학술논문

First year internal medicine residents' self-report point-of-care ultrasound knowledge and skills: what (Little) difference three years make.
Document Type
Academic Journal
Author
Chahley T; Department of Medicine, University of Calgary Cumming School of Medicine, 3330 Hospital Dr NW, Alberta, AB T2N 4N1, Calgary, Canada.; Lam AW; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.; Halman S; Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.; Watson K; Department of Medicine, University of Calgary Cumming School of Medicine, 3330 Hospital Dr NW, Alberta, AB T2N 4N1, Calgary, Canada.; Ma IW; Department of Medicine, University of Calgary Cumming School of Medicine, 3330 Hospital Dr NW, Alberta, AB T2N 4N1, Calgary, Canada. ima@ucalgary.ca.; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. ima@ucalgary.ca.; W21C, University of Calgary, Alberta, Calgary, Canada. ima@ucalgary.ca.
Source
Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
Subject
Language
English
Abstract
Background: With increasing availability of point-of-care ultrasound (POCUS) education in medical schools, it is unclear whether or not learning needs of junior medical residents have evolved over time.
Methods: We invited all postgraduate year (PGY)-1 residents at three Canadian internal medicine residency training programs in 2019 to complete a survey previously completed by 47 Canadian Internal Medicine PGY-1 s in 2016. Using a five-point Likert scale, participants rated perceived applicability of POCUS to the practice of internal medicine and self-reported skills in 15 diagnostic POCUS applications and 9 procedures.
Results: Of the 97 invited residents, 58 (60 %) completed the survey in 2019. Participants reported high applicability but low skills across all POCUS applications and procedures. The 2019 cohort reported higher skills in assessing pulmonary B lines than the 2016 cohort (2.3 ± SD 1.0 vs. 1.5 ± SD 0.7, adjusted p-value = 0.01). No other differences were noted.
Conclusions: POCUS educational needs continue to be high in Canadian internal medicine learners. The results of this needs assessment study support ongoing inclusion of basic POCUS elements in the current internal medicine residency curriculum.
(© 2021. The Author(s).)