POC Ultrasound Training for Rural Health

农村卫生 POC 超声培训

• 批准号: 8840588
• 负责人: FLORENCE SHEEHAN
• 金额: $ 25万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8840588
• 关键词: POC; Ultrasound; Training; Rural; Health

DESCRIPTION (provided by applicant): We will enhance the skill of rural health professionals in the utilization of point of care (POC) ultrasound. We will develop an approach that employs distributed education to provide on-site training, formative assessment and competence testing. The rationale for this research is that distributed education on-site facilitates rural providers' access to training by reducing financial and logistical hurdles and by enabling continuity of care to their patients. Distributed education enables deliberate practice over a period of weeks, which may yield better skill acquisition and retention than current condensed 1-2 day continuing medical education courses. By facilitating training of rural health care providers in POC ultrasound, the proposed research advances rural health care, which has always faced challenges in providing effective service due to a scarcity of local medical resources and distance between patients, physicians, and health care facilities. The first training modules will focus on cardiac and obstetric ultrasound, which were most frequently requested when we surveyed the 5-state WWAMI region (Washington, Wyoming, Alaska, Idaho, and Montana). To achieve these goals we will modify a simulator that we developed and validated for training cardiology fellows under other funding. Our Specific Aims are: #1: To develop a simulator-based distributed education course to provide rural health care providers with training and formative assessment of skill in POC cardiac and obstetric ultrasound. A method will be developed to enable remote mentoring of each trainee during initial scanning of normal volunteers. #2: To assess the educational validity of the distributed education course by measuring the transference of skill from simulator to live subjects, and to measure retention of skill. #3: To assess trainee satisfaction with distributed education. The HEALTH CARE BENEFIT of this research is enhancement of the safe and effective utilization of POC ultrasound through simulator-based distributed education. The deliverable is a distributed education module that is validated for training efficacy, competency testing, transference to live subject scanning, and remote learning. The method of distributed education that is developed and validated under the present proposal will be applicable to future applications for POC ultrasound such as procedural guidance.

描述（由申请人提供）：我们将增强农村卫生专业人员在护理点（POC）超声检查方面的技能。我们将开发一种采用分布教育的方法，以提供现场培训，形成性评估和能力测试。这项研究的理由是，现场分发教育通过减少财务和后勤障碍以及为患者提供护理的连续性来促进农村提供者获得培训的机会。分布式教育能够在几周内进行故意的练习，这可能比目前的1-2天持续医学教育课程获得更好的技能获取和保留率。通过促进POC超声波农村医疗保健提供者的培训，拟议的研究促进了农村医疗保健，由于当地医疗资源缺乏当地医疗资源以及患者，医师和医疗保健设施之间的距离，这一直面临提供有效服务的挑战。第一个培训模块将集中于心脏和产科超声，当我们调查了5州WWAMI地区（华盛顿，怀俄明州，阿拉斯加，爱达荷州和蒙大拿州）时，最常要求这些模块。为了实现这些目标，我们将修改我们在其他资金下为培训心脏病学研究员开发和验证的模拟器。我们的具体目的是：＃1：开发基于模拟器的分布式教育课程，以向农村医疗保健提供者提供对POC心脏和产科超声的培训和形成性评估。将开发一种方法，以在正常志愿者的初始扫描过程中启用每个学员的远程指导。 ＃2：通过衡量技能从模拟器到实时学科的转移以及衡量技能的保留，评估分布式教育课程的教育有效性。 ＃3：评估学员对分布式教育的满意度。这项研究的医疗保健益处是通过基于模拟器的分布式教育来增强POC超声的安全有效利用。可交付的是一个分布式教育模块，可用于培训功效，能力测试，对现场主题扫描和远程学习的验证。根据本提案开发和验证的分布式教育方法将适用于未来的POC超声申请，例如程序指导。