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提高初级保健中的即时超声(POCUS)利用率:针对内科住院医师的甲状腺 POCUS 培训课程。

Enhancing point-of-care ultrasound (POCUS) utilization in primary care: A thyroid POCUS training course for internal medicine residents.

机构信息

Department of Medicine, Northwell Health, New Hyde Park, New York, USA.

Department of Counseling & Mental Health Professions, Hofstra University, Hempstead, New York, USA.

出版信息

J Clin Ultrasound. 2024 Oct;52(8):1082-1086. doi: 10.1002/jcu.23767. Epub 2024 Jul 17.

Abstract

BACKGROUND

POCUS is valuable in primary care, yet outpatient-specific point-of-care ultrasound (POCUS) curriculum integration into internal medicine (IM) residency is limited. We addressed this gap by developing a thyroid POCUS workshop for IM residents.

AIM

Develop and implement an educational curriculum to integrate thyroid POCUS into an IM residency program and evaluate the impact on resident knowledge, perceived skills, and attitudes.

SETTING

The study was conducted in a resident primary care clinic at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Residency Program in Internal Medicine at North Shore University Hospital and Long Island Jewish Medical Center.

PARTICIPANTS

All 108 IM residents (PGY1-3) in one program participated in the study during their ambulatory clinic block.

PROGRAM DESCRIPTION

Residents participated in a 1-hour workshop involving a didactic session and two breakout groups: one for hands-on practice and another for case-based discussions with image review.

PROGRAM EVALUATION

Residents completed pre- and post-session surveys assessing knowledge, perceived skills, and attitudes toward thyroid POCUS. These data showed statistically significant increases in all assessed areas.

DISCUSSION

Integrating thyroid POCUS into an IM residency curriculum significantly improved resident knowledge, attitudes, and perceived skills related to these exams. Residents valued this learning experience and expressed intentions to incorporate it into their future practice.

摘要

背景

POCUS 在初级保健中很有价值,但将门诊特定的床边超声(POCUS)课程整合到内科住院医师培训中却很有限。我们通过为内科住院医师开发甲状腺 POCUS 研讨会来解决这一差距。

目的

开发和实施教育课程,将甲状腺 POCUS 整合到内科住院医师培训计划中,并评估其对住院医师知识、感知技能和态度的影响。

地点

该研究在唐纳德和芭芭拉·扎克医学院的居民初级保健诊所进行,该诊所位于霍夫斯特拉/北岸大学医院和长岛犹太医学中心的内科北岸大学医院和长岛犹太医学中心的内科住院医师培训计划。

参与者

一个项目中的所有 108 名内科住院医师(PGY1-3)都在他们的门诊诊所轮班期间参与了这项研究。

计划描述

住院医师参加了一个 1 小时的研讨会,包括一个讲座和两个分组讨论:一个用于实践,另一个用于案例讨论和图像审查。

计划评估

住院医师在课程前后完成了调查,评估他们对甲状腺 POCUS 的知识、感知技能和态度。这些数据显示,所有评估领域的知识都有统计学上的显著提高。

讨论

将甲状腺 POCUS 整合到内科住院医师培训课程中显著提高了住院医师对这些检查的知识、态度和感知技能。住院医师重视这种学习体验,并表示打算将其纳入未来的实践中。

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