Evaluation of a novel curriculum on point-of-care ultrasound competency and confidence

Filler, Levi; Orosco, Daniel; Rigdon, Daniel; Mitchell, Carl; Price, James; Lotz, Scott; Stowell, Jeffrey R.

doi:10.1007/s10140-019-01726-8

Cited by 11 publications

(13 citation statements)

References 12 publications

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“…The ultrasound sessions and overall student interest led to the creation of the student ultrasound interest group at our institution. We are currently in the process of developing a formal curriculum based on required ultrasound competencies 27 28 29 for 4 years of medical school education ( Table 5 ).…”

Section: Discussionmentioning

confidence: 99%

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Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Nausheen

Young

Brazil

et al. 2020

Ultrasound Int Open

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Determine the confidence level and ability of first year medical students to identify abdominal structures using a wireless portable ultrasound scanner.The students were assessed for their confidence and ability to perform abdominal ultrasound. The 5-point Likert survey included questions on their perception about ultrasound as a resource for learning anatomy, physical examination skills, and the quality of the pre-session instructions. Data was also recorded by the faculty about the students’ ultrasound skills and confidence. Goodman and Kruskal's gamma was used to demonstrate an association between the students’ ability to identify the structures and the self-reported student confidence level. Most of the students had confidence and were able to identify the liver, kidney, and urinary bladder, while almost half of them needed faculty help them to identify the inferior vena cava and aorta. The spleen and gall bladder were the most difficult to locate even for the very confident students. The perception of supervising faculty was that the confidence level was low in most of the students and only 13–20% of students felt “very confident” about performing ultrasound. Almost 37% needed encouragement and support and almost 10% of the students were not willing to try to locate difficult organs. Some students started locating the ureteric jet and portal vein. Most of the students agreed that ultrasound is an excellent resource for learning anatomy and physical examination skills. All students suggested having more ultrasound sessions. Most of the students feel confident about performing ultrasound and they perceive that ultrasound can enhance their basic sciences and physical examination skills.

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Section: Discussionmentioning

confidence: 99%

“…We are currently in the process of developing a formal curriculum based on required ultrasound competencies [27][28][29] for 4 years of medical school education (▶Table 5).…”

Section: Continuedmentioning

confidence: 99%

Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Nausheen

Young

Brazil

et al. 2020

Ultrasound Int Open

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“…Point-of-care ultrasound (POCUS) is an ideal imaging modality for many reasons including portability, allowing for immediate bedside access, assistance in real time decision making, and procedural accuracy. Many medical specialties use ultrasound in some manner, including anesthesia [1], neonatology [2], internal medicine [3][4][5], family medicine [6,7], critical care medicine [8][9][10], and emergency medicine [11,12].…”

Section: Introductionmentioning

confidence: 99%

Evaluating a longitudinal point-of-care-ultrasound (POCUS) curriculum for pediatric residents

et al. 2021

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Background POCUS is a growing field in medical education, and an imaging modality ideal for children given the lack of ionizing radiation, ease of use, and good tolerability. A 2019 literature review revealed that no US pediatric residency programs integrated obligatory POCUS curricula. Our objective was to provide a formalized POCUS curriculum over multiple years, and to retrospectively assess improvement in resident skills and comfort. Methods During intern year, pediatric residents received didactics and hands-on scanning opportunities in basic POCUS applications. Their evaluation tools included pre- and post-surveys and tests, and a final performance exam. In the second and third years of residency, all participants were required to complete 8 hours per year of POCUS content review and additional hands-on training. An optional third-year curriculum was offered to interested residents as career-focused education elective time. Results Our curriculum introduced POCUS topics such as basic and advanced cardiac, lung, skin/soft tissues and procedural based ultrasound to all pediatric residents. Among first-year residents, application-specific results showed POCUS comfort level improved by 61–90%. Completed evaluations demonstrated improvement in their ability to recognize and interpret POCUS images. Second- and third-year residents reported educational effectiveness that was rated 3.9 on a 4-point Likert scale. Four third-year residents took part in the optional POCUS elective, and all reported a change in their practice with increased POCUS incorporation. Conclusions Our longitudinal pediatric residency POCUS curriculum is feasible to integrate into residency training and exhibits early success.

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“…Regarding the duration of training, Bobbia et al (15) showed that physicians that performed more than 50 echocardiographs per month had better diagnostic performance than those that performed fewer of these procedures. However, the type of training and number of US procedures to be undertaken remain controversial (16)(17)(18). The major limitation of our study was that the data were collected using a survey, and respondents may over report their use of US in questionnaires (13,21).…”

Section: Resultsmentioning

confidence: 99%

Acil hekimlerinin Yatakbaşı Ultrasonografi Kullanımlarının Değerlendirilmesi

Kokulu

Sert

Mutlu

2021

Batı Karadeniz Tıp Dergisi

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Aim: Bedside ultrasonography (US) is a frequently used tool to facilitate diagnosis and treatment in emergency departments (EDs). The primary aim of our study was to evaluate the characteristics of emergency physicians' use of bedside US. Our secondary aim was to analyze factors affecting the regular use of bedside US. Material and Methods:This was a descriptive cross-sectional survey study conducted with physicians working in EDs. The study was carried out using a 15-item questionnaire in 2020, and the results were analyzed with the Statistical Package for the Social Sciences software. Results:The questionnaire was sent to 965 physicians working in the EDs of 48 different hospitals, and the data of 684 (71.5%) that responded to all items in the questionnaire were included in the study. The EDs of the hospitals included in the study had at least one US device, and 82% of them were equipped with three probes. It was observed that 152 (22.2%) of the emergency physicians did not use US at all, and 532 (77.8%) used US regularly, albeit rarely. The most common area of use for US in the ED was focused assessment with sonography in trauma, followed by procedural guidance [432 (63.2%) and 308 (45%), respectively]. Of the physicians who did not use bedside US regularly, 33.3% (n=96) stated that they did not use it due to their lack of training. In addition, the interest of emergency physicians in US education was measured as 7±3 points. It was observed that the conditions associated with frequent use of bedside US were gender, inclusion of US training during residency, and duration of the availability of an US machine in the emergency clinic. Conclusion:This study showed that emergency physicians had a high interest in using bedside US. The greatest obstacle to the use of US was insufficient training. Therefore, emergency physicians should be offered regular US training programs sand those that have not received US training should be encouraged to participate in such programs.

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Evaluation of a novel curriculum on point-of-care ultrasound competency and confidence

Cited by 11 publications

References 12 publications

Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Evaluating a longitudinal point-of-care-ultrasound (POCUS) curriculum for pediatric residents

Acil hekimlerinin Yatakbaşı Ultrasonografi Kullanımlarının Değerlendirilmesi

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