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推进床旁超声(POCUS)的应用与教育:对一家三级教学医院研究生医师的综合分析

Advancing Point-of-Care Ultrasound (POCUS) Utilization and Education: A Comprehensive Analysis Among Postgraduate Physicians in a Tertiary Teaching Hospital.

作者信息

Chu Shao-Chung, Goh Vivian, Kawaguchi Takeshi, Lee Huan-Fang, Hsu Hsiang-Chin

机构信息

National Cheng Kung University Hospital Department of Emergency Medicine Tainan Taiwan.

St. Marianna University School of Medicine Department of Emergency and Critical Care Medicine Kawasaki Japan.

出版信息

J Acute Med. 2025 Sep 1;15(3):98-107. doi: 10.6705/j.jacme.202509_15(3).0003.

Abstract

BACKGROUND

Point-of-care ultrasound (POCUS) is increasingly recognized as a vital skill in various medical specialties. Its integration into postgraduate medical training enhances diagnostic accuracy and clinical decision-making. Despite its growing importance, the implementation of a structured POCUS curriculum in postgraduate medical education remains challenging.

METHODS

A pilot study was conducted at the National Cheng-Kung University Hospital to evaluate the introduction of a POCUS curriculum tailored to postgraduate-year physicians. The curriculum included basic and advanced courses with hands-on training sessions held during weekends across 2020. Participants' pre-course and post-course proficiency were assessed through questionnaires and skill evaluations.

RESULTS

The study included 116 physicians, revealing a broad spectrum of prior ultrasound training and varied frequency of clinical ultrasound use. The structured curriculum significantly improved participants' POCUS skills, particularly in cardiac ultrasound, in which most participants achieved high proficiency levels. The program was successful in addressing the existing gap in ultrasound education and practice among postgraduates.

CONCLUSION

Integration of a structured POCUS curriculum within postgraduate medical education significantly enhances the ultrasound proficiency of physicians. Continuous and comprehensive training programs, supported by adequate resources and expert instruction, are crucial for the widespread adoption and effective use of POCUS in clinical settings.

摘要

背景

床旁超声(POCUS)在各医学专科中日益被视为一项重要技能。将其纳入研究生医学培训可提高诊断准确性和临床决策能力。尽管其重要性日益凸显,但在研究生医学教育中实施结构化的POCUS课程仍具有挑战性。

方法

在国立成功大学医院进行了一项试点研究,以评估为研究生阶段医生量身定制的POCUS课程的引入情况。该课程包括基础课程和高级课程,并在2020年的周末举行了实践培训课程。通过问卷调查和技能评估对参与者课程前后的熟练程度进行了评估。

结果

该研究纳入了116名医生,结果显示他们之前接受的超声培训范围广泛,临床超声使用频率也各不相同。结构化课程显著提高了参与者的POCUS技能,尤其是在心脏超声方面,大多数参与者达到了较高的熟练水平。该项目成功弥补了研究生在超声教育和实践方面现有的差距。

结论

在研究生医学教育中整合结构化的POCUS课程可显著提高医生的超声熟练程度。由充足资源和专家指导支持的持续、全面的培训项目对于POCUS在临床环境中的广泛应用和有效使用至关重要。

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