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Entrusting internal medicine residents to use point of care ultrasound: Towards improved assessment and supervision

机译：委托内科居民用途超声波：改善评估和监督

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Background: Internal medicine physicians and trainees are increasingly using, and seeking training in, diagnostic point of care ultrasound (POCUS). Numerous internal medicine training programs have described their curricula, but little has been written about how learners should be assessed, supervised, and allowed to progress toward independent practice, yet these practices are imperative for safe and effective use. Entrustable professional activities (EPAs) offer a practical method to assess observable units of professional work and make supervision decisions. Methods: An EPA for POCUS is used as a framework to assess and determine appropriate levels of supervision in an internal medicine residency program. Results: All learners have been able to advance to level 2 with a mandatory introductory boot camp course. Learners have been able to advance to higher levels of independence, often after taking formal elective programmatic coursework. However, not all learners taking the same coursework have been granted the same level of independence. Conclusions: It is feasible to assess and supervise internal medicine residents' ability to use diagnostic point of care ultrasound using an EPA.
机译：背景：内科医师和学员越来越多地使用，寻求训练，诊断护理超声（POCU）。众多内部医学培训计划描述了他们的课程，但是关于学习者如何评估，监督并允许进入独立实践的课程，但这些做法是安全有效的。委托专业活动（EPAS）提供了一种评估可观察单位的专业工作和监督决策的实用方法。方法：用于POCU的EPA作为评估和确定内科居住计划中适当的监督水平的框架。结果：所有学习者都能够使用强制性介绍营营课程进入2级。学习者能够在采取正式选修计划课程后促进更高的独立层面。但是，并非所有采取同一课程的学习者都获得了同样的独立水平。结论：评估和监督内部医疗居民使用EPA使用诊断点超声波的能力是可行的。

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