外科住院人员的教育和表现扩展聚焦腹部超声波创伤的创伤
Hannah Tan1, Cassidy L Pham1, Ramsey N Regen1
1Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA.
The American surgeon
|March 25, 2024
概括
外科住院人员的超声波创伤 (eFAST) 训练并未标准化,导致检测伤害的敏感性较低. 建议进行标准化培训,以提高创伤护理的诊断准确性.
科学领域:
- 紧急医疗 紧急医疗
- 外科教育的外科教育
- 诊断成像 诊断成像 诊断成像
背景情况:
- 用超声波创伤 (eFAST) 进行扩展的集中评估对于快速创伤分拣至关重要.
- 目前的医学研究生教育认证委员会 (ACGME) 准则缺乏针对居民的具体eFAST培训标准.
- 一般外科住院计划 (GSRP) 使用各种方法进行eFAST培训.
研究的目的:
- 调查一般外科程序 (GSPs) 关于他们的eFAST培训方法.
- 为居民执行的eFAST建立一个绩效基准.
- 为了确定外科住院医生eFAST教育的改进领域.
主要方法:
- 电子邮件和电话调查分发给美国GSRPs.
- 关于患者变量和住院人员表现的前性数据收集在一级创伤中心进行了两年时间.
- 评估了居民eFAST绩效指标,包括灵敏度,特异性,PPV和NPV.
主要成果:
- 在339个GSRP中,只有60个回答了调查.
- 培训方法各不相同,33个项目采用多种方法.
- 居民执行的eFAST显示了85.6%的准确性,35.6%的灵敏度,97.2%的特异性,75%的PPV和87%的NPV.
结论:
- 目前,GSRPs中的eFAST培训没有标准化.
- 居民执行的eFAST灵敏度明显低于文献中报道的.
- 建议采用标准化的eFAST培训课程,以提高居民的熟练程度和患者的护理.
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