Effectiveness of a primary care clinical ultrasound classroom for family physicians as a formative intervention system, a quasi-experimental trial Study protocol

被引:0
作者
Diego-Dominguez, Fernando [1 ,2 ]
Torrecilla-Garcia, Miguel [1 ,2 ]
Casado-Huerga, Jesus [1 ,2 ]
Angeles Paule-Sanchez, Maria [2 ]
Isabel Soria-Lopez, Clara [2 ]
Iglesias-Clemente, Jose Manuel [1 ,2 ]
Maria de Dios-Hernandez, Jose [3 ]
Diego-Mangas, Natalia [4 ]
Cubillo-Jimenez, Maria [3 ]
Perez-Escanilla, Fernando [1 ,2 ]
机构
[1] Inst Invest Biomed Salamanca IBSAL, Unidad Invest Atenc Primaria Salamanca APISAL, Salamanca, Spain
[2] Ctr Salud San Juan Salamanca, Salamanca, Spain
[3] Unidad Docente Multiprofes Atenc Familiar & Comun, Salamanca, Spain
[4] Serv Salud Castilla & Leon, Ctr Salud Periurbana Norte, Salamanca, Spain
关键词
family medicine; point-of-care ultrasound; primary care; training; ultrasonography; ULTRASONOGRAPHY; PATIENT;
D O I
10.1097/MD.0000000000019914
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Clinical ultrasound is a technique that increases diagnostic capacity and facilitates clinical decision making. The objective is to develop and validate an ultrasound training methodology oriented to the clinical practice of the family physician. Methods: Quasi-experimental study, with a before/after design, a control group, and 1 year of follow-up. Twenty family physicians working in primary care health centers with a list of over 800 patients will be included, as well as a control group of family physicians with similar characteristics in terms of age, sex, and patient list. A structured training process oriented to the clinical practice of the family physician, primary care clinical ultrasound classroom (AECAP), will be carried out, and the improvement of knowledge and skills of the participants will be evaluated, as well as the improvement of the quality of care based on clinical indicators. Discussion: The family physician is in a privileged situation allows increasing the performance of ultrasound in frequent clinical situations and reducing care hours. We hope that the results obtained in this study demonstrate the effectiveness of the structured training method (AECAP) and support the generalization of ultrasound in primary health care. Ethics and dissemination: The study was approved by the Medical Research Ethics Committee of Salamanca on December 17, 2018 (cod 2018 11 134). The trial was registered in ClinicalTrials.gov provided by the US National Library of Medicine-number: NCT04283383.
引用
收藏
页数:5
相关论文
共 24 条
[1]  
Alonso R, 2015, FMC S, V22, P5
[2]   Danish general practitioners have found their own way of using point-of-care ultrasonography in primary care: a qualitative study [J].
Andersen, Camilla Aakjaer ;
Davidsen, Annette Sofie ;
Brodersen, John ;
Graumann, Ole ;
Jensen, Martin Bach .
BMC FAMILY PRACTICE, 2019, 20 (1)
[3]   Point-of-Care Ultrasonography for Primary Care Physicians and General Internists [J].
Bhagra, Anjali ;
Tierney, David M. ;
Sekiguchi, Hiroshi ;
Soni, Nilam J. .
MAYO CLINIC PROCEEDINGS, 2016, 91 (12) :1811-1827
[4]  
Blanquer J., 2017, RELEVANCE CLIN ULTRA
[5]  
Bornemann P, 2018, AM FAM PHYSICIAN, V98, P200
[6]  
Conde-Olasagasti JL, 1998, ULTRASOUND PRIMARY C
[7]   Abdominal ultrasound. A diagnostic tool within the reach of General Practitioners [J].
Esquerra, Maria ;
Roura Poch, Pere ;
Masat Tico, Teresa ;
Canal, Vicenc ;
Maideu Mir, Joaquim ;
Cruxent, Rafael .
ATENCION PRIMARIA, 2012, 44 (10) :576-585
[8]   Impact of Pocket Ultrasound Use by Internal Medicine Housestaff in the Diagnosis of Dyspnea [J].
Filopei, Jason ;
Siedenburg, Heather ;
Rattner, Peter ;
Fukaya, Eri ;
Kory, Pierre .
JOURNAL OF HOSPITAL MEDICINE, 2014, 9 (09) :594-597
[9]   LEARNING CURVE OF BEDSIDE ULTRASOUND OF THE GALLBLADDER [J].
Gaspari, Romolo J. ;
Dickman, Eitan ;
Blehar, David .
JOURNAL OF EMERGENCY MEDICINE, 2009, 37 (01) :51-56
[10]  
General Directorate of Planning and Health Care Regional Health Management of Castilla y Leon, 2019, PORTF SERV PRIM CAR