Courbe d’apprentissage par LC-CUSUM de l’échographie d’urgence chez les internes des hôpitaux des armées (spécialité médecine générale) : impact sur la formation opérationnelle

Abstract : Background and purpose: after clinical evaluation, ultrasound assessment is helpful for patient with war-related injuries. Military physicians need a specific formation. Our main purpose was to assess the learning curve for emergency sonography by military residents. Methods: multi center, prospective study focused on assessment of learning curve in emergency sonography on unexperimented military residents by the LC-CUSUM method (Learning Curve CUmulative SUMmation test): 12 military residents have benefited from theorical and practical training on healthy patient. They realized three types of sonography oriented by clinical examination: abdominal, pulmonary and echocardiography. The data was collected individually in textbook. A learning curve of emergency sonography was plotted in each type using the LC-CUSUM score. Three success criteria were decided; time realization, obtaining ultrasound images and the diagnostic concordance. Results: 9 military residents were included. Two demonstrated competence in abdominal echography, and one in pulmonary echography. None in echocardiography. Conclusions: our main result is lack of competence acquisition, maybe due to diagnostic concordance. More than 6 months is needed to significantly increase the number of ultrasounds. However, a harmonized formation in emergency sonography for the military residents is necessary to optimize the operational training in war medicine.
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Master Thesis
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Maxime Aurian. Courbe d’apprentissage par LC-CUSUM de l’échographie d’urgence chez les internes des hôpitaux des armées (spécialité médecine générale) : impact sur la formation opérationnelle. Médecine humaine et pathologie. 2019. ⟨dumas-02151056⟩

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