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埃塞俄比亚黑狮医院虚拟床旁超声课程的实施

Implementation of a Virtual Point-of-Care Ultrasound Curriculum at Black Lion Hospital, Ethiopia.

作者信息

Desai Krisha, Kassahun Hannibal, Ahmed Abdurezak, Huluka Dawit K, Yusuf Hanan, Rebolledo Paulina A, Kempker Russell R, Malik Manpreet

机构信息

Department of Medicine, Emory University School of Medicine, Atlanta, USA.

Department of Internal Medicine, Addis Ababa University, Addis Ababa, ETH.

出版信息

Cureus. 2024 Sep 3;16(9):e68545. doi: 10.7759/cureus.68545. eCollection 2024 Sep.

Abstract

Introduction In low- and middle-income countries (LMICs), the availability of formal point-of-care ultrasound (POCUS) training remains limited, and there is limited data on how to train providers in these countries to use POCUS. This study aimed to describe a virtual training workshop for physicians in Ethiopia, with the intention of serving as a model that could guide similar initiatives. Methods The authors developed and implemented a three-day virtual workshop in 2022 for physicians in the Department of Medicine at Addis Ababa University in Ethiopia. Participants in the workshop completed pre-workshop and post-workshop surveys, as well as knowledge assessments. The authors examined POCUS use prior to the workshop, the impact of the workshop on ratings of comfort level in performing POCUS, and the change in scores on a knowledge assessment before and after the workshop. Results We found that very few of the participants had prior formal POCUS training. Participants reported a significantly higher level of comfort in using POCUS for the assessment of patients (p < 0.001) and for procedural guidance (p < 0.001) after attending the workshop, compared to before. Scores on the post-test knowledge assessment were significantly higher than scores on the pre-test knowledge assessment (p < 0.001). Conclusion Our POCUS workshop was successfully implemented and delivered virtually to a group of physicians in Ethiopia, and it increased comfort levels in performing POCUS and POCUS knowledge. We hope that similar workshops can be implemented in other LMICs.

摘要

引言 在低收入和中等收入国家(LMICs),正式的即时超声(POCUS)培训的可获得性仍然有限,并且关于如何在这些国家培训医疗服务提供者使用POCUS的数据也很有限。本研究旨在描述为埃塞俄比亚医生举办的一次虚拟培训研讨会,意图作为一个可指导类似举措的模式。方法 作者于2022年为埃塞俄比亚亚的斯亚贝巴大学医学院的医生开发并实施了一个为期三天的虚拟研讨会。研讨会的参与者完成了会前和会后调查以及知识评估。作者考察了研讨会前POCUS的使用情况、研讨会对进行POCUS时舒适度评分的影响以及研讨会前后知识评估分数的变化。结果 我们发现很少有参与者之前接受过正式的POCUS培训。与之前相比,参与者报告称参加研讨会后在使用POCUS评估患者(p < 0.001)和进行操作指导(p < 0.001)方面的舒适度显著更高。会后知识评估的分数显著高于会前知识评估的分数(p < 0.001)。结论 我们的POCUS研讨会成功实施并以虚拟方式向埃塞俄比亚的一组医生进行了授课,并且提高了进行POCUS的舒适度和POCUS知识水平。我们希望类似的研讨会能够在其他低收入和中等收入国家实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aaf/11450425/f9afcbd03ca3/cureus-0016-00000068545-i01.jpg

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