Navegando por Palavras-chave "Ultrassonografia/Métodos"

Agora exibindo 1 - 1 de 1
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    A prova prática de ultrassonografia é uma ferramenta eficiente para avaliação de competências de residentes de Radiologia?
    (Universidade Federal de São Paulo (UNIFESP), 2020-10-08) Puchnick, Andrea [UNIFESP]; Regacini, Rodrigo [UNIFESP]; Universidade Federal de São Paulo
    Purpose: To evaluate the efficiency and effectiveness of the practical ultrasound test as a competence assessment tool for radiology residents, verifying the learning curve, the knowledge assessment and the instrument applicability by different evaluators. Methods: A longitudinal and observational study evaluated the radiology resident’s performance in a practical ultrasound test. It was adopted as an instrument of competence assessment, a structured and objective test composed of nine items, addressing the routine examination of the upper abdomen and cervical region. Five stations were used, each one them with an ultrasound device, a volunteer “patient” and an evaluator. The adequate and inadequate criteria of each item were discussed before application to homogenize the evaluation. All residents were evaluated on the same day within 15 minutes. One point was assigned to each item considered adequate and half a point to regulate (only in the 1st item). The final sum of the points was transformed into a mean proportional to 10. The means were correlated with the number of procedures performed by residents in their daily routine. Results: The overall mean of R1 was 6.3, R2 was 8.1 and R3 was 8.2. There was a statistically significant difference between R1 means compared to R2 and R3 means (p<0.001), but there was no significant difference between R2 and R3 means (p=1.000). There is a linear, moderate and positive correlation between the residents means and the number of exams (r=0.470, p<0.001). There were no differences between the evaluators, except for the item that asked the resident to make a longitudinal section of the aorta and demonstrate its relationship with the left renal vein. The overall given means by the evaluators ranged from 7.3 to 8.1, with no significant differences between them (p=0.568). Conclusion: The objective structured ultrasound test is a valid, reliable and easily applicable assessment tool. The radiology resident was able to demonstrate all competencies assessed with a significantly higher learning curve at the beginning of his training.