Training programs in bedside ultrasound for emergency physicians often encounter considerable resistance, partly because of concern that the number of radiology-interpreted studies ordered from the ED may decrease.
This study attempted to determine the effect of instituting an ED training program in ultrasound on the ordering of formal studies from a department of radiology.
This retrospective, computer-assisted review compared all abdominal sonograms ordered from the ED of a busy community hospital in the 3 years before introduction of an ultrasound training program (1992 through 1994) with those ordered in the 2 years after the program's inception (1995,1996).
The number of formal studies significantly increased after institution of the training program, both in terms of absolute numbers (annual mean 181 v 95, P<. 001) and as a percentage of all outpatient sonograms ordered at the institution (9.8% v 5.1%, P<. 001).
Introduction of a teaching program in emergency ultrasound appears to increase utilization of formal ultrasound services, at least during the training period.
Mots-clés Pascal : Formation professionnelle, Programme enseignement, Radiologie, Interne(étudiant), Médecine, Urgence, Echographie, Abdomen, Service urgence, Chevet malade, Utilisation, Evolution, Enseignement professionnel, Homme, Agent santé, Exploration ultrason
Mots-clés Pascal anglais : Occupational training, Educational program, Radiology, Resident(student), Medicine, Emergency, Echography, Abdomen, Emergency department, Patient bedside, Use, Evolution, Occupational education, Human, Health worker, Sonography
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0120258
Code Inist : 002B30A09. Création : 16/11/1999.