Development and Preliminary Assessment of a Critical Care Ultrasound Course in an Adult Pulmonary and Critical Care Fellowship Program

Hulett, Cidney; Pathak, Vikas; Katz, Jason N.; Montgomery, Sean P.; Chang, Lydia

doi:10.1513/annalsats.201312-459bc

Cited by 33 publications

(35 citation statements)

References 18 publications

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“…Two and a half hour hands-on training54 trainees. Group A: 14 medical students, Group B: 32 anaesthesiologists, Group C: 8 trauma surgeons Cuca et al [16]Pre- and post-testTheoretical pre-, post-, and sustainability test (20 MCQs, results compared with THOLUUSE-study [14])–E-learning module including physiological and pathological sonographic patterns (Five topics: basics and pleural effusion, pneumothorax, pulmonary oedema and consolidation, trachea, workflow of LUS) estimated time 30–50 min29 medical students and medical doctors Hulett et al [17]Pre- and post-testTheoretical pre- and post-test (46 questions including MCQs, true/false, matching items, fill-in-the blank image and video recognition), practical pre- and post course skillsPatients located in medical ICU at the North Carolina Hospital1 h didactic instruction, 1 h image interpretation workshop and image acquisition training, in 1 work week supervised hands-on trainingEight critical care medicine fellows Bhat et al [18]Pre- and post-test and 1-week follow-upTheoretical (16 MCQs)Ultrasound images and video clips obtained in the Emergency Department by trained ultrasound physicians1 h didactic lecture including basic scan technique, normal ultrasound anatomy, image interpretation of normal or pathological pattern57 prehospital providers (19 medical technicians students, 16 paramedic students, 18 certified medical technicians and four certified paramedics Connolly et al [19]Pre- and post-testTheoretical pre- and post-test (21 MCQs) and practical examination (real-time scans saved and blinded evaluated by instructors)Live models and phantom task trainer models and simulatorsFive 1-h workshops and 4 h didactic online preparatory training. Hands-on with supervised scans24 medical students in MCQ pre- and post-test evaluation and 16 in clinical skill assessment Dinh et al [20]Pre- and post-test and 3 months follow-upTheoretical pre-, post-, and sustainability test (50 MCQs—12 pulmonary) (84 point checklist).…”

Section: Resultsmentioning

confidence: 99%

“…2013Wilcoxon matched pairs test. Self-assessment surveyImprovement in pre- and post-test score and sustainability test, qualitative program evaluation scoreResults of written tests from the e-learning attendance course are comparable and with same progress as attendance-based courses4Hulett et al [17]. Development and Preliminary Assessment of Critical Care Ultrasound Course in an Adult Pulmonary and Critical Care Fellowship Program.…”

Section: Resultsmentioning

confidence: 99%

“…Three descriptive studies were identified [25–27] and one randomized controlled trial [28]. Five of the studies (31%) were courses in general critical care ultrasound, or basic skill ultrasound, where thoracic or lung ultrasound was a specific and independently evaluated topic [17, 19–21, 24]. …”

Section: Resultsmentioning

confidence: 99%

“…Twelve of sixteen studies included hands-on sessions in the educational program [13–15, 17, 19–24, 26, 28]. Simulators were used in three studies [19, 20, 26], and healthy live models in eight studies [14, 15, 19–21, 24, 26, 28].…”

