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首页> 外文期刊>BMC Medical Education >Skills acquisition for novice learners after a point-of-care ultrasound course: does clinical rank matter?
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Skills acquisition for novice learners after a point-of-care ultrasound course: does clinical rank matter?

机译：即时护理超声课程后，新手学习技能：临床等级重要吗？

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Few studies have compared the effectiveness of brief training courses on point-of-care ultrasound (POCUS) skill acquisition of novice attending physicians vs. trainees. The purpose of this study was to evaluate the change in POCUS image interpretation skills and confidence of novice attending physicians vs. trainees after a 1-day POCUS training course. A 1-day POCUS training course was held in March 2017 in Japan. A standardized training curriculum was developed that included online education, live lectures, and hands-on training. The pre-course assessment tools included a written examination to evaluate baseline knowledge and image interpretation skills, and a physician survey to assess confidence in performing specific ultrasound applications. The same assessment tools were administered post-course, along with a course evaluation. All learners were novices and were categorized as trainees or attending physicians. Data were analyzed using two-way analysis of variance. In total, 60 learners attended the course, and 51 learners (85%) completed all tests and surveys. The 51 novice learners included 29 trainees (4 medical students, 9 PGY 1–2 residents, 16 PGY 3–5 residents) and 22 attending physicians (6 PGY 6–10 physicians, and 16 physicians PGY 11 and higher). The mean pre- and post-course test scores of novice trainees improved from 65.5 to 83.9% while novice attending physicians improved from 66.7 to 81.5% (p?
机译：很少有研究能比较主治医师和受训医师在初级卫生保健超声（POCUS）技能习得方面的简短培训课程的效果。这项研究的目的是评估为期1天的POCUS培训课程后，新手主治医师与受训者之间POCUS图像解释技能和自信心的变化。 2017年3月在日本举办了为期1天的POCUS培训课程。制定了标准化的培训课程，包括在线教育，现场讲座和动手培训。课前评估工具包括书面考试，以评估基线知识和图像解释技能，以及医师调查，以评估对执行特定超声应用的信心。课后使用相同的评估工具进行课程评估。所有的学习者都是新手，被分类为实习生或主治医师。使用双向方差分析对数据进行分析。总共有60名学习者参加了该课程，其中51名学习者（占85％）完成了所有测试和调查。 51名新手学习者包括29名受训人员（4名医学生，9名PGY 1-2住院医师，16名PGY 3-5住院医师）和22名主治医师（6名PGY 6-10医师和16名PGY 11及更高医师）。新手受训者的平均课前和课后测验分数从65.5改善到83.9％，而主治医师的新手的平均学分数从66.7改善到81.5％（p <0.001）。两组的所有技能类别中使用超声后的课后医师置信度得分均显着提高。受训者和主治医师在课后测验分数和自信心方面均表现出类似的改善，两组之间无统计学差异。在5分制中，教师的整体满意度和对教师教学技能的满意度的课程评估分数分别为4.5和4.6。经过简短的培训课程后，新手受训者和主治医生都显示出即时医疗超声图像解释技能和自信心的类似提高。尽管传统上已经为主治医师和受训者开发了单独的培训课程，但是即时护理超声的新手学习者可以以相似的速度获得技能，而无论其作为主治医师或受训者的排名如何。需要进行进一步的研究，以比较有关图像获取技能的短期培训课程的效果，并确定理想的课程设计。

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