开发护理地点超声波课程用于内科住院计划:关于技能,教学方法和评估策略的基于共识的建议
Leela Chockalingam1, Dagan Hammar2, Carolina Ortiz-Lopez2
1Department of Medicine, Feinberg School of Medicine, Northwestern Medicine, Chicago, Illinois (L.C.).
Annals of internal medicine
|September 22, 2025
概括
护理点超声波 (POCUS) 教育的领导者达成共识,就内科住院计划 (IMRP) 的基本技能,教学方法和评估策略达成共识. 这一框架有助于在全国范围内规范POCUS课程开发.
科学领域:
- 医学教育 医学教育
- 在护理地点进行超声波 (POCUS)
- 内部医学住院项目 (IMRP)
背景情况:
- 在内科住院计划 (IMRP) 中,医疗点超声波 (POCUS) 的采用正在增加.
- 关于基本的POCUS技能,有效的教学方法和实习生评估策略,存在缺乏共识.
- 需要进行标准化,以优化IMRPs中的POCUS教育.
研究的目的:
- 在POCUS教育领导人之间建立全国共识.
- 识别IMRPs必不可少的POCUS技能.
- 确定POCUS培训的首选教育方法和有效的评估策略.
主要方法:
- 采用了经过修改的3轮德尔菲面板.
- 从2023年12月到2024年5月,POCUS领导人进行了在线调查.
- 共识是通过特定的利克特级别评级和四分位数间范围 (IQR) 来定义的.
主要成果:
- 在36位受邀领导人中,有21位参与 (58%的响应率).
- 在53种POCUS技能 (51%),14种教学方法 (40%) 和5种评估策略 (56%) 上达成共识.
- 关键技能包括肺部,腹部,程序和心脏领域.
结论:
- 在IMRP中建立了POCUS技能,教学和评估的国家共识框架.
- 这个框架可以指导制定标准化的POCUS课程.
- 在资源有限或门诊环境中,研究结果可能存在局限性.
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