Section: Resultsmentioning

confidence: 99%

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Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training

et al. 2018

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BackgroundClinical lung ultrasound examinations are widely used in the primary assessment or monitoring of patients with dyspnoea or respiratory failure. Despite being increasingly implemented, there is no international consensus on education, assessment of competencies, and certification. Today, training is usually based on the concept of mastery learning, but is often unstructured and limited by bustle in a clinical daily life. The aim of the systematic review is to provide an overview of published learning studies in clinical lung ultrasound, and to collect evidence for future recommendations in lung ultrasound education and certification.MethodsAccording to PRISMA guidelines, three databases (PubMed, Embase, Cochrane Library) were searched, and two reviewers examined the results for eligibility. Included publications were described and assessed for level of evidence and risk of bias according to guidelines from Oxford Centre for Evidence-Based Medicine and Cochrane Collaboration Tool for Risk of Bias assessment.ResultsOf 7796 studies screened, 16 studies were included. Twelve pre- and post-test studies, three descriptive studies and one randomized controlled trial were identified. Seven studies included web-based or online modalities, while remaining used didactic or classroom-based lectures. Twelve (75%) studies provided hands-on sessions, and of these, 11 assessed participants’ hands-on skills. None of the studies used validated neither written nor practical assessment. The highest level of evidence score was 2 (n = 1), remaining scored 4 (n = 15). Risk of bias was assessed high in 11 of 16 studies (68.75%).ConclusionAll educational methods proved increased theoretical and practical knowledge obtained at the ultrasound courses, but the included studies were substantial heterogeneous in setup, learning-, and assessment methods, and outcome measures. On behalf of current published studies, it was not possible to construct clear guidelines for the future education and certification in clinical lung ultrasound, but the use of different hands-on training facilities tends to contribute to different aspects of the learning process. This systematic review proves a lack of learning studies within this content, and research with validated theoretical and practical tests for assessment is desired.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training

et al. 2018

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“…Bedside echocardiography is a lowrisk, portable, and noninvasive tool that has been previously shown to assist critical care practitioners in the management of ICU patients (6,7). Several investigators, in fact, have developed and validated training platforms for improving TTE aptitude within critical care fellowships (13,14). We suggest that collaborative didactic and hands-on training,…”

Section: Discussionmentioning

confidence: 93%

Cardiovascular Critical Care

Hill

Means²,

Diepen

et al. 2015

Critical Care Medicine

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Evaluation of a pilot programme on diagnostic thoracic ultrasound curriculum for acute care physiotherapists

Ntoumenopoulos

Ong

Toh

et al. 2017

Australas J Ultrason Med

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Introduction/purpose: Diagnostic thoracic ultrasound is increasingly being used by non-physicians; hence, we evaluated a curriculum for acute care physiotherapists in critical care. Methods: The one-day course included didactic lectures combined with expert-led hands-on training. Participants undertook preand post-course knowledge questionnaire covering key ultrasound findings for normal lungs, pleural and pulmonary pathologies. Course participants who worked at the institution where the course was undertaken undertook a practical examination. We also did a 4-to 6-week follow-up survey of participants. The pretest and post-test questionnaire and survey results were reported using descriptive statistics (means SD or median and IQR). Results: A total of 12 acute care physiotherapists undertook the training and questionnaire scores (mean percentage, SD, 95% CI) increased from 73.3 AE 15.5% (63.4-83.2) before the training to 86.3 AE 5.5% (82.8-89.8) after training. Discussion: This diagnostic thoracic ultrasound training course resulted in improvements of diagnostic thoracic ultrasound knowledge including lung and pleural pathology image recognition skills in a small group of acute care physiotherapists with nil previous diagnostic thoracic ultrasound skills. Two-thirds of the participants who responded to the survey undertook only one to three scans in clinical practice, and the most frequent barrier to clinical use of diagnostic thoracic ultrasound was time constraints. Conclusion: Further investigation of such a diagnostic thoracic ultrasound training programme on knowledge and skills retention and image acquisition and interpretation in real life clinical practice in a larger group of acute care physiotherapists is warranted.

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Development and Preliminary Assessment of a Critical Care Ultrasound Course in an Adult Pulmonary and Critical Care Fellowship Program

Cited by 33 publications

References 18 publications

Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training

Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training

Cardiovascular Critical Care

Evaluation of a pilot programme on diagnostic thoracic ultrasound curriculum for acute care physiotherapists

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