International Multispecialty Consensus on How to Evaluate Ultrasound Competence: A Delphi Consensus Survey
International Multispecialty Consensus on How to Evaluate Ultrasound Competence: A Delphi Consensus Survey
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DOI：
10.1371/journal.pone.0057687
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发表时间：
2013-02-28
期刊：
影响因子：
3.7
通讯作者：
Tabor, Ann
中科院分区：
文献类型：
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作者：
Tolsgaard, Martin G.;Todsen, Tobias;Tabor, Ann
目的：为了实现跨多个专业的通用超声评级量表使用德尔菲technique.Methods的国际共识：超声专家妇产科，外科，泌尿科，放射学，流变学，急诊医学，胃肠病学代表北美，澳大利亚和欧洲。为使这些专家达成共识，进行了多轮调查。在60名受邀专家中，44名专家同意参加第一轮德尔菲，41名留在第二轮，37名完成第三轮德尔菲。从现有文献和国际超声学会的建议中确定了超声检查的七个关键要素。所有专家在第一轮中对这七个要素的重要性进行了五点李克特量表的评分，并提出了评估超声技能的潜在新元素。在第二轮中，专家们对所有要素进行了重新评级，并进行了第三轮，以便提出最后意见。协议的要素，包括在最终的评级量表被预先定义为超过80%的专家评级的要素四或五，对超声检查的重要性。结果：两个额外的元素建议超过10%的专家在第一轮德尔菲。一致同意将这两个新要素沿着五个原始要素纳入最终评估工具：1）检查适应症2）超声设备应用知识3）图像优化4）系统检查5）图像解释6）检查记录和7）医疗决策。在通用超声分级量表的内容上达成了国际多专业共识。这是确保使用超声对不同医学专业的临床医生进行有效评估的第一步。
Objectives: To achieve international consensus across multiple specialties on a generic ultrasound rating scale using a Delphi technique.Methods: Ultrasound experts from Obstetrics-Gynaecology, Surgery, Urology, Radiology, Rheumatology, Emergency Medicine, and Gastro-Enterology representing North America, Australia, and Europe were identified. A multi-round survey was conducted to obtain consensus between these experts. Of 60 invited experts, 44 experts agreed to participate in the first Delphi round, 41 remained in the second round, and 37 completed the third Delphi round. Seven key elements of the ultrasound examination were identified from existing literature and recommendations from international ultrasound societies. All experts rated the importance of these seven elements on a five-point Likert scale in the first round and suggested potential new elements for the assessment of ultrasound skills. In the second round, the experts re-rated all elements and a third round was conducted to allow final comments. Agreement on which elements to include in the final rating scale was pre-defined as more than 80% of the experts rating an element four or five, on importance to the ultrasound examination.Results: Two additional elements were suggested by more than 10% of the experts in the first Delphi round. Consensus was obtained to include these two new elements along with five of the original elements in the final assessment instrument: 1) Indication for the examination 2) Applied knowledge of ultrasound equipment 3) Image optimization 4) Systematic examination 5) Interpretation of images 6) Documentation of examination and 7) Medical decision making.Conclusion: International multispecialty consensus was achieved on the content of a generic ultrasound rating scale. This is the first step to ensure valid assessment of clinicians in different medical specialties using ultrasound.