Department of Critical Care Medicine, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China.
BMC Med Educ. 2024 May 8;24(1):514. doi: 10.1186/s12909-024-05485-0.
Ultrasound has widely used in various medical fields related to critical care. While online and offline ultrasound trainings are faced by certain challenges, remote ultrasound based on the 5G cloud platform has been gradually adopted in many clinics. However, no study has used the 5G remote ultrasound cloud platform operating system for standardized critical care ultrasound training. This study aimed to evaluate the feasibility and effectiveness of 5G-based remote interactive ultrasound training for standardized diagnosis and treatment in critical care settings.
A 5G-based remote interactive ultrasound training system was constructed, and the course was piloted among critical care physicians. From July 2022 to July 2023, 90 critical care physicians from multiple off-site locations were enrolled and randomly divided into experimental and control groups. The 45 physicians in the experimental group were trained using the 5G-based remote interactive ultrasound training system, while the other 45 in the control group were taught using theoretical online videos. The theoretical and practical ultrasonic capabilities of both groups were evaluated before and after the training sessions, and their levels of satisfaction with the training were assessed as well.
The total assessment scores for all of the physicians were markedly higher following the training (80.7 ± 11.9) compared to before (42.1 ± 13.4) by a statistically significant margin (P < 0.001). Before participating in the training, the experimental group scored 42.2 ± 12.5 in the critical care ultrasound competency, and the control group scored 41.9 ± 14.3-indicating no significant differences in their assessment scores (P = 0.907). After participating in the training, the experimental group's assessment scores were 88.4 ± 6.7, which were significantly higher than those of the control group (72.9 ± 10.8; P < 0.001). The satisfaction score of the experimental group was 42.6 ± 2.3, which was also significantly higher than that of the control group (34.7 ± 3.1, P < 0.001).
The 5G-based remote interactive ultrasound training system was well-received and effective for critical care. These findings warrant its further promotion and application.
超声在各种与重症相关的医学领域得到了广泛应用。尽管在线和离线的超声培训都面临着一定的挑战，但基于 5G 云平台的远程超声已逐渐在许多临床科室中采用。然而，尚无研究使用 5G 远程超声云平台操作系统进行标准化重症超声培训。本研究旨在评估基于 5G 的远程交互式超声培训在重症环境下标准化诊断和治疗中的可行性和有效性。
构建了基于 5G 的远程交互式超声培训系统，并对重症监护医师进行了试点培训。2022 年 7 月至 2023 年 7 月，从多个远程地点招募了 90 名重症监护医师，并将其随机分为实验组和对照组。实验组的 45 名医师使用基于 5G 的远程交互式超声培训系统进行培训，而对照组的 45 名医师则使用理论在线视频进行教学。在培训前后，评估两组医师的理论和实践超声能力，并评估他们对培训的满意度。
与培训前（42.1±13.4）相比，所有医师的总分评估均明显提高（80.7±11.9），差异具有统计学意义（P<0.001）。培训前，实验组的重症超声能力评分为 42.2±12.5，对照组为 41.9±14.3，两组评估得分无显著差异（P=0.907）。培训后，实验组的评估得分为 88.4±6.7，明显高于对照组（72.9±10.8；P<0.001）。实验组的满意度评分为 42.6±2.3，明显高于对照组（34.7±3.1，P<0.001）。
基于 5G 的远程交互式超声培训系统受到好评，对重症监护具有良好的效果。这些发现证明了其进一步推广和应用的价值。
