Sekiz Saatlik Altı Adımlı Bakım Noktası Ultrasonu Eğitim Programının Etkileri: Pilot Bir Çalışma

Year 2024, , 118 - 126, 01.11.2024

İlker Şirin , Bedriye Müge Sönmez , Gülşen Çığşar

https://doi.org/10.38175/phnx.1527622

Abstract

Amaç: Acil servislerde ultrasonografi kullanımı tüm dünyada yaygınlaşmaktadır. Ancak, eğitimin çerçevesini oluşturan kılavuzların önerileri tüm bölgeler için uygun olmayabilir. Bu çalışmada, kısıtlı imkanlara sahip bir acil tıp kliniğinde planlanan hedefe yönelik sekiz saatlik Point-of-Care Ultrasound (PoCUS) kursunun acil hekimlerinin pratik becerileri üzerindeki etkisini araştırdık.
Gereç ve Yöntem: Yirmi altı acil tıp hekimi için altı aşamalı bir ultrasonografi kursu planlandı. Dört saatlik teorik dersin ardından dört saatlik pratik eğitim verildi. Katılımcılara eğitimden bir hafta önce ve bir hafta sonra pratik sınav uygulandı. Pratik sınavda yeterli görüntü sağlanıp sağlanmadığı belirli kriterlere bağlıydı. Tüm kriterleri yerine getirerek yeterli görüntü elde etme süresi saniye cinsinden kaydedildi.
Sonuçlar: Eğitim sonrasında kardiyak ultrasonografi (US), travmada sonografi ile genişletilmiş odaklı değerlendirme (E-FAST) ve hepatobiliyer ve aort görüntülemenin yeterliliği başarı oranları istatistiksel olarak anlamlı şekilde arttı (p<0.05).
Sonuç: Acil hekimlerinin talepleri doğrultusunda verilen hedefe yönelik sekiz saatlik teorik ve pratik ultrasonografi eğitiminin, katılımcı acil hekimlerinin başarılı görüntüleme sürelerine önemli bir katkısı vardır.

Keywords

Ultrasonografi, Yatakbaşı teknolojisi, Eğitim

The Effects of an Eight-Hour Six-Step Point-of-Care Ultrasound Training Program: A Pilot Study

Abstract

Objective: The use of ultrasonography in emergency departments is becoming widespread all over the world. However, the recommendations of the guidelines that form the framework of training may not be suitable for all regions. In this study, we investigated the effect of a targeted eight-hour Point-of-Care Ultrasound (PoCUS) course planned in an emergency medicine clinic with limited facilities on the practical skills of emergency physicians.
Materials and Methods: A six-step ultrasonography course was planned for twenty-six emergency physicians. Four hours of theoretical course followed by four hours of practical training was given. Participants were administered a practical exam a week before and a week after the training. Whether sufficient images were provided in the practical exam depended on certain criteria. The time to achieve adequate images by fulfilling all criteria was recorded in seconds.
Results: After the training, the success rates of cardiac ultrasound (US), extended focused assessment with sonography in trauma (E-FAST), and the adequacy of hepatobiliary and aortic imaging increased statistically significantly (p<0.05).
Conclusion: Targeted eight-hour theoretical and practical ultrasonography training, which was provided in line with the demands of emergency physicians, has a significant contribution to the successful imaging time of participating emergency physicians.

Keywords

Ultrasonography, Point-of-care systems, Education

Ethical Statement

The study was approved by the Local Ethics Committee for Dışkapı Dışkapı Yıldırım Beyazit Training and Research Hospital (Date: 06.06.2022, decision no: 139/36)

Supporting Institution

None

Thanks

None

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