对超声医师进行基础培训对于其独立胜任超声扫描工作至关重要,国际妇产超声学会基础培训(简称培训)在我国的实施效果评价尚未见报道。本文以2019年6~9月参加全部3期培训的30名超声医师为例,阐述了培训的设计及实施过程,通过在培训前后对医师进行妇产超声理论知识考核评价培训效果、进行问卷调查方法了解其培训满意度、并对其中20名医师进行电话访谈进一步了解其满意度的影响因素。结果标明,超声医师培训前后理论知识考核成绩分别为40(39,44)分和47(45,50)分,其差异具有统计学意义(P<0.001)。73.3%(22/30)的超声医师对每期培训都感到非常满意;90.0%(18/20)参与访谈的超声医师认为培训有帮助,并提出增加案例讲解等建议。培训的开展提高了参与医师的理论知识水平,获得了较高满意度,提示培训实施效果较好。
Systematic ultrasound training for sonographers is essential, but the International Society of Ultrasound in Obstetrics and Gynecology(ISUOG) basic training(referred to as traing) in China has not been reported yet. This paper took 30 sonographers who took part in all 3-session training from June to September 2019 as an example to describe the design and implementation of the training, to evaluate the training effect by considering the theoretical examination scores of sonographers before and after the training, to find out their satisfaction with the curriculum by questionnaire survey method, and to find out the influencing factors of their satisfaction by telephone interview of 20 of them. The results showed that the scores on the theoretical knowledge before and after training were 40(39,44) and 47(45,50), respectively. The difference was statistically significant (P<0.001). About 73.3% (22/30) of sonographers were satisfied with each session, and 90.0% (18/20) of sonographers interviewed believed that the training was helpful and suggested having more case presentations. The training enhanced the theoretical knowledge level of sonographers and achieved a higher degree of satisfaction, which indicated that the implementation of the training was successful.
[1] Salvesen K, Abramowicz J, Ter Haar G, et al. ISUOG statement on the non-diagnostic use of ultrasound in pregnancy[J]. Ultrasound Obstet Gynecol, 2021,58(1):147. DOI: 10.1002/uog.23611.
[2] Timmerman D, Planchamp F, Bourne T, et al. ESGO/ISUOG/IOTA/ESGE Consensus Statement on preoperative diagnosis of ovarian tumors[J]. Ultrasound Obstet Gynecol, 2021,58(1):148-168. DOI: 10.1002/uog.23635.
[3] Salomon LJ, Alfirevic Z, Bilardo CM, et al. ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan[J]. Ultrasound Obstet Gynecol, 2013,41(1):102-113. DOI: 10.1002/uog.12342.
[4] Bhide A, Acharya G, Bilardo CM, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics[J]. Ultrasound Obstet Gynecol, 2013,41(2):233-239. DOI: 10.1002/uog.12371.
[5] ISUOG Education Committee recommendations for basic training in obstetric and gynecological ultrasound[J]. Ultrasound Obstet Gynecol, 2014,43(1):113-116. DOI: 10.1002/uog.13208.
[6] 张娟, 吴青青. “ISUOG关于cfDNA非整倍体检测对筛查策略及产前超声实践影响的共识声明”新版解读[J].中华医学超声杂志(电子版),2018,15(2):95-96. DOI: 10.3877/cma.j.issn.1672-6448.2018.02.003.
[7] Vrachnis N, Papageorghiou AT, Bilardo CM, et al. International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) - the propagation of knowledge in ultrasound for the improvement of OB/GYN care worldwide: experience of basic ultrasound training in Oman[J]. BMC Med Educ, 2019,19(1):434. DOI: 10.1186/s12909-019-1866-6.
[8] Hillerup NE, Tabor A, Konge L, et al. Validity of ISUOG basic training test[J]. Ultrasound Obstet Gynecol, 2018,52(2):279-280. DOI: 10.1002/uog.18937.
[9] 刘宁, 沈艳, 徐颖, 等. 基于重症医学专科医师核心胜任力培养的多元化模拟教学研究[J].中华医学教育杂志,2022,42(3):272-275. DOI: 10.3760/cma.j.cn115259-20210412-00474.
[10] 李林璐, 唐晓鸿, 赵永锋, 等. 模拟教学方法在住院医师产前超声技能培训中的应用[J].中华医学教育杂志,2021,41(8):703-707. DOI: 10.3760/cma.j.cn115259-20210119-00088.
[11] 陈曦, 刘丽文, 宋宏萍, 等. 陕西省基层超声医师继续教育规范化培训模式的探索[J].中华医学教育杂志,2021,41(6):550-553. DOI: 10.3760/cma.j.cn115259-20210207-00184.
