超声波能力评估工具的外部验证
Frances M Russell1, Audrey Herbert1, Sarah Kennedy1
1Department of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana United States.
AEM education and training
|June 26, 2023
概括
超声波能力评估工具 (UCAT) 在验证急诊医疗住院人员的治疗点超声波 (POCUS) 技能方面显示出不同的结果. 在广泛采用这个POCUS评估工具之前,需要进一步验证.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
背景情况:
- 护理点超声波 (POCUS) 是紧急医疗 (EM) 住院培训的组成部分.
- 对POCUS缺乏基于能力的标准化评估工具.
- 超声波能力评估工具 (UCAT) 最近被开发和验证.
研究的目的:
- 在3年的EM居住计划中对UCAT进行外部验证.
- 评估UCAT在不同评估者和PGY级别的可靠性.
- 为了将UCAT分数与居民经验和自我评估的信心相关联.
主要方法:
- 32名PGY-1至-3 EM居民的便利样本.
- 住院人员进行了模拟的焦点评估与创伤中的超声波 (FAST) 检查.
- 评估使用了UCAT和两个组中的六名教师的信任度量表.
- 在UCAT领域计算了类内相关系数 (ICC).
主要成果:
- 整体ICC的范围从0.3 (图像优化) 到0.9 (准备).
- 在进行的FAST考试和UCAT/信任分数之间发现了中等的相关性.
- 自我报告的信心和UCAT/信任分数之间存在较差的相关性.
- 在教师和诊断声学家之间观察到混合的评价者间可靠性.
结论:
- 对UCAT的外部验证产生了不同的结果.
- 在UCAT采用之前,需要进一步细化和验证.
- UCAT需要更多的工作来确定其在EM POCUS培训中的可靠性和实用性.
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