PDF(Pubmed)
Abstract：
UNASSIGNED: Cancer rates are rising in low- and middle-income countries. While point-of-care ultrasound is now available globally and could serve to mitigate against this rise, its use in diagnosing cancers is inconsistent in lower-resourced healthcare contexts. This proof-of-concept study investigates the feasibility of an ultrasound training concept in a low-resource setting. It evaluates whether this educational concept led to improved knowledge and application of ultrasound diagnostics, cancer screening and staging and patient care.
UNASSIGNED: The curriculum was developed through expert exchange and is based on the World Health Organisation\'s Manual of Diagnostic Ultrasound. It consisted of two didactic components: an on-site training phase across 5 days for a total of 24 hours, and a digital follow-up phase involving the meeting of a bi-weekly tumor board online. The learning objectives of the on-site training were normal imaging and recognition of common pathologies of the abdominal organs, vessels, lymph nodes, female breasts and lungs. The virtual tumour boards met to discuss cases and ultrasound findings, thus aiding continuing professional development after the training sessions had concluded. The face-to-face course component was accompanied by tests given before and after training as well as an evaluation sheet (Likert-scale with 1 = \'completely/very good\' and 7 \'not at all/very poor\').
UNASSIGNED: Of 20 participants from a rural hospital in Tanzania, a total of 16 were included in the analysis (clinical officers n = 6; medical officers n = 10). A significant increase in knowledge (p < 0.01) was measured both in the subjective self-assessment and in the theoretical competence tests. In multivariate linear regression, the status \'medical officers yes\' (β = 5.4; p = 0.04) had a significant influence on theory test results at T2. During the 24 virtual tumour board meetings, 28 cases were discussed and a continuous improvement in image acquisition quality was observed.
UNASSIGNED: The ultrasound education concept comes with a sustainable increase in clinical competence and improved oncological ultrasound screening locally. There is potential for the transfer of the concept to other locations, which can be explored in the future.
UNASSIGNED: The curriculum was developed through expert exchange and is based on the World Health Organisation\'s Manual of Diagnostic Ultrasound. It consisted of two didactic components: an on-site training phase across 5 days for a total of 24 hours, and a digital follow-up phase involving the meeting of a bi-weekly tumor board online. The learning objectives of the on-site training were normal imaging and recognition of common pathologies of the abdominal organs, vessels, lymph nodes, female breasts and lungs. The virtual tumour boards met to discuss cases and ultrasound findings, thus aiding continuing professional development after the training sessions had concluded. The face-to-face course component was accompanied by tests given before and after training as well as an evaluation sheet (Likert-scale with 1 = \'completely/very good\' and 7 \'not at all/very poor\').
UNASSIGNED: Of 20 participants from a rural hospital in Tanzania, a total of 16 were included in the analysis (clinical officers n = 6; medical officers n = 10). A significant increase in knowledge (p < 0.01) was measured both in the subjective self-assessment and in the theoretical competence tests. In multivariate linear regression, the status \'medical officers yes\' (β = 5.4; p = 0.04) had a significant influence on theory test results at T2. During the 24 virtual tumour board meetings, 28 cases were discussed and a continuous improvement in image acquisition quality was observed.
UNASSIGNED: The ultrasound education concept comes with a sustainable increase in clinical competence and improved oncological ultrasound screening locally. There is potential for the transfer of the concept to other locations, which can be explored in the future.
摘要：
■低收入和中等收入国家的癌症发病率正在上升。虽然现在可以在全球范围内使用即时超声，并且可以缓解这种上升，在资源较少的医疗保健环境中，其在诊断癌症中的使用是不一致的。这项概念验证研究调查了在低资源环境中超声训练概念的可行性。它评估了这种教育理念是否提高了超声诊断的知识和应用，癌症筛查和分期以及患者护理。
■课程是通过专家交流开发的，基于世界卫生组织的诊断超声手册。它由两个教学部分组成：为期5天的现场培训阶段，总共24小时，以及数字随访阶段，包括两周一次的肿瘤委员会在线会议。现场训练的学习目标是正常成像和腹部器官常见病理的识别，船只,淋巴结,女性的乳房和肺。虚拟肿瘤委员会开会讨论病例和超声检查结果，从而帮助培训课程结束后继续专业发展。面对面课程的组成部分伴随着培训前后的测试以及评估表（李克特量表，1=“完全/非常好”和7“完全/非常差”）。
■来自坦桑尼亚农村医院的20名参与者，共有16人被纳入分析(临床人员n=6;医务人员n=10)。在主观自我评估和理论能力测试中，知识的显着增加（p<0.01）。在多元线性回归中，状态“医务人员是”（β=5.4；p=0.04）对T2时的理论测试结果有重大影响。在24次虚拟肿瘤委员会会议上，讨论了28例，观察到图像采集质量的持续改善。
■超声教育概念伴随着临床能力的持续提高和局部肿瘤超声筛查的改善。这个概念有可能转移到其他地方，可以在未来探索。
■课程是通过专家交流开发的，基于世界卫生组织的诊断超声手册。它由两个教学部分组成：为期5天的现场培训阶段，总共24小时，以及数字随访阶段，包括两周一次的肿瘤委员会在线会议。现场训练的学习目标是正常成像和腹部器官常见病理的识别，船只,淋巴结,女性的乳房和肺。虚拟肿瘤委员会开会讨论病例和超声检查结果，从而帮助培训课程结束后继续专业发展。面对面课程的组成部分伴随着培训前后的测试以及评估表（李克特量表，1=“完全/非常好”和7“完全/非常差”）。
■来自坦桑尼亚农村医院的20名参与者，共有16人被纳入分析(临床人员n=6;医务人员n=10)。在主观自我评估和理论能力测试中，知识的显着增加（p<0.01）。在多元线性回归中，状态“医务人员是”（β=5.4；p=0.04）对T2时的理论测试结果有重大影响。在24次虚拟肿瘤委员会会议上，讨论了28例，观察到图像采集质量的持续改善。
■超声教育概念伴随着临床能力的持续提高和局部肿瘤超声筛查的改善。这个概念有可能转移到其他地方，可以在未来探索。
