Estudio ecográfico de metástasis cutáneas de origen visceral / Ultrasound in the Evaluation of Cutaneous Metastases of Internal Tumors

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Linfadenopatía dermopática: ¿realizamos una correcta aproximación diagnóstica? / Dermatopathic Lymphadenopathy: Is Our Diagnostic Approach Correct?

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[First-year medical residents' self-assessment of skill in basic life support and automatic external defibrillation]. / Percepción de los residentes de primer año de sus competencias en soporte vital básico y desfibrilación automática externa.

OBJECTIVE: To determine first-year medical residents' perception of their competence in basic life support (BLS) and the use of automatic external defibrillation (AED). MATERIAL AND METHODS: Course in BLS and AED accredited by the European Resuscitation Council with pre- and post-course self-assessment. The post-training questionnaire was administered immediately after the course and 8 months later. The data recorded covered (a) prior training and experience, (b) self-assessment of BLS and AED skills (9 items, scored 1-5), (c) the skill considered most difficult, and (d) satisfaction (13 items, scored 0-10). RESULTS: The questionnaire was initially completed by 71 residents; 31 also responded 8 months later. Self-assessment scores improved immediately after the course (P = .0001). Scores had fallen 8 months later (P = .0001) but were still significantly higher than pre-course perception of skill (P = .017). More than 95% of the residents considered themselves to be competent after the course and more than 80% felt competent 8 months later, with the exception of skills in bag-mask ventilation (74.2%) and removal of a foreign body (61.3%). The skill considered most difficult was bag-mask ventilation. Mean (SD) BLS and AED scores for real-life situations were 8.48 (1.33) and 9.19 (0.94), respectively, after the course and 7.32 (1.4) and 7.29 (1.32) at 8 months (P = .0001). Overall satisfaction was high. CONCLUSIONS: The residents perceived themselves as competent to give BLS and AED immediately after the course and 8 months after training, although fewer felt as competent at the second assessment. Bag-mask ventilation was considered the most difficult skill.

Percepción de los residentes de primer año de sus competencias en soporte vital básico y desfibrilación automática externa / First-year medical residents’ self-assessment of skill in basic life support and automatic external defibrillation

OBJETIVOS: Evaluar la opinión de residentes de primeraño sobre sus competencias en soporte vital básico(SVB) y desfibrilación automática externa (DAE).MATERIAL Y MÉTODOS: Curso acreditado de SVB yDAE según el European Resuscitation Council. Encuestaantes, inmediatamente después del curso y a los 8 meses.Datos registrados: a) formación y experiencia previas; b)autoevaluación de habilidades para SVB y DAE (9ítems; puntuación: 1-5); c) habilidad considerada másdifícil; d) encuesta de satisfacción (13 ítems; puntuación:0-10).RESULTADOS: El estudio inicial incluyó 71 residentesde los cuales 31 cumplimentaron también la encuesta alos 8 meses. La autoevaluación mejoró después del curso(p = 0,0001). A los 8 meses las puntuaciones empeoraron(p = 0,0001) pero se mantuvieron significativamentesuperiores a las iniciales (p < 0,017). Más del 95% de losresidentes se consideraron competentes después del cursoy más del 80% a los 8 meses, excepto para la ventilacióncon bolsa-mascarilla (74,2%) y la liberación decuerpo extraño (61,3%). La habilidad considerada másdifícil fue la ventilación con bolsa-mascarilla. La valoraciónde las competencias para SVB y DAE en situaciónreal fue 8,48 (±1,33) y 9,19 (±0,94) después del curso y7,32 (±1,4) y 7,29 (±1,32) a los 8 meses (p = 0,0001). Lasatisfacción global fue alta.CONCLUSIONES: Los residentes consideraron que erancompetentes para aplicar SVB y DAE inmediatamentedespués del curso y a los 8 meses de su formación, aunqueen menor grado. La habilidad considerada más difícilfue la ventilación con bolsa-mascarilla(AU)

OBJECTIVE: To determine first-year medical residents’perception of their competence in basic life support (BLS)and the use of automatic external defibrillation (AED).MATERIAL AND METHODS: Course in BLS and AEDaccredited by the European Resuscitation Council withpre- and post-course self-assessment. The post-trainingquestionnaire was administered immediately after thecourse and 8 months later. The data recorded covered a)prior training and experience, b) self-assessment of BLSand AED skills (9 items, scored 1-5), c) the skill consideredmost difficult, and d) satisfaction (13 items, scored 0-10).RESULTS: The questionnaire was initially completed by71 residents;, 31 also responded 8 months later. Selfassessmentscores improved immediately after the course(P=.0001). Scores had fallen 8 months later (P=.0001) butwere still significantly higher than pre-course perceptionof skill (P=.017). More than 95% of the residentsconsidered themselves to be competent after the courseand more than 80% felt competent 8 months later, withthe exception of skills in bag-mask ventilation (74.2%)and removal of a foreign body (61.3%). The skillconsidered most difficult was bag-mask ventilation.Mean (SD) BLS and AED scores for real-life situationswere 8.48 (1.33) and 9.19 (0.94), respectively, after thecourse and 7.32 (1.4) and 7.29 (1.32) at 8 months(P=.0001). Overall satisfaction was high.CONCLUSIONS: The residents perceived themselves ascompetent to give BLS and AED immediately after thecourse and 8 months after training, although fewer feltas competent at the second assessment. Bag-maskventilation was considered the most difficult skill(AU)