PDF(Pubmed)
Abstract：
BACKGROUND: Point-of-Care Ultrasound (POCUS) has become an important tool in the clinical practice of many specialties, but its use and impact in General Practice in France remains to be explored.
OBJECTIVE: The objective of this study is to obtain a consensus among experienced French general practitioners on a list of relevant POCUS skills in General Practice in 4 anatomical regions.
METHODS: We used a two-round Delphi method to obtain a consensus. An initial list of skills was drawn by conducting a literature review. To rate each skill, we used a nine-point Likert scale. An interactive meeting between experts took place between Delphi rounds. POCUS experts in General Practice were defined as general practitioners with theoretical training in ultrasound who regularly perform ultrasound, who have performed ultrasound for more than five years and/or are involved in providing ultrasound training.
RESULTS: 11 French general practitioners screened 83 skills in 4 anatomical regions: abdominal, urogenital, vascular, gynecology and obstetrics. An agreement was obtained for 36 POCUS skills as to their appropriateness in General Practice. There were 17 skills with a strong appropriate agreement (100% of \"7-9\" ratings) and 19 skills with a relative agreement (100% of \"5-9\" ratings).
CONCLUSIONS: These skills could serve as a basis for guidelines on the use and curriculum of POCUS in General Practice in France as well as in other countries with similar healthcare systems.
OBJECTIVE: The objective of this study is to obtain a consensus among experienced French general practitioners on a list of relevant POCUS skills in General Practice in 4 anatomical regions.
METHODS: We used a two-round Delphi method to obtain a consensus. An initial list of skills was drawn by conducting a literature review. To rate each skill, we used a nine-point Likert scale. An interactive meeting between experts took place between Delphi rounds. POCUS experts in General Practice were defined as general practitioners with theoretical training in ultrasound who regularly perform ultrasound, who have performed ultrasound for more than five years and/or are involved in providing ultrasound training.
RESULTS: 11 French general practitioners screened 83 skills in 4 anatomical regions: abdominal, urogenital, vascular, gynecology and obstetrics. An agreement was obtained for 36 POCUS skills as to their appropriateness in General Practice. There were 17 skills with a strong appropriate agreement (100% of \"7-9\" ratings) and 19 skills with a relative agreement (100% of \"5-9\" ratings).
CONCLUSIONS: These skills could serve as a basis for guidelines on the use and curriculum of POCUS in General Practice in France as well as in other countries with similar healthcare systems.
摘要：
背景：护理点超声（POCUS）已成为许多专业临床实践中的重要工具，但其在法国全科医学中的使用和影响仍有待探索。
目的：本研究的目的是在有经验的法国全科医生中就4个解剖区域的全科相关POCUS技能列表达成共识。
方法：我们使用两轮Delphi方法获得了共识。通过进行文献综述得出了最初的技能清单。要对每个技能进行评分，我们用了9分的李克特量表.专家之间的互动会议在德尔福回合之间举行。POCUS全科医生被定义为具有超声理论培训的全科医生，他们经常进行超声检查，谁已经执行超声超过五年和/或参与提供超声培训。
结果：11名法国全科医生在4个解剖区域筛选了83项技能：腹部，泌尿生殖系统,血管,妇产科。就36项POCUS技能在全科医学中的适用性达成了协议。有17个技能具有强有力的适当协议（“7-9”等级的100％）和19个技能具有相对协议（“5-9”等级的100％）。
结论：这些技能可以作为法国以及其他具有类似医疗保健系统的国家在全科医学中使用POCUS的指南和课程的基础。
目的：本研究的目的是在有经验的法国全科医生中就4个解剖区域的全科相关POCUS技能列表达成共识。
方法：我们使用两轮Delphi方法获得了共识。通过进行文献综述得出了最初的技能清单。要对每个技能进行评分，我们用了9分的李克特量表.专家之间的互动会议在德尔福回合之间举行。POCUS全科医生被定义为具有超声理论培训的全科医生，他们经常进行超声检查，谁已经执行超声超过五年和/或参与提供超声培训。
结果：11名法国全科医生在4个解剖区域筛选了83项技能：腹部，泌尿生殖系统,血管,妇产科。就36项POCUS技能在全科医学中的适用性达成了协议。有17个技能具有强有力的适当协议（“7-9”等级的100％）和19个技能具有相对协议（“5-9”等级的100％）。
结论：这些技能可以作为法国以及其他具有类似医疗保健系统的国家在全科医学中使用POCUS的指南和课程的基础。
