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基于胜任力的住院医师规范化培训超声课程:培训前后评估

Competency-based ultrasound curriculum for standardized training resident: a pre- and post-training evaluation.

作者信息

Jiang ZhenZhen, Wang Jun, Chen XingMei, Li YuJie, Ni DiJia, Zhu JianBo, Tang YunYi, Qian LinXin, Wang Ting, Zhu Hui, Dai YuJie, Song HuiMing, Zhang Qi, Bao YiPing, Zheng YuanYuan, Liu XiaTian

机构信息

Department of Ultrasound Medicine, ShaoxingPeoplès Hospital, 568 N Zhongxing Rd, Shaoxing, 312000, Zhejiang, China.

Department of Science and Education, The Office of Standardized Residency Training, Shaoxing Peoplès Hospital, Shaoxing, Zhejiang, China.

出版信息

BMC Med Educ. 2024 Dec 21;24(1):1516. doi: 10.1186/s12909-024-06560-2.

DOI:10.1186/s12909-024-06560-2
PMID:39709401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663331/
Abstract

BACKGROUND

Ultrasound training is crucial for residents across specialties but presents challenges for residents that are not specializing in ultrasound. Investigating the effectiveness of competency-based ultrasound curricula for a wider range of medical specialties is imperative.

METHODS

A total of 250 residents who attended the ultrasound curriculum between June 2023 and June 2024 were included in the analysis. The competency-based curriculum combined theoretical and practical training. The evaluations were taken both before the residents participated in the ultrasound curriculum (pre-training) and after completing the training (post-training). Resident feedback was also collected.

RESULTS

Post-training, all the grades improved interpretation scores and reduced answer times, resulting in knowledge homogenization. Imaging specialty residents initially scored higher, but non-imaging-related residents showed greater improvements post-training; feedback highlighted the need for an expanded training scope, more hands-on practice, and optimized schedules, emphasizing the importance of comprehensive ultrasound training.

CONCLUSIONS

The competency-based ultrasound curriculum enhances theoretical and practical skills, standardizing knowledge across grades and benefiting non-imaging-related residents the most. This study supports the integration of structured ultrasound training in residency programs to improve clinical competencies.

摘要

背景

超声培训对各专业住院医师至关重要,但对非超声专业的住院医师来说存在挑战。调查基于能力的超声课程对更广泛医学专业的有效性势在必行。

方法

共有250名在2023年6月至2024年6月期间参加超声课程的住院医师纳入分析。基于能力的课程结合了理论和实践培训。在住院医师参加超声课程之前(培训前)和完成培训之后(培训后)进行评估。还收集了住院医师的反馈。

结果

培训后,所有年级的解释分数均有所提高,答题时间缩短,实现了知识同质化。影像专业住院医师最初得分较高,但非影像相关住院医师在培训后进步更大;反馈强调需要扩大培训范围、增加实践操作和优化课程安排,凸显了全面超声培训的重要性。

结论

基于能力的超声课程提高了理论和实践技能,使各年级的知识标准化,对非影像相关住院医师的益处最大。本研究支持在住院医师培训项目中整合结构化超声培训以提高临床能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64db/11663331/b0a55ac74f40/12909_2024_6560_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64db/11663331/a01ce8490c48/12909_2024_6560_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64db/11663331/b0a55ac74f40/12909_2024_6560_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64db/11663331/a01ce8490c48/12909_2024_6560_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64db/11663331/b0a55ac74f40/12909_2024_6560_Fig2_HTML.jpg

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