POC Ultrasound Training for Rural Health

农村卫生 POC 超声培训

• 批准号: 8665254
• 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/8665254
• 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）：我们将提高农村卫生专业人员使用护理点 (POC) 超声的技能。我们将开发一种采用分布式教育来提供现场培训、形成性评估和能力测试的方法。这项研究的理由是，分布式现场教育可以减少财务和后勤障碍，并为患者提供连续性护理，从而促进农村提供者获得培训。分布式教育可以在几周内进行刻意练习，这可能比目前浓缩的 1-2 天继续医学教育课程产生更好的技能获取和保留效果。通过促进农村医疗保健提供者的 POC 超声培训，拟议的研究促进了农村医疗保健的发展，由于当地医疗资源稀缺以及患者、医生和医疗机构之间的距离，农村医疗保健在提供有效服务方面一直面临挑战。第一个培训模块将重点关注心脏和产科超声，这是我们调查 WWAMI 5 个州（华盛顿、怀俄明、阿拉斯加、爱达荷和蒙大拿）时最常要求的。为了实现这些目标，我们将修改一个模拟器，该模拟器是我们在其他资助下开发和验证的，用于培训心脏病学研究员。我们的具体目标是：#1：开发基于模拟器的分布式教育课程，为农村医疗保健提供者提供 POC 心脏和产科超声技能的培训和形成性评估。将开发一种方法，以便在对正常志愿者进行初始扫描期间对每个受训者进行远程指导。 #2：通过测量技能从模拟器到现场受试者的转移来评估分布式教育课程的教育有效性，并测量技能的保留。 #3：评估学员对分布式教育的满意度。这项研究的医疗保健效益是通过基于模拟器的分布式教育增强 POC 超声的安全有效利用。该交付成果是一个分布式教育模块，已针对培训效果、能力测试、实时主题扫描转移和远程学习进行了验证。根据本提案开发和验证的分布式教育方法将适用于 POC 超声的未来应用，例如程序指导。