부산대학교 도서관

INTRODUCTION:: The objective of our study is to evaluate the ultrasound knowledge before and after a hands-on workshop, designed to increase basic ultrasound knowledge among physicians and midwives from rural health centers in the Cusco region of Peru. METHODS:: A basic three-day ultrasound curriculum tailored to specific needs was created by fellows. It included lectures, hands-on training. Thirty-three physicians and midwives attended the conference. A pretest was completed prior to starting the course. A posttest was given at the end of the course. The tests evaluated basic ultrasound knowledge, fetal biometry and anatomy, placenta and amniotic fluid, and hydatid cysts. The primary outcome was total test scores. Secondary outcomes included the scores in specific areas. Statistical analysis was performed using univariate analyses and a P<0.05 was considered statistically significant. RESULTS:: Twenty-nine pretests and thirty-two posttests were completed. The mean percentage of correct answers in the pretest was 29.8% (IQR 21.1-31.6) and in the posttest was 77.1% (IQR 73.7-84.2), (p<0.0001) Participants showed significant improvement in scores in 13 out of the 19 questions included. The areas with most improvement were basic ultrasound knowledge and fetal biometry and anatomy. The percentages of correct answers on each area were: basic ultrasound knowledge: 25.6% vs. 78.6% (p<0.0001), fetal biometry and anatomy: 24.1% vs. 86.5% (p<0.0001), placenta and amniotic fluid: 35.3% vs. 60.2% (p<0.0001), and hydatic cyst: 50% vs. 78.1% (p<0.0001). CONCLUSION:: A multidisciplinary 3-day ultrasound course tailored to identified needs of a Low-Middle-Income Country setting had a significant impact on the knowledge acquired by the participants.