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Point-of-care diagnostic lung ultrasound is highly applicable to the practice of medicine in Saudi Arabia but the current skills gap limits its use
Annals of Thoracic Medicine ( IF 2.3 ) Pub Date : 2021-07-01 , DOI: 10.4103/atm.atm_358_20 Rajkumar Rajendram 1, 2 , Mamdouh Souleymane 3 , Naveed Mahmood 1, 2 , Mubashar Kharal 1, 2 , Mohammad AlQahtani 1, 2
CONTEXT: Coronavirus disease 2019 (COVID-19) has put a spotlight on point-of-care diagnostic lung ultrasound (POCDLUS). However, the spectra of respiratory disease and resources available for investigation vary internationally. The applicability of POCDLUS to internal medicine (IM) practice in Saudi Arabia and the current use by Saudi physicians are unknown.
AIMS: The aim of the present study was to determine the applicability of POCDLUS to IM practice in Saudi Arabia and quantify the residents' current skills, accreditation, and use of POCDLUS.
METHODS: A questionnaire was distributed to the IM residents at our institution to assess their knowledge, use of POCDLUS, and their perceptions of its applicability in IM.
STATISTICAL ANALYSIS: Standard descriptive statistical techniques were used. Categorical data, presented as frequency, were compared using the Chi-squared test. The Likert scale responses, presented as mean ± standard deviation, were compared with a Student's t-test.
RESULTS: In total, 100 residents participated (response rate 92.6%) and reported that POCDLUS was applicable to their practice. Identifying pleural effusions was most applicable. A small proportion (n = 7) had received training, nine used POCDLUS regularly, none were accredited and the overall self-reported level of knowledge was poor.
CONCLUSIONS: Whilst POCDLUS is applicable to IM practice in Saudi Arabia, the significant skills gap preclude the provision of a POCDLUS service. As COVID-19 can cause an interstitial syndrome, our pandemic preparation response should include POCDLUS training. The current study is supported by a similar Canadian study and the international standardisation of POCDLUS training may be feasible. The findings of the current study may facilitate the development of POCDLUS training programs for internists throughout Saudi Arabia.
中文翻译：
床旁诊断肺部超声非常适用于沙特阿拉伯的医学实践，但目前的技能差距限制了其使用
背景： 2019 年冠状病毒病 (COVID-19) 使床旁诊断肺超声 (POCDLUS) 成为焦点。然而，呼吸系统疾病的谱系和可供调查的资源在国际上有所不同。POCDLUS 在沙特阿拉伯的内科 (IM) 实践中的适用性以及沙特医生目前的使用情况尚不清楚。
目的：本研究的目的是确定 POCDLUS 在沙特阿拉伯的 IM 实践中的适用性，并量化居民当前的技能、认证和 POCDLUS 的使用。
方法：向我们机构的 IM 居民分发了一份问卷，以评估他们的知识、POCDLUS 的使用以及他们对其在 IM 中的适用性的看法。
统计分析：使用了标准的描述性统计技术。使用卡方检验比较以频率表示的分类数据。将 Likert 量表反应（表示为平均值 ± 标准差）与 Student t检验进行比较。
结果：总共有 100 名居民参与（响应率 92.6%）并报告 POCDLUS 适用于他们的实践。识别胸腔积液最为适用。一小部分 ( n = 7) 接受过培训，9 人定期使用 POCDLUS，没有人获得认证，并且自我报告的整体知识水平较差。
结论：虽然 POCDLUS 适用于沙特阿拉伯的 IM 实践，但巨大的技能差距妨碍了 POCDLUS 服务的提供。由于 COVID-19 会导致间质综合征，我们的大流行准备应对措施应包括 POCDLUS 培训。目前的研究得到了加拿大一项类似研究的支持，POCDLUS 培训的国际标准化可能是可行的。当前研究的结果可能有助于为整个沙特阿拉伯的内科医生制定 POCDLUS 培训计划。
更新日期：2021-07-20
Annals of Thoracic Medicine ( IF 2.3 ) Pub Date : 2021-07-01 , DOI: 10.4103/atm.atm_358_20 Rajkumar Rajendram 1, 2 , Mamdouh Souleymane 3 , Naveed Mahmood 1, 2 , Mubashar Kharal 1, 2 , Mohammad AlQahtani 1, 2
Affiliation
CONTEXT: Coronavirus disease 2019 (COVID-19) has put a spotlight on point-of-care diagnostic lung ultrasound (POCDLUS). However, the spectra of respiratory disease and resources available for investigation vary internationally. The applicability of POCDLUS to internal medicine (IM) practice in Saudi Arabia and the current use by Saudi physicians are unknown.
