儿科住院医师多模式POCUS课程的纵向评估。

Reshma Sabnani, Celia S Willard, Carolina Vega, Zachary W Binder
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摘要

儿科住院医师项目通常不包括护理点超声(POCUS)课程。我们分析了一种针对儿科住院医师的新型POCUS课程,该课程除了采用传统的说教式教学和实践学习经验的教学模式外,还结合了在线题库(QB)。方法:选择4个高通量POCUS主题:创伤超声聚焦评估(FAST)、软组织、肺和心脏。住院医生在四次面对面学习课程之前和之后都完成了在线选择题,这些课程由超声教师和研究员讲授。在学年结束时,参与者完成了一项知识记忆测验。在整个研究过程中,对参与者进行了信心调查。均值差异采用学生t检验比较。结果:学习者在四个模块的干预后得分均有所提高。保留测试显示软组织和心脏模块的保留改善,但FAST模块没有。在所有四个主题中,自我报告的信心都有所增加。结论:多模式POCUS课程结合了在线QB和面对面教学,为儿科受训者展示了持久的知识。
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A Longitudinal Evaluation of a Multimodal POCUS Curriculum in Pediatric Residents.

Introduction: Pediatric residency programs often do not include a point of care ultrasound (POCUS) curriculum. We analyzed a novel POCUS curriculum for pediatric residents that incorporated an online question bank (QB), in addition to a traditional teaching model of didactic instruction and hands-on learning experience. Methods: Four high-yield POCUS topics were chosen: Focused Assessment by Sonography for Trauma (FAST), soft tissue, lung, and cardiac. Residents completed online multiple-choice quizzes before and after each of four in-person learning sessions, taught by ultrasound faculty and fellows. At the end of the academic year participants completed a knowledge retention quiz. Confidence surveys were administered to participants throughout the course of the study. Differences in means were compared by Student's t-test. Results: Learners demonstrated post-intervention score improvement for each of the four modules. Retention testing demonstrated retained improvement for the soft tissue and cardiac modules, but not for the FAST module. Self-reported confidence increased across all four topics. Conclusion: A multimodal POCUS curriculum utilizing a combination of an online QB and in-person teaching demonstrated lasting knowledge for pediatric trainees.

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