课程。这些教育课程由接受过POCUS专项培训的EM教员主持,并由EM住院医师协助。课程结束后对儿科住院医师进行调查,以评估他们先前的POCUS经验、获取和解读肾脏、肺部和MSK POCUS图像的信心变化以及对教育形式的看法。使用SPSS对课程结束后的调查数据进行统计分析。结果 39名儿科住院医师参加了该课程并完成了对项目中45名住院医师的调查(86.7%),其中89.7%完成了10项或更少的POCUS检查。住院医师进行肺部POCUS的舒适度从5.1%提高到82.1%(<.001),肾脏POCUS从10.3%提高到76.9%(<.001),MSK POCUS从7.7%提高到84.6%(<.001)。87.2%的人认为教育形式有效,94.9%(37/39)的人认为急诊医学教员在提供与儿科实践相关的超声教育方面“非常有效”。结论 由接受过POCUS专项培训的EM教员进行的儿科住院医师POCUS教育受到儿科住院医师的好评,并显著提高了他们获取和解读POCUS的信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8e6/10411543/221310667f5f/cureus-0015-00000041645-i01.jpg

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