AIMS: The aim of the present study was to determine the applicability of POCDLUS to IM practice in Saudi Arabia and quantify the residents' current skills, accreditation, and use of POCDLUS.
METHODS: A questionnaire was distributed to the IM residents at our institution to assess their knowledge, use of POCDLUS, and their perceptions of its applicability in IM.
STATISTICAL ANALYSIS: Standard descriptive statistical techniques were used. Categorical data, presented as frequency, were compared using the Chi-squared test. The Likert scale responses, presented as mean ± standard deviation, were compared with a Student's t-test.
RESULTS: In total, 100 residents participated (response rate 92.6%) and reported that POCDLUS was applicable to their practice. Identifying pleural effusions was most applicable. A small proportion (n = 7) had received training, nine used POCDLUS regularly, none were accredited and the overall self-reported level of knowledge was poor.
CONCLUSIONS: Whilst POCDLUS is applicable to IM practice in Saudi Arabia, the significant skills gap preclude the provision of a POCDLUS service. As COVID-19 can cause an interstitial syndrome, our pandemic preparation response should include POCDLUS training. The current study is supported by a similar Canadian study and the international standardisation of POCDLUS training may be feasible. The findings of the current study may facilitate the development of POCDLUS training programs for internists throughout Saudi Arabia.
中文翻译：
床旁诊断肺部超声非常适用于沙特阿拉伯的医学实践，但目前的技能差距限制了其使用
背景： 2019 年冠状病毒病 (COVID-19) 使床旁诊断肺超声 (POCDLUS) 成为焦点。然而，呼吸系统疾病的谱系和可供调查的资源在国际上有所不同。POCDLUS 在沙特阿拉伯的内科 (IM) 实践中的适用性以及沙特医生目前的使用情况尚不清楚。
目的：本研究的目的是确定 POCDLUS 在沙特阿拉伯的 IM 实践中的适用性，并量化居民当前的技能、认证和 POCDLUS 的使用。
方法：向我们机构的 IM 居民分发了一份问卷，以评估他们的知识、POCDLUS 的使用以及他们对其在 IM 中的适用性的看法。
统计分析：使用了标准的描述性统计技术。使用卡方检验比较以频率表示的分类数据。将 Likert 量表反应（表示为平均值 ± 标准差）与 Student t检验进行比较。
结果：总共有 100 名居民参与（响应率 92.6%）并报告 POCDLUS 适用于他们的实践。识别胸腔积液最为适用。一小部分 ( n = 7) 接受过培训，9 人定期使用 POCDLUS，没有人获得认证，并且自我报告的整体知识水平较差。
结论：虽然 POCDLUS 适用于沙特阿拉伯的 IM 实践，但巨大的技能差距妨碍了 POCDLUS 服务的提供。由于 COVID-19 会导致间质综合征，我们的大流行准备应对措施应包括 POCDLUS 培训。目前的研究得到了加拿大一项类似研究的支持，POCDLUS 培训的国际标准化可能是可行的。当前研究的结果可能有助于为整个沙特阿拉伯的内科医生制定 POCDLUS 培训计划。
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