Surgical Resident Education and Performance in Extended Focused Abdominal Sonography for Trauma.

Autor:	Tan H; Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA., Pham CL; Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA., Regen RN; Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA., Rutherford NR; Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA., Armstrong LR; Quillen College of Medicine, East Tennessee State University, Johnson, TN, USA., Smith LM; Division of Surgical Critical Care, Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA., Heidel RE; Division of Biostatistics, Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA.
Jazyk:	angličtina
Zdroj:	The American surgeon [Am Surg] 2024 Jul; Vol. 90 (7), pp. 1934-1936. Date of Electronic Publication: 2024 Mar 24.
DOI:	10.1177/00031348241241747
Abstrakt:	Extended focused assessment with sonography for trauma (eFAST) is a rapid triage tool aiding the detection of life-threatening injuries. In academic settings, residents perform most eFAST; however, the ACGME has no recommendations for eFAST training standards. We surveyed general surgery programs (GSPs) regarding eFAST training and established a baseline for sensitivity, specificity, and positive and negative predictive values for resident-performed eFAST. US GSP eFAST surveys were conducted by email and phone. We prospectively collected patient variables and evaluated resident performance from May to September 2022 and 2023 at an academic level I trauma center. A total of 60/339 general surgery residency programs (GSRPs) responded: Ten use Advanced Trauma Life Support (ATLS) only, n = 7 group training, n = 8 on-the-job only, and n = 33 several methods. Resident-performed eFAST had accuracy = 85.6%, sensitivity = 35.6%, specificity = 97.2%, PPV = 75%, and NPV = 87%. General surgery residency program training in eFAST is non-standardized. Sensitivity was considerably lower than the literature suggests. Positive resident-performed eFAST is generally accurate. We recommend a standardized approach to resident training in eFAST. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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