응급초음파코스-복부과정의 개발과 1년의 경험

Abstract

Purpose: This report describes our 1-year experience with an emergency abdominal ultrasound course that we developed for emergency medicine residents and physicians. Methods: The five-hour course consisted of didactic lectures and hands-on practice. A 1-hour didactic lecture was provided. The lecture consisted of basic ultrasound physics and principles, and anatomy for abdominal ultrasound. In the hands-on session, the instructors demonstrated the abdominal ultrasound techniques and then the students practiced on standard patients. Participants evaluated the programs using a five or ten point Likert scale. After two months to one year, the participants evaluated the usefulness of the course, their knowledge, and their self confidence. Results: A total of 61 trainees participated in eight courses. The evaluation scores for overall quality of content, clinical utility, quality of educational method, quality of instructor,and time allocation were 4.4±0.7, 4.5±0.6, 4.3±0.6, 4.4±0.6, 4.1±0.7, respectively. Score of self-confidence of each scan before and after the course were as follows: liver scan, 3.2±2.1 to 6.9±1.2; gallbladder and bile duct scan 3.0±2.5 to 6.9±1.2; pancreas scan, 2.4±2.1 to 6.3±1.3;renal scan, 3.6±2.6 to 7.6±1.3. Evaluation scores were followed up after two months to one year to estimate self confidence of each scan. Results were as follows: liver scan, 6.1±1.5; gallbladder and bile duct scan, 6.5±1.6;pancreas scan, 5.5±1.8; renal scan, 7.2±1.5. Conclusion: The Emergency Abdominal Ultrasound Course is a fairly successful course. But continuous improvement of educational content, and development of an objective evaluation tool need to be done.