An Effective Curriculum for Focused Assessment Diagnostic Echocardiography: Establishing the Learning Curve in Surgical Residents

Townsend, Nicole T.; Kendall, John L.; Barnett, Carlton C.; Robinson, Thomas N.

doi:10.1016/j.jsurg.2015.10.009

Cited by 21 publications

(32 citation statements)

References 26 publications

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“…Medical educators and researchers should consider using pre-and post-testing to determine the rate of learning for POCUS, as this rate is not well known. 32,33 The venue for teaching also requires careful consideration. Many previously described curricula took place in a classroom.…”

Section: Acquisition Of Knowledgementioning

confidence: 99%

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Evaluation of Trainee Competency with Point-of-Care Ultrasonography (POCUS): a Conceptual Framework and Review of Existing Assessments

2019

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Section: Acquisition Of Knowledgementioning

confidence: 99%

“…Many previously described curricula took place in a classroom. 27,32,34 However, there is evidence that online modules may be effective for learning POCUS. 30 Other institutions have adopted the use of hands-on training with simulators or standardized patients, which have also proved successful.…”

Section: Acquisition Of Knowledgementioning

confidence: 99%

Evaluation of Trainee Competency with Point-of-Care Ultrasonography (POCUS): a Conceptual Framework and Review of Existing Assessments

2019

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“…Our study used a paired t-test, which has been successfully used to evaluate various programs for resident education, to evaluate the effect of the program in each participant [19,20]. Recent research on focused cardiac ultrasound in surgical intensive care units used similar statistical methods and standardized scoresheets [21]. Our scoresheet included similar categories to those of previous studies but had more detailed components and evaluation instructions, which were designed by the PoCUS faculty.…”

Section: Discussionmentioning

confidence: 99%

Operating bedside cardiac ultrasound program in emergency medicine residency: a retrospective observation study from the perspective of performance improvement

Kim

Jung

Park

et al. 2020

Preprint

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Background Point-of-care Ultrasound is one of useful diagnostic tools in emergency medicine practice and considerably depends on physician’s performance. This study was performed to evaluate performance improvements and favorable attitudes through structured cardiac ultrasound program for emergency medicine residents. Methods Retrospective observational study using the Point-of-care ultrasound (PoCUS) database in one tertiary academic-teaching hospital emergency department has been conducted. Cardiac ultrasound education and rotation program has been implemented in emergency medicine residency program. Structured evaluation sheet for cardiac ultrasound and questionnaire toward PoCUS have been developed. An early-phase and a late-phase case were selected randomly for each participant. Two emergency medicine specialists with expertise in PoCUS evaluated saved images independently. We used a paired t-test to compare the performance score of each phase and the results of the questionnaire. Multivariable linear regression analysis was conducted to evaluate the association between the characteristics of participants and performance improvements. Results During the study period, a total of 1,652 bedside cardiac ultrasounds were administered. Forty-six examinations conducted by 23 emergency medicine residents were randomly selected for analysis. The performance score increased from 39.5 to 56.1 according to expert A and 45.3 to 62.9 according to expert B (p-value < 0.01 for both). The average questionnaire score, which was analyzed for 17 participants, showed improvement from 18.9 to 20.7 (p-value < 0.01). In multivariable linear regression analysis, younger age, higher early-phase score and higher confidence had a negative association with a greater improvement of performance, while the number of examinations had a positive association. Conclusions Bedside cardiac ultrasound performance and attitudes toward PoCUS have been improved through structured residency program.

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“…Multiple studies have been done to assess the right amount of training for medical students and residents to be able to perform FCU at the bedside and obtain reliable results [14,15,[18][19][20][21][22][23]. Each of these studies used different methods of training including pre-test and post-test questionnaires, supervised followed by unsupervised bedside FCUs and/or dedicated lectures for FCU training.…”

Section: Discussionmentioning

confidence: 99%

Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training

Upadhrasta

Raafat

Conti

2019

Journal of Community Hospital Internal Medicine Perspectives

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The use of bedside ultrasound over the past few decades has created a new wave of options for visualizing pathological processes allowing for faster and better detection of disease. We aimed to evaluate the reliability of focused cardiac ultrasound (FCU) performed by first-year internal medicine residents at a community hospital after a short period of training. They received a two-hour lecture and initially performed a supervised FCU followed by ten unsupervised/independent FCUs each. The four parameters that were assessed were left systolic ventricular function, right systolic ventricular function, presence of pericardial effusion, and presence of IVC dilation. Interpretation and analysis of ultrasound images were then carried out by both the residents and an attending physician with expertise in FCU analysis and interpretation. Cohen’s Kappa values were obtained comparing the results found by the interns versus the attending. Our findings indicate that more training is required for reliable analysis of FCU by first-year medical residents. Our results also emphasize the need to carefully evaluate the medical residents’ FCU skills after the training.

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An Effective Curriculum for Focused Assessment Diagnostic Echocardiography: Establishing the Learning Curve in Surgical Residents

Cited by 21 publications

References 26 publications

Evaluation of Trainee Competency with Point-of-Care Ultrasonography (POCUS): a Conceptual Framework and Review of Existing Assessments

Evaluation of Trainee Competency with Point-of-Care Ultrasonography (POCUS): a Conceptual Framework and Review of Existing Assessments

Operating bedside cardiac ultrasound program in emergency medicine residency: a retrospective observation study from the perspective of performance improvement

Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training

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