An Assessment Tool for the Placement of Ultrasound-Guided Peripheral Intravenous Access

Rice, Julie; Crichlow, Amanda; Baker, Marrissa; Regan, Linda; Dodson, Adam; Hsieh, Yu Hsiang; Omron, Rodney

doi:10.4300/jgme-d-15-00298.1

Cited by 9 publications

(19 citation statements)

References 17 publications

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“…Similar to prior years, the most common study populations were medical students (21/75; 28%) and residents (48/75; 64%) . Interestingly, this year only one study addressing medical students was highlighted for excellence, in contrast to prior years.…”

Section: Discussionmentioning

confidence: 92%

“…Similarly, curriculum evaluation studies that made up 38% of studies in 2013 dropped to 10% in 2015 and have again risen to 20% in 2016. Procedural teaching and learning remained fairly stable (8% of articles in 2016 and 12% in 2015). Interestingly, we saw a number of studies focus on the residency application process and subsequent effects and one of these was highlighted for excellence.…”

Section: Discussionmentioning

confidence: 97%

“…Three of these studies with an experimental design were highlighted . There was a decline in the number of observational studies (35/75; 47%), compared to 2015 (36/61; 59%), but an increase in the number of studies using survey methodology (19/75; 25%) in 2016 compared to 10 of 61, 16% in 2015, and 0% in 2014. It should be noted that all survey studies in this review drew data from participants from multiple institutions per the predetermined selection criteria.…”

Section: Discussionmentioning

confidence: 99%

“…Several prominent topics of study in 2016 were similar to 2015, including technology, simulation, and assessment . Although still a common topic, the frequency of assessment dropped off substantially from 66% of articles in 2015 to 29% in 2016.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Dubosh

Jordan

Yarris

et al. 2018

AEM Education and Training

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Objectives: The objectives were to critically appraise the emergency medicine (EM) medical education literature published in 2016 and review the highest-quality quantitative and qualitative studies. Methods: A search of the English language literature in 2016 querying MEDLINE, Scopus, Education ResourcesInformation Center (ERIC), and PsychInfo identified 510 papers related to medical education in EM. Two reviewers independently screened all of the publications using previously established exclusion criteria. The 25 top-scoring quantitative studies based on methodology and all six qualitative studies were scored by all reviewers using selected scoring criteria that have been adapted from previous installments. The top-scoring articles were highlighted and trends in medical education research were described.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Dubosh

Jordan

Yarris

et al. 2018

AEM Education and Training

View full text Add to dashboard Cite

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“…Rice et al [ 19 ] have in a previous study developed a simulation-based assessment tool, a checklist, for the placement of ultrasound-guided peripheral Intravenous access. A simulation based tool permits the assessors to make standardized observations; it is however limited by not portraying a real life clinical setting, where placement difficulties differ due to factors as the patients’ clinical state, depth and diameter of veins, and so on.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Peripheral Ultrasound-guided Vascular Access Rating Scale

et al. 2018

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Evidence-based standards in proficiency are needed for ultrasound-guided peripheral intravenous access. In this study, we explored the validity of the Peripheral Ultrasound-Guided Vascular Access (P-UGVA) Rating Scale.We recruited 3 groups of physicians (5 novices, 5 intermediates, and 5 experts) of increasing proficiency in peripheral ultrasound-guided intravenous access. All participants performed 3 peripheral ultrasound-guided intravenous accesses on three different patients. Performance was video-recorded by 3 cameras and the ultrasound image. Synchronized and anonymized split-screen film clips were rated using the P-UGVA rating scale by 2 assessors, which also assessed overall performance on a 1–5 Likert-scale. Evidence of validity was explored using the contemporary validity framework by Messick (content, response process, internal structure, relations to other variables, and consequences).Content and response process was ensured in the development of the rating scale and validity study. Internal consistency of the P-UGVA rating scale was excellent and sufficient high for certification purposes (Cronbach's alpha = 0.91). Proficiency groups were successfully discriminated by the UPGIVA rating scale (P = .029, one-way ANOVA), and the P-UGVA rating scale scores also correlated strongly with the overall performance evaluations (rho = 0.87, P < .001, Pearson correlation). We calculated a pass/fail score of 29, which lead to a theoretical false positive rate of 26.5% and false negative rate of 8.5%.We present validity evidence for the P-UGVA rating scale and an evidence-based standard in proficiency for ultrasound-guided peripheral intravenous access.

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A consensus list of ultrasound competencies for graduating emergency medicine residents

Haidar

Peterson

Minges

et al. 2022

AEM Education and Training

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Objectives Emergency ultrasound (EUS) is a critical component of emergency medicine (EM) resident education. Currently, there is no consensus list of competencies for EUS training, and graduating residents have varying levels of skill and comfort. The objective of this study was to define a widely accepted comprehensive list of EUS competencies for graduating EM residents through a modified Delphi method. Methods We developed a list of EUS applications through a comprehensive literature search, the American College of Emergency Physicians list of core EUS benchmarks, and the Council of Emergency Medicine Residency‐Academy of Emergency Ultrasound consensus document. We assembled a multi‐institutional expert panel including 15 faculty members from diverse practice environments and geographical regions. The panel voted on the list of competencies through two rounds of a modified Delphi process using a modified Likert scale (1 = not at all important, 5 = very important) to determine levels of agreement for each application—with revisions occurring between the two rounds. High agreement for consensus was set at >80%. Results Fifteen of 15 panelists completed the first‐round survey (100%) that included 359 topics related to EUS. After the first round, 195 applications achieved high agreement, four applications achieved medium agreement, and 164 applications achieved low agreement. After the discussion, we removed three questions and added 13 questions. Fifteen of 15 panelists completed the second round of the survey (100%) with 209 of the 369 applications achieving consensus. Conclusion Our final list represents expert opinion on EUS competencies for graduating EM residents. We hope to use this consensus list to implement a more consistent EUS curriculum for graduating EM residents and to standardize EUS training across EM residency programs.

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An Assessment Tool for the Placement of Ultrasound-Guided Peripheral Intravenous Access

Cited by 9 publications

References 17 publications

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Validation of the Peripheral Ultrasound-guided Vascular Access Rating Scale

A consensus list of ultrasound competencies for graduating emergency medicine residents

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