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韩国医学院校床旁超声教育的现状与认知:一项全国性横断面研究。

Status and perception of point-of-care ultrasound education in Korean medical schools: A national cross-sectional study.

作者信息

Yoo Jonghoon, Kang Soo Yeon, Joon Jo Ik, Kim Taerim, Lee Gun Tak, Park Jong Eun, Lee Se Uk, Hwang Sung Yeon, Cha Won Chul, Shin Tae Gun, Cho Young Soon, Jang Hyewon, Yoon Hee

机构信息

Department of Emergency Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Republic of Korea.

Department of Emergency Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong-si, Gyeonggi-do, Republic of Korea.

出版信息

Medicine (Baltimore). 2024 May 3;103(18):e38026. doi: 10.1097/MD.0000000000038026.

Abstract

As point-of-care ultrasound (POCUS) is increasingly being used in clinical settings, ultrasound education is expanding into student curricula. We aimed to determine the status and awareness of POCUS education in Korean medical schools using a nationwide cross-sectional survey. In October 2021, a survey questionnaire consisting of 20 questions was distributed via e-mail to professors in the emergency medicine (EM) departments of Korean medical schools. The questionnaire encompassed 19 multiple-choice questions covering demographics, current education, perceptions, and barriers, and the final question was an open-ended inquiry seeking suggestions for POCUS education. All EM departments of the 40 medical schools responded, of which only 13 (33%) reported providing POCUS education. The implementation of POCUS education primarily occurred in the third and fourth years, with less than 4 hours of dedicated training time. Five schools offered a hands-on education. Among schools offering ultrasound education, POCUS training for trauma cases is the most common. Eight schools had designated professors responsible for POCUS education and only 2 possessed educational ultrasound devices. Of the respondents, 64% expressed the belief that POCUS education for medical students is necessary, whereas 36%, including those with neutral opinions, did not anticipate its importance. The identified barriers to POCUS education included faculty shortages (83%), infrastructure limitations (76%), training time constraints (74%), and a limited awareness of POCUS (29%). POCUS education in Korean medical schools was limited to a minority of EM departments (33%). To successfully implement POCUS education in medical curricula, it is crucial to clarify learning objectives, enhance faculty recognition, and improve the infrastructure. These findings provide valuable insights for advancing ultrasound training in medical schools to ensure the provision of high-quality POCUS education for future healthcare professionals.

摘要

随着床旁超声(POCUS)在临床环境中的使用日益增加,超声教育正在扩展到学生课程中。我们旨在通过全国性横断面调查来确定韩国医学院校中POCUS教育的现状和认知情况。2021年10月,一份包含20个问题的调查问卷通过电子邮件分发给韩国医学院校急诊医学(EM)系的教授们。问卷包含19个多项选择题,涵盖人口统计学、当前教育情况、认知以及障碍等方面,最后一个问题是开放性询问,征求关于POCUS教育的建议。40所医学院校的所有EM系都做出了回应,其中只有13所(33%)报告提供了POCUS教育。POCUS教育主要在三年级和四年级开展,专门培训时间少于4小时。有5所学校提供实践操作教育。在提供超声教育的学校中,针对创伤病例的POCUS培训最为常见。8所学校有指定负责POCUS教育的教授,只有2所拥有教学超声设备。在受访者中,64%认为医学生进行POCUS教育是必要的,而36%,包括持中立意见的人,并不认为其重要。确定的POCUS教育障碍包括师资短缺(83%)、基础设施限制(76%)、培训时间限制(74%)以及对POCUS的认知有限(29%)。韩国医学院校的POCUS教育仅限于少数EM系(33%)。要在医学课程中成功实施POCUS教育,明确学习目标、提高教师认可度并改善基础设施至关重要。这些发现为推进医学院校的超声培训提供了宝贵的见解,以确保为未来的医疗保健专业人员提供高质量的POCUS教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/11062660/ca80f812eeb1/medi-103-e38026-g001.jpg

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