Soguktas Suna, Weirauch-Engle Katrina, Kucukozyigit Nursena
Family Medicine, Mohawk Valley Health System, Utica, USA.
Family Medicine, Sparrow Health System, Lansing, USA.
Cureus. 2023 Nov 27;15(11):e49511. doi: 10.7759/cureus.49511. eCollection 2023 Nov.
Introduction The maternity care curriculum guidelines of the American Academy of Family Physicians (AAFP) state that family medicine residents (FMRs) should demonstrate the ability to independently perform limited obstetric ultrasound (OBUS) examinations as a core skill. This study's purpose is to examine whether basic OBUS training enhances the knowledge and confidence of FMRs in performing OBUS. Methods This is a Sparrow Institutional Review Board (IRB)-exempt prospective study that was completed at the Sparrow/Michigan State University (MSU) Family Medicine Residency Program (FMRP) in Michigan between December 2020 and December 2021, involving 40 residents. Assessment of knowledge and confidence in performing OBUS was completed prior to and following the training sessions. For training, an online lecture and two separate hands-on sessions with a pregnant patient were completed. Training materials by Prof. Dr. Mark Deutchman and the University of Washington (UoW) were used. Paired T-test was used for statistical analysis, and a p-value of <0.05 was used to determine statistical significance. Results Thirty-two pre- and 25 post-training questionnaires were collected from the target group. Of the respondents, 92% (n=23) indicated that training increased their confidence levels in performing OBUS. The percentage of reported confidence level of 1 or 2 in performing OBUS (on a Likert scale of 5, with 5 as the highest confidence level) decreased by 60% post-training (p<0.001). Levels 3, 4, and 5 in confidence level were increased. According to the respondents, an increased confidence level in OBUS is helpful for improving trust and rapport between the provider and the patient (92%, n=23), boosting the provider's diagnostic abilities (80%, n=20), improving patient satisfaction (76%, n=19), and decreasing healthcare costs (44%, n=11). Conclusion The basic OBUS training sessions improved the knowledge and confidence of residents in interpreting and performing OBUS; therefore, more OBUS training is needed during the residency.
引言 美国家庭医生学会（AAFP）的产妇护理课程指南指出，家庭医学住院医师（FMRs）应具备独立进行有限产科超声（OBUS）检查的能力，这是一项核心技能。本研究的目的是检验基础OBUS培训是否能增强FMRs进行OBUS检查的知识和信心。方法 这是一项获斯帕罗机构审查委员会（IRB）豁免的前瞻性研究，于2020年12月至2021年12月在密歇根州的斯帕罗/密歇根州立大学（MSU）家庭医学住院医师项目（FMRP）完成，涉及40名住院医师。在培训课程前后分别完成了对进行OBUS检查的知识和信心的评估。培训采用了在线讲座以及与一名孕妇进行的两次单独实操课程。使用了马克·多伊奇曼教授和华盛顿大学（UoW）提供的培训材料。采用配对t检验进行统计分析，p值<0.05用于确定统计学显著性。结果 从目标群体中收集到32份培训前问卷和25份培训后问卷。在受访者中，92%（n = 23）表示培训提高了他们进行OBUS检查的信心水平。培训后，在进行OBUS检查时报告信心水平为1或2（李克特量表为5分制，5分为最高信心水平）的比例下降了60%（p<0.001）。信心水平3、4和5有所提高。据受访者称，OBUS检查信心水平的提高有助于改善提供者与患者之间的信任和融洽关系（92%，n = 23）、增强提供者的诊断能力（80%，n = 20）、提高患者满意度（76%，n = 19）以及降低医疗成本（44%，n = 11）。结论 基础OBUS培训课程提高了住院医师解读和进行OBUS检查的知识和信心；因此，住院期间需要更多的OBUS培训。
