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本科医学实习教员对床旁超声熟悉程度的趋势

Trends in Point of Care Ultrasound Familiarity Among Undergraduate Medical Clerkship Educators.

作者信息

Schnure Nilan, Elfadil Mahmoud Mohamed, Chan Wilma, Baston Cameron, Shofer Frances, Panebianco Nova

机构信息

Section of Hospital Medicine, University of Pennsylvania Philadelphia, PA USA.

Division of Emergency Ultrasound, Department of Emergency Medicine, University of Pennsylvania Philadelphia, PA USA.

出版信息

POCUS J. 2024 Apr 22;9(1):80-86. doi: 10.24908/pocus.v9i1.16678. eCollection 2024.

Abstract

OBJECTIVES

Despite growing use of point of care ultrasound (POCUS), there remains a paucity of data about familiarity with POCUS among educators who dictate curricular content in undergraduate medical education. This paper aims to longitudinally characterize the level of comfort and frequency of POCUS use among faculty involved in undergraduate clerkship education.

METHODS

A web-based cross-sectional survey assessing comfort, frequency of use, and awareness of indications for POCUS among faculty involved in Internal Medicine, Family Medicine, and Surgery undergraduate clerkship education in a single urban academic medical center in 2016 and again in 2022.

RESULTS

A total of 45 responses from 2016 and 30 responses from 2022 are included. The percentage of faculty "not comfortable" with performing POCUS decreased from 78% to 46%, although the overall change in comfort was not statistically significant. Comfort interpreting POCUS images, frequency of POCUS use, and familiarity with the clinical applications of POCUS all improved. Faculty identified multiple barriers to more frequent POCUS use.

CONCLUSIONS

Over a six-year period at one urban, academic medical center, comfort with POCUS and frequency of use have increased slightly but remain low among core faculty responsible for clerkship education. There are still large gaps in knowledge and very few faculty regularly use POCUS, which can be attributed to multiple different barriers.

摘要

目的

尽管床旁超声(POCUS)的使用日益广泛,但在本科医学教育中决定课程内容的教育工作者中,对POCUS的熟悉程度的数据仍然很少。本文旨在纵向描述参与本科临床实习教育的教师对POCUS的舒适度水平和使用频率。

方法

在2016年和2022年,对一个城市学术医疗中心参与内科、家庭医学和外科本科临床实习教育的教师进行了一项基于网络的横断面调查,评估他们对POCUS的舒适度、使用频率以及对其适应症的知晓情况。

结果

纳入了2016年的45份回复和2022年的30份回复。虽然舒适度的总体变化无统计学意义,但对进行POCUS “不自在” 的教师比例从78% 降至46%。POCUS图像解读的舒适度、POCUS的使用频率以及对POCUS临床应用的熟悉程度均有所提高。教师们指出了更频繁使用POCUS的多个障碍。

结论

在一个城市学术医疗中心的六年时间里,负责临床实习教育的核心教师对POCUS的舒适度和使用频率略有提高,但仍然较低。在知识方面仍存在很大差距,很少有教师经常使用POCUS,这可归因于多种不同障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eed/11044932/8df519985e86/pocusj-09-16678-g001.jpg

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