内科住院治疗点超声波 (POCUS) 核心指示和应用的共识建议
Charles M LoPresti1, Kevin J Murray2, Ria Dancel3
1University Hospitals; Cleveland, OH, USA.
The American journal of medicine
|June 12, 2025
概括
这项研究确定了美国内科住院课程中关键的护理点超声波 (POCUS) 元素. 它确定了未来实习医师培训的关键诊断和程序指示和应用.
科学领域:
- 医学教育 医学教育
- 诊断成像 诊断成像 诊断成像
- 在护理地点进行超声波 (POCUS)
背景情况:
- 护理点超声波 (POCUS) 越来越多地成为内部医学培训和实践的组成部分.
- 尽管得到了广泛的采用和认可,但在美国缺乏用于内科住院的标准化POCUS课程.
- 这种共识的目的是定义内科住院教育的POCUS基本组成部分.
研究的目的:
- 建立对美国内科住院学术课程中POCUS核心指示,应用和技能组件的共识.
- 为内部医学专科医生指导制定标准化的POCUS培训.
主要方法:
- 使用了经过修改的Delphi方法,涉及四步过程.
- 来自住院和门诊机构的14名内科POCUS专家参加了会议.
- 共识被定义为对建议达成75%的同意.
主要成果:
- 在12个核心诊断和6个程序性POCUS指示上达成共识.
- 确定了15个诊断性POCUS应用程序和52个特定技能组件进行纳入.
- 举例来说,包括识别心周溢出,胆病和膀体积.
结论:
- 这代表了第一个专家驱动的,基于证据的建议,用于美国内科住院计划中核心POCUS内容.
- 没有达成共识的领域可能仍然与高级POCUS用户和特定临床环境相关.
- 这些发现为开发标准化和有效的POCUS课程提供了基础.
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