Efficacy of a certified modular ultrasound curriculum

Abstract

Background In recent years, ultrasound (US) has become more incorporated into anesthesia and intensive care medicine. The German Anesthesia Society established a modular curriculum to teach US skills. Until now, the efficacy of this modular curriculum has not been validated. Objective The main objective of this study was to determine whether there is an increase of knowledge and of psychomotor skills for the trainees in this curriculum. Material and methods After ethical committee approval, 41 anesthesia physicians were enrolled. To determine the increase of knowledge and of practical skills theoretical and practical tests performed were evaluated before and after two different US courses. Results Comparing before and after course tests, the participants showed significant improvement in theoretical multiple choice tests (p = 0.008). Regarding psychomotor skills following course 1, the trainees improved significantly in the time needed to perform the two practical tests (p = 0.03), but not in the performance of the test. Better needle visualization during simulated US-guided vessel puncture (p = 0.52) and better identification of the anatomical structures in the axillary region (p = 0.56) could not be achieved. Conclusion This study shows that although this US course curriculum has positively enhanced the trainees’ theoretical knowledge of US practice, it does not enhance the practical application of that theoretical knowledge. To improve this curriculum, a supervised clinically practical training should follow the course.

An Introductory Point-of-Care Ultrasound Curriculum for an Anesthesiology Residency Program

“…However, according to Tomasi, Stark, and Scheiermann, a POCUS curriculum may increase trainees’ knowledge, but it does not necessarily translate to mastery of the practical application. 12 They suggested that the only way to improve psychomotor skills necessary for POCUS is through clinical practice. 12 Keeping a case log and assessing skills more frequently could be another way to track progress and improve retention in our program.…”

“… 12 They suggested that the only way to improve psychomotor skills necessary for POCUS is through clinical practice. 12 Keeping a case log and assessing skills more frequently could be another way to track progress and improve retention in our program.…”