BACKGROUND Musculoskeletal point of care ultrasound (MSK POCUS) has many uses for orthopaedic surgeons, but orthopaedic trainees are rarely exposed to this modality. The purpose of this project was to assess the usefulness in clinical education of a newly implemented MSK POCUS course in an orthopaedic surgery program. METHODS An MSK POCUS course for orthopaedic surgery residents was developed by an interdisciplinary team. Online videos were created to be viewed by residents prior to a half-day long practical course. An online survey covering the level of training of the resident and their previous use of ultrasound (total hours) was completed by the participants prior to the course. Resident's knowledge acquisition was measured with written pre-course, same-day post-course and six-month follow-up tests. Residents were also scored on a practical shoulder examination immediately after the course and at six-month follow-up. Changes in test scores between time points were evaluated using Wilcoxon signed-rank tests. RESULTS Ten orthopaedic surgery residents underwent the MSK POCUS curriculum. Pre-course interest in MSK-POCUS was moderate (65%) and prior exposure was low (1.5 h mean total experience). Written test scores improved significantly from 50.7 ± 17.0% before to 84.0 ± 10.7% immediately after the course (p < 0.001) and suffered no significant drop at 6 months (score 75.0 ± 8.7%; p = 0.303). Average post-course practical exam score was 78.8 ± 3.1% and decreased to 66.2 ± 11.3% at 6 months (p = 0.012). Residents significantly improved their subjective comfort level with all aspects of ultrasound use at 6 months (p = 0.007-0.018) but did not significantly increase clinical usage frequency. CONCLUSION An MSK POCUS curriculum was successfully developed and implemented using an interdisciplinary approach. The course succeeded in improving the residents' knowledge, skills, and comfort with MSK POCUS. This improvement was maintained at 6 months on the written test but did not result in higher frequency of use by the residents.

中文翻译：

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骨科住院医师在简短的教育会议后证明了保留护理超声知识的能力：一项准实验研究。

背景技术骨骼骨骼护理超声（MSK POCUS）在整形外科医师中有许多用途，但是骨科医师很少接触这种方式。该项目的目的是评估在骨科手术计划中新实施的MSK POCUS课程在临床教育中的有用性。方法跨学科团队为骨科手术住院医师开发了MSK POCUS课程。创建了在线视频以供居民在为期半天的实践课程之前观看。在课程开始之前，参与者已完成了一项在线调查，内容涉及住院医师的培训水平以及他们以前的超声检查（总时数）。居民的知识习得是通过书面的课前，课后即日和六个月的跟踪测试来衡量的。在课程结束后以及六个月的随访中，还对居民进行了一次实用的肩膀检查。使用Wilcoxon符号秩检验评估时间点之间的考试分数变化。结果10名整形外科住院医师接受了MSK POCUS课程。术前对MSK-POCUS的兴趣中等（65％），以前的接触率很低（平均总经验1.5 h）。笔试成绩从疗程前的50.7±17.0％显着提高到疗程后立即的84.0±10.7％（p <0.001），并且在6个月时没有显着下降（得分75.0±8.7％； p = 0.303）。课后实践考试平均得分为78.8±3.1％，在6个月时降至66.2±11.3％（p = 0.012）。在6个月内使用超声波的所有方面，居民都显着改善了他们的主观舒适度（p = 0.007-0。018），但并未显着增加临床使用频率。结论MSK POCUS课程已成功开发并采用跨学科方法实施。该课程成功地提高了居民的MSK POCUS知识，技能和舒适度。在笔试中，这种改善保持了6个月，但并未导致居民使用频率更高。