Jhagru Rayal, Singh Rajiv, Rupp Jordan
Georgetown Public Hospital Corporation, Georgetown, Guyana.
Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Int J Emerg Med. 2023 Sep 6;16(1):57. doi: 10.1186/s12245-023-00531-y.
This is a cohort pilot study of senior emergency medicine residents and residency-trained emergency medicine registrars practicing in an urban tertiary academic hospital in Guyana in South America. The primary aim was to assess the effectiveness of the current adapted residency ultrasound training curriculum and guide future ultrasound-specific continuing medical education. Ultrasound image acquisition, interpretation, and integration of ultrasound findings into clinical medical decision-making competency were assessed in a multimodal fashion: a written assessment and a practical assessment.
This was a cross-sectional cohort pilot study of senior emergency medicine residents and registrars (residency graduates) practicing in Guyana, a low-middle-income country. Ultrasound image acquisition and interpretation competency were assessed in a multimodal fashion: a written assessment and a practical assessment. The results will be reported as simple percentages. Participants will be deemed competent if the combined score is greater than 80% on the assessment.
All senior residents and graduates of the residency program were competent in the core point-of-care ultrasound applications. The senior residents averaged 89% proficiency, and the residency graduates subdivided based on years since graduation averaged 87-100% proficiency. The more experienced providers performed better on the practical portion of the evaluation. Evaluating the composite analysis of all the participants revealed the Extended Focused Assessment with Sonography in Trauma (EFAST) exam (96%) and cardiac exam (93%) were done with the most proficiency.
The assessment results of this pilot study suggest that the current residency ultrasound training curriculum adapted to the resources available is associated with sustained competency after graduation. There was minor attrition of knowledge amongst the senior physicians, but all senior residents and all participating residency graduates were competent in the core ultrasound applications.
这是一项针对在南美洲圭亚那一家城市三级学术医院工作的急诊医学高级住院医师和接受过住院医师培训的急诊医学注册医师的队列试点研究。主要目的是评估当前改编后的住院医师超声培训课程的有效性，并为未来的超声专项继续医学教育提供指导。通过多模式方式评估超声图像采集、解读以及将超声检查结果整合到临床医疗决策能力中：书面评估和实践评估。
这是一项针对在低收入中等收入国家圭亚那工作的急诊医学高级住院医师和注册医师（住院医师毕业生）的横断面队列试点研究。通过多模式方式评估超声图像采集和解读能力：书面评估和实践评估。结果将以简单百分比形式报告。如果综合得分在评估中大于80%，则参与者将被视为合格。
住院医师项目的所有高级住院医师和毕业生在核心床旁超声应用方面均合格。高级住院医师的平均熟练程度为89%，根据毕业年限细分的住院医师毕业生平均熟练程度为87%-100%。经验更丰富的提供者在评估的实践部分表现更好。对所有参与者的综合分析显示，创伤超声重点评估扩展版（EFAST）检查（96%）和心脏检查（93%）的熟练程度最高。
这项试点研究的评估结果表明，当前根据可用资源改编的住院医师超声培训课程与毕业后的持续能力相关。高级医师中知识有轻微流失，但所有高级住院医师和所有参与的住院医师毕业生在核心超声应用方面均合格。
