Self-Appraisal of Clinical Competence in Echocardiography of Chinese Intensivists Post Basic Echocardiography Training
作者机构：Department of Critical Care MedicineBejing Tongren HospitalCapital Medical UniversityBeijing 100730China Emergency Department and Intensive Care UnitWest China School of Public Health&West China Fourth HospitalSichuan UniversityChengdu 610041China Department of Critical Care MedicinePeking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Department of Critical Care MedicineFirst Hospital of Tsinghua UniversityBeijing 100016China 不详
出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)
年 卷 期：2023年第38卷第2期
页 面：125-129页
核心收录：
学科分类：100218[医学-急诊医学] 0831[工学-生物医学工程（可授工学、理学、医学学位）] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学]
主 题：physician critical care echocardiography training
摘 要：Objectives To learn the echocardiography skills of intensivists after receiving a basic critical care echocardiography training course,and investigate factors that may influence their *** We completed a web-based questionnaire that assessed the skills in ultrasound scanning techniques of intensivists who took a training course on basic critical care echocardiography held in 2019 and *** test was used to analyze the factors which might affect their performance on image acquisition,recognizing clinical syndrome,and measuring the diameter of inferior vena cava,left ventricular ejection fraction and left ventricular outflow tract velocity-time *** We enrolled 554 physicians from 412 intensive care units across *** them,185(33.4%)reported that they had 10%-30%chance of being misled by critical care echocardiography when making therapeutic decision,and 34(6.1%)reported that the chance was greater than 30%.Intensivists who performed echocardiography under the guidance of a mentor and finished ultrasound scanning more than 10 times per week reported significant higher scores in image acquisition,clinical syndrome recognition,and quantitative measurement of inferior vena cava diameter,left ventricular ejection fraction and left ventricular outflow tract velocity-time integral than those without mentor and performing echocardiography 10 times or less per week respectively(all P 0.05).Conclusion The skills in diagnostic medical echocardiography of Chinese intensivists after a basic echocardiographic training course remain low,and further quality assurance training program is clearly warranted.
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