在创伤中使用超声波进行扩展集中评估的医师培训混合学习课程 (eFAST)
Megan L Hilbert1, Jordan Rupp2,3, Jeremy S Boyd2,3
1Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, USA.
Cureus
|August 20, 2025
概括
这项研究开发了一种混合学习课程,以刷新紧急医疗学院的护理点超声波 (POCUS) 技能,大大提高了对扩展的焦点评估与创伤超声波 (eFAST) 考试的信心. 培训提高了eFAST考试的使用率,
科学领域:
- 紧急医疗
- 医疗教育
- 诊断成像
背景情况:
- 现在的紧急医疗实习课程需要超声波 (美国) 培训,但在2012年之前培训的教师缺乏正式课程.
- 经验丰富的教师需要有效的方法来维护和更新他们的护理点超声波 (POCUS) 技能,特别是在像创伤超声波 (eFAST) 扩展的集中评估等考试中.
- 一个基于实践的途径是必要的教师保持POCUS熟练程度.
研究的目的:
- 创建和评估一个混合学习课程,旨在更新急诊医学系在POCUS的临床技能.
- 提高教师在获取和解释eFAST考试中的信心.
- 评估参与者对POCUS应用程序的兴趣以及他们对异步学习的态度.
主要方法:
- 一个为期六周的混合学习课程, 结合异步在线模块和实践扫描课程.
- 对紧急医疗学院进行的前后调查,以评估对eFAST考试使用的信心和意见.
- 用于比较调查反应的双尾t测试,统计学显著性设置为p < 0.05.
主要成果:
- 在课程后获得和解释大多数eFAST视图的信心有显著的增加.
- 毕业10年后的教师在eFAST获取和解释方面表现得更好.
- 91.3%的人表示使用eFAST考试在创伤管理中的可能性增加,感知障碍减少了22.3%;96%的人表示对其他POCUS应用的类似培训感兴趣.
结论:
- 混合学习课程有效地更新了POCUS核心技能, 并增加了教师对eFAST考试的信心.
- 这种训练模式成功地提高了人们对使用POCUS来治疗创伤患者的兴趣.
- 这种对信心和利用的积极影响在离实习生培训更远的教师中更为明显.
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