Orthopaedic residents demonstrate retention of point of care ultrasound knowledge after a brief educational session: a quasi experimental study

Larrivée, Samuel; Rodger, Robyn; Larouche, Patricia; Leiter, Jeff; Jelic, Tomislav; MacDonald, Peter

doi:10.1186/s12909-019-1916-0

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…The change in pre-and post-workshop knowledge scores was statistically ; p = 0.303). 21 Our study showed a significant increase in the selfreported frequency of use of USG in routine clinical For personal use only. practice.…”

Section: Discussionmentioning

confidence: 55%

“…22 In contrast, the study done by Larrivee et al showed that residents significantly improved their subjective comfort level with all aspects of USG use at 6 months (p = 0.007-0.018) but did not significantly increase clinical usage frequency. 21 The self-reported confidence level increased significantly in all areas of POCUS after the workshop. Similar results were found in health care workers in Cusco, Peru, where they reported increased confidence in their FAST scan ability and in their comfort in using this exam for clinical decision-making after a training session focusing on the use of USG in trauma.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

<p>Evaluation of Interdisciplinary Emergency Ultrasound Workshop for Primary Care Physicians in Nepal</p>

Shrestