Evaluation of a Short-term Training Programin Bedside Emergency Ultrasound in Southwestern Tanzania
Evaluation of a Short-term Training Programin Bedside Emergency Ultrasound in Southwestern Tanzania
复制标题
DOI：
10.7863/ultra.16.04006
复制
发表时间：
2017-03-01
影响因子：
2.3
通讯作者：
Bashaka, Prosper
中科院分区：
文献类型：
--
作者：
Shaffer, Mark;Brown, Heather A.;Bashaka, Prosper
目的-为了评估短期培训计划在急诊超声医生的技能和态度在坦桑尼亚西南部的效果。方法-八注册医生在姆贝亚地区转诊医院（姆贝亚，坦桑尼亚）进行了为期5天的课程，在床旁急诊超声，主要集中在重点评估与超声创伤检查，包括教学会议，实践会议，和在职培训。通过前测和后测评估对超声知识的影响。提供者的技能进行了评估，通过标准化的观察模拟病人的遭遇。对超声培训，效用和自信的态度进行了评估培训后questionnaire.Results-All 8名医生谁开始培训完成了课程，并成功地通过了客观的结构化临床考试。治疗后，患者的书面超声检查分数从31%提高到66%（P <0.01），具有统计学意义。大多数学员感到有信心的执行和解释一个基本的重点评估与超声创伤检查在课程结束时，和7 8表示，他们将考虑支付类似的课程在未来的学费。课程的主要关注点围绕着时间不足，专门用于实践supervisory. Conclusions注册医生在坦桑尼亚可以有效地学习基本的紧急超声技能，在短期的培训计划。类似的未来计划可能会考虑更加重视与专家的实际动手培训。需要持续收集数据，以了解此类培训对长期超声使用和患者结局的真正影响。
Objectives-To evaluate the effect of a short-term training program in emergency ultrasound on physician skills and attitudes in southwestern Tanzania.Methods-Eight registrar physicians at Mbeya Zonal Referral Hospital (Mbeya, Tanzania) underwent a 5-day course in bedside emergency ultrasound, focusing primarily on the focused assessment with sonography for trauma examination, including didactic sessions, practical sessions, and on-job training. The impact on ultrasound knowledge was assessed by pretest and posttest evaluations. Provider skill was evaluated by a standardized observed simulated patient encounter. Attitudes toward ultrasound training, utility, and self-confidence were assessed by a post-training questionnaire.Results-All 8 physicians who began the training completed the course and successfully passed their objective structured clinical examination. There was a statistically significant improvement in written ultrasound test scores from 31% to 66% (P < .01) after the course. Most trainees felt confident performing and interpreting a basic focused assessment with sonography for trauma examination at the end of the course, and 7 of 8 stated that they would consider paying tuition for similar courses in the future. Main concerns with the course revolved around insufficient time dedicated to practicing under supervision.Conclusions-Registrar physicians in Tanzania can effectively learn basic emergency ultrasound skills in a short-term training program. Similar future programs may consider heavier emphasis on practical hands-on training with experts. Ongoing data collection is required to understand the true impact of such training on longterm ultrasound use and patient outcomes.