Intensive point-of-care ultrasound training with long-term follow-up in a cohort of Rwandan physicians

被引:27
|
作者
Henwood, Patricia C. [1 ,2 ]
Mackenzie, David C. [2 ,3 ]
Rempell, Joshua S. [1 ,2 ]
Douglass, Emily [2 ]
Dukundane, Damas [2 ,4 ]
Liteplo, Andrew S. [5 ]
Leo, Megan M. [2 ,6 ]
Murray, Alice F. [2 ,6 ]
Vaillancourt, Samuel [2 ,7 ]
Dean, Anthony J. [2 ,8 ]
Lewiss, Resa E. [2 ,9 ]
Rulisa, Stephen [4 ]
Krebs, Elizabeth [10 ]
Rao, A. K. Raja [2 ]
Rudakemwa, Emmanuel [11 ]
Rusanganwa, Vincent [12 ]
Kyanmanywa, Patrick [13 ]
Noble, Vicki E. [2 ,5 ]
机构
[1] Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St, Boston, MA 02115 USA
[2] Point Of Care Ultrasound Resource Ltd Environm, Boston, MA USA
[3] Maine Med Ctr, Dept Emergency Med, Portland, OR USA
[4] Univ Teaching Hosp Kigali, Kigali, Rwanda
[5] Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
[6] Boston Med Ctr, Dept Emergency Med, Boston, MA USA
[7] St Michaels Hosp, Dept Emergency Med, Toronto, ON, Canada
[8] Univ Penn, Dept Emergency Med, Philadelphia, PA 19104 USA
[9] Univ Colorado, Dept Emergency Med, Denver, CO 80202 USA
[10] Duke Univ, Med Ctr, Dept Emergency Med, Durham, NC USA
[11] King Faisal Specialist Hosp & Res Ctr, Kigali, Rwanda
[12] Minist Hlth, Kigali, Rwanda
[13] Univ Rwanda, Butare, Rwanda
关键词
ultrasound; global health; Rwanda; curriculum; education; SETTINGS;
D O I
10.1111/tmi.12780
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
objective We delivered a point-of-care ultrasound training programme in a resource-limited setting in Rwanda, and sought to determine participants' knowledge and skill retention. We also measured trainees' assessment of the usefulness of ultrasound in clinical practice. methods This was a prospective cohort study of 17 Rwandan physicians participating in a point-ofcare ultrasound training programme. The follow-up period was 1 year. Participants completed a 10day ultrasound course, with follow-up training delivered over the subsequent 12 months. Trainee knowledge acquisition and skill retention were assessed via observed structured clinical examinations (OSCEs) administered at six points during the study, and an image-based assessment completed at three points. results Trainees reported minimal structured ultrasound education and little confidence using point-of-care ultrasound before the training. Mean scores on the image-based assessment increased from 36.9% (95% CI 32-41.8%) before the initial 10-day training to 74.3% afterwards (95% CI 69.4-79.2; P < 0.001). The mean score on the initial OSCE after the introductory course was 81.7% (95% CI 78-85.4%). The mean OSCE performance at each subsequent evaluation was at least 75%, and the mean OSCE score at the 58-week follow up was 84.9% (95% CI 80.9-88.9%). conclusions Physicians providing acute care in a resource-limited setting demonstrated sustained improvement in their ultrasound knowledge and skill 1 year after completing a clinical ultrasound training programme. They also reported improvements in their ability to provide patient care and in job satisfaction.
引用
收藏
页码:1531 / 1538
页数:8
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