Sonographic training in rheumatology: a self teaching approach.
نویسندگان
چکیده
OBJECTIVE To evaluate a self teaching approach to be followed by a novice without previous practical experience in musculoskeletal ultrasonography. METHODS The novice was given short general training (two hours) by an experienced sonographer focusing on the approach to the ultrasound equipment, and asked to obtain the best sonographic images of different anatomical areas as similar as possible to the "gold standard" pictures in the online version of the guidelines for musculoskeletal ultrasonography in rheumatology (free access at http://www.sameint.it/eular/ultrasound). At the end of each scanning session, both novice and tutor scored "blindly" all the images from 0 (the lowest quality) to 10 (the highest quality), with a minimum quality score of 6 considered acceptable for standard clinical use. The tutor then explained how to improve the quality of the pictures. Fourteen consecutive inpatients (seven with rheumatoid arthritis, three with psoriatic arthritis, two with reactive arthritis, and two with osteoarthritis) and five healthy subjects were examined. Ultrasound examinations were performed with a Diasus (Dynamic Imaging Ltd, Livingston, Scotland, UK) using two broadband linear probes of 5-10 and 8-16 MHz frequency. RESULTS Sonographic training lasted one month and included 30 scanning sessions (24 hours of active scanning). 243 images were taken of the selected anatomical areas. The mean time required to produce each image was 6 minutes (SD 4.2; range 1-30). At the end of the training, the novice scored >/=6 for each standard scan. CONCLUSION A novice can obtain acceptable sonographic images in 24 non-consecutive hours of active scanning after an intensive self teaching programme.
منابع مشابه
Ultrasonography in rheumatology: an evolving technique.
Ultrasonography (US) has proved to be an excellent technique for a quick, eYcient, and accurate evaluation of soft tissues involvement in rheumatic diseases. US is a powerful tool to look around or inside joints, or both, tendons, muscles, bursae, and nerves. Skin, salivary glands, parathyroids, and small and large vessels are other interesting targets of US in rheumatology. The main advantages...
متن کاملThe use of patient partners with back pain to teach undergraduate medical students.
OBJECTIVES To assess the impact of teaching about back pain to medical students using trained patient partners (PP). METHODS An initial training programme for four PPs (two with sciatica and two with ankylosing spondylitis) followed by teaching to alternate groups of medical students at the Whittington Campus of the Royal Free and University College Medical School (RFUCMS). A control group of...
متن کاملRheumatology clinicians’ experiences of brief training and implementation of skills to support patient self-management
BACKGROUND Self-management of arthritis requires informed, activated patients to manage its physical and psychosocial consequences. Patient activation and self-management can be enhanced through the use of cognitive-behavioural approaches, which have a strong evidence base and provide insight into the variation in outcome of patients with ostensibly the same degree of disease activity. However,...
متن کاملThe effects of train composition with brain learning approach based on the Educational self-efficacy and written ability of students
Purpose: Present study was conducted with the aim of the effects of teaching method of writing with brain-based learning on educational self-efficacy and written ability of female students in fifth grade of primary school. Materials & Methods: A quasi-experimental method with designing pre-test and post-test with unequal control group was used and to select the sample, the one-stage cluster sam...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of the rheumatic diseases
دوره 62 6 شماره
صفحات -
تاریخ انتشار 2003