从概念到评估:在低收入和中等收入国家绘制POCUS培训评估方法 - - 一个系统的范围审查
Friedrich Leopold Eppel1, Sabine Bélard2, Benno Kreuels3
1Charité - Universitätsmedizin Berlin, Institute of International Health, Germany; Department of Emergency Medicine, Klinik Floridsdorf, Vienna, Austria.
The ultrasound journal
|March 10, 2026
概括
低收入和中等收入国家 (LMICs) 的点照顾超声波 (POCUS) 培训评估不一致,重点关注基本技能. 可持续的POCUS能力建设需要全面的评估框架.
科学领域:
- 医学教育 医学教育
- 全球健康 全球健康
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,医疗点超声波 (POCUS) 培训正在扩大,以提高诊断能力.
- 有效实施需要对培训计划和学员能力进行严格的评估.
- 本综述综合了目前在LMICs中POCUS培训的评估方法.
研究的目的:
- 收集和分析用于评估LMIC中POCUS培训计划和实习生能力的方法.
- 确定LMIC当前POCUS评估策略中的优点和缺点.
- 为开发更全面和可持续的POCUS评估提供概念基础.
主要方法:
- 从对LMIC中POCUS培训的系统范围审查中对53项研究的二次分析 (至2023年7月).
- 使用Donabedian (结构,过程,结果) 和Miller/De Biasio (能力水平) 框架提取和分类的评估方法.
- 综合了不同领域评估的类型,时间和范围的数据.
主要成果:
- POCUS培训评估是异质的,经常采用多种方法,课程前后评估是常见的.
- 评估主要集中在知识和技术技能上,很少有基于工作场所的评估.
- 虽然所有能力水平都得到了解决,但较低水平的目标更频繁;结果评估在Donabedian模型中占主导地位,结构和流程元素的报告不一致.
结论:
- 目前在LMIC的POCUS培训评估不一致,强调短期成果和基础能力水平.
- 应用Donabedian和Miller/De Biasio的框架凸显了评估系统和学习者维度的重大差距.
- 需要更强大,适应环境和长期评估策略,以确保可持续的POCUS能力.
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