弥合差距:为内科住院医生提供基于模拟的肺部超声波结构化培训
Daniel H Cathalifaud Zilleruelo1, Tomás A Cerda Gaete, Javier I Ortiz Orrego
1From the Department of Internal Medicine (D.H.C.Z., T.A.C.G., J.I.O.O., E.F.A.) and the Department of Emergency Medicine (C.E.B.V.), School of Medicine, Pontificia Universidad Católica de Chile; the Experimental Surgery and Simulation Center, School of Medicine (E.F.A.), Pontificia Universidad Católica de Chile; and the Pontificia Universidad Católica de Chile (R.N.G.), Santiago, Chile.
概括
结构化的护理点超声波 (POCUS) 培训显著提高了内科医生住院医生的技能和知识. 这个肺性POCUS课程增强了诊断能力,强调了在住院课程中对POCUS的需求.
科学领域:
- 医学教育 医学教育
- 护理地点超声波 (POCUS) 超声波检查方法
- 内部医学培训培训 内部医学培训
背景情况:
- 护理点超声波 (POCUS) 对于内科 (IM) 病床诊断和管理至关重要.
- 在IM专家的POCUS结构化培训中存在很大的差距.
- 有效地利用POCUS需要专门的教育干预.
研究的目的:
- 评估理论与实践肺部POCUS课程对第一年IM住院医生的影响.
- 为了比较受过培训的第一年居民和未受过培训的第三年居民的POCUS技能.
- 评估IM居住计划中的结构化POCUS培训的有效性.
主要方法:
- 采用了一种准实验性的,不等价的对照组研究设计.
- 一年级IM居民接受了肺部POCUS课程,包括在线理论和实践课程.
- 使用课程前和课程后的理论和实践评估来衡量表现.
主要成果:
- 一年级居民在POCUS技能和知识方面显著改善,整体表现从43%提高到86%.
- 未受过培训的三年级居民表现与一年级居民预培训的表现相似,这凸显了结构化课程的必要性.
- 住户报告说,自我感知能力得到了提高,并且对肺超声波 (LUS) 实用工具培训后更感激.
结论:
- 结构化的POCUS培训在提高居民的技能和知识方面非常有效.
- 该研究提供了一个将POCUS教育整合到IM居住计划中的模型.
- 实施POCUS培训对于提高内科诊断能力至关重要.
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