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妇产科超声培训的现状:一项范围界定文献综述

Current status of ultrasound training in obstetrics and gynecology: a scoping literature review.

作者信息

Matschl Julia, Jimenez-Cruz Jorge, Schäfer Valentin Sebastian, Wittek Agnes, Berg Christoph, Geipel Annegret, Gembruch Ulrich, Strizek Brigitte, Recker Florian

机构信息

Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.

Clinic of Internal Medicine III, Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Bonn, Germany.

出版信息

Front Med (Lausanne). 2024 Nov 12;11:1426484. doi: 10.3389/fmed.2024.1426484. eCollection 2024.

DOI:10.3389/fmed.2024.1426484
PMID:39600933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11588472/
Abstract

INTRODUCTION

As a widely accessible, cost-effective, and safe imaging tool, obstetric and gynecologic (OB/GYN) ultrasound (ULS) plays a vital role in diagnostics and patient care. With its growing relevance, the demand for comprehensive education in this field increases. The objective of this work was to outline the current state of OB/GYN ULS education.

METHODS

A scoping literature search was performed until May 2023 using the medical database PubMed according to PRISMA guidelines. Using specific keywords, relevant publications were filtered. Subsequently, abstracts were independently reviewed by two authors and the inclusion of each publication was assessed against pre-defined key search terms. Full-text versions of the included publications were scrutinized and pertinent information was extracted.

RESULTS

In this review, 126 articles from the literature search matched the inclusion criteria and were investigated. Our findings revealed a diverse range of course concepts and programs, a lot of them not meeting the expectations of trainees and international guidelines. OB/GYN ULS training primarily targets residents, yet opportunities for early exposure and continuing education are underexplored. International organizations, such as the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and the German Society for Ultrasound in Medicine (DEGUM) have proposed guidelines and curricula for standardized training. However, adoption remains varied. There is an emergent need to innovate teaching methods.

CONCLUSION

There is consensus that standardizing OB/GYN ULS curricula could enhance training quality and streamline the creation of new programs, ultimately improving patient care. Further research is needed to define the most effective strategies for curriculum development and implementation.

摘要

引言

作为一种广泛可用、经济高效且安全的成像工具,妇产科超声在诊断和患者护理中发挥着至关重要的作用。随着其相关性不断提高,该领域对全面教育的需求也在增加。这项工作的目的是概述妇产科超声教育的现状。

方法

根据PRISMA指南,使用医学数据库PubMed进行范围界定文献检索,直至2023年5月。使用特定关键词筛选相关出版物。随后,两位作者独立审查摘要,并根据预先定义的关键检索词评估每篇出版物是否纳入。对纳入出版物的全文版本进行仔细审查,并提取相关信息。

结果

在本综述中,文献检索得到的126篇文章符合纳入标准并进行了研究。我们的研究结果显示,课程概念和项目多种多样,其中许多不符合学员的期望和国际指南。妇产科超声培训主要针对住院医师,但早期接触和继续教育的机会尚未得到充分探索。国际组织,如国际妇产科超声学会(ISUOG)和德国医学超声学会(DEGUM)已经提出了标准化培训的指南和课程。然而,采用情况仍然各不相同。迫切需要创新教学方法。

结论

人们一致认为,标准化妇产科超声课程可以提高培训质量,简化新项目的创建,最终改善患者护理。需要进一步研究来确定课程开发和实施的最有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dee8/11588472/07928076c5ce/fmed-11-1426484-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dee8/11588472/16592826bd9e/fmed-11-1426484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dee8/11588472/07928076c5ce/fmed-11-1426484-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dee8/11588472/16592826bd9e/fmed-11-1426484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dee8/11588472/07928076c5ce/fmed-11-1426484-g002.jpg

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Curriculum and Competency Assessment Program for Training Maternal-Fetal Medicine Fellows in the Performance of the Detailed Obstetric Ultrasound Examination.针对母胎医学专科培训学员进行详细产科超声检查操作的课程与能力评估项目
J Ultrasound Med. 2022 Dec;41(12):2925-2932. doi: 10.1002/jum.16074. Epub 2022 Sep 8.
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Assessment Methods in Medical Ultrasound Education.
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4
Basic Gynecologic Ultrasound Examination (Level I): DEGUM, ÖGUM, and SGUM Recommendations.基础妇科超声检查(一级):DEGUM、ÖGUM 和 SGUM 推荐意见。
Ultraschall Med. 2023 Apr;44(2):151-161. doi: 10.1055/a-1851-5157. Epub 2022 Jun 15.
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Effects of simulation for gynaecological ultrasound scan training: a systematic review.妇科超声扫描培训模拟的效果:一项系统评价
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