Experiences of family physicians after a CME ultrasound course
Journal Title: Family Medicine & Primary Care Review - Year 2017, Vol 19, Issue 1
Abstract
Background. Ultrasonography is an inexpensive, safe, noninvasive tool for obtaining diagnoses without performing further imaging tests, and for the timely referral of patients to further diagnosis or specialist care. Objectives. To determine which ultrasound tests are most often performed by family physicians, and what factors contribute to their use of ultrasound imaging. Material and methods. This survey-based study using the authors’ questionnaire was conducted in March 2016 among 81 primary care physicians who had completed weekend courses on ultrasound abdominal cavity imaging. Results. Family physicians most often took ultrasounds of the abdominal cavity (35/50; 70%) and thyroid gland (35/50, 12%). The odds of an ultrasound being performed at primary care centers with at least two physicians with the necessary skills were about 29.29 times higher than at centers with less than two skilled physicians (OR 29.29, 95% CI 3.77, 1347.92). Family physicians (46/81; 56.79%) referred 274 patients for further specialist diagnosis. The diagnosis of neoplastic disease was confirmed in 168 cases (168/274; 61.31%). The anomalies that were most often detected by family physicians using ultrasound imaging included: cholelithiasis (24/50; 48%), renal cysts (16/50; 32%), nephrolithiasis (5/50; 10%), aortic aneurysms (2/50; 4%). Conclusions. Family physicians’ ability to perform ultrasound scans increases the probability of other doctors acquiring this skill. Weekend courses for family physicians significantly shorten patients’ waiting time for such examinations. A network of professional and upto- date workshops improving the practical skills of family physicians in ultrasound diagnostics, as well as peer review groups focused on ultrasound diagnostics performed by family physicians, are recommended.
Authors and Affiliations
Katarzyna Szwamel, Piotr Polański, Donata Kurpas
Keywords
Related Articles
- EP ID EP208651
- DOI -
- Views 53
- Downloads 0
Palenie tytoniu a wiedza i lęk przed rakiem płuc wśród kobiet w okresie postmenopauzalnym
Wstęp. Wśród kobiet w okresie postmenopauzalnym ryzyko rozwoju nowotworów płuc jest wyższe w porównaniu z populacją kobiet młodszych. Cel pracy. Analiza zjawiska palenia tytoniu oraz ocena wiedzy i postaw wobec ryzyka r...
Wysoki stan zaszczepienia przeciw grypie pensjonariuszy wybranego Domu Pomocy Społecznej
Wstęp. Grypa stanowi istotny problem kliniczny i epidemiologiczny. Zakażenie szerzy się drogą kropelkową i kontaktową, w związku z tym opisywane były ogniska epidemiczne grypy w oddziałach szpitalnych, jak i w domach opi...
Przydatność oznaczania KIM-1 w moczu dzieci z idiopatycznym zespołem nerczycowym leczonych cyklosporyną A
Wstęp. W niektórych postaciach idiopatycznego zespołu nerczycowego (IZN) stosuje się leczenie alternatywne cyklosporyną A (CsA). Poważnym objawem niepożądanym leku jest nefrotoksyczność. Poszukuje się markerów...
Central Portuguese Doctors’ agreement with the “Ten Commandments for patient-centred treatment
Background. The “Ten Commandments for patient-centred treatment” suggest a different approach to therapy. Objectives. To ascertain the level of agreement with the “Ten Commandments for patient-centred treatment” by physi...
A 3-year retrospective review of corneal ulcers in Hospital Universiti Sains Malaysia
monocular visual impairment. Identifying the prevalence and the latest trend of the causative agents will be useful in the management of corneal ulcer. Objectives. To evaluate the demographic and epidemiology factors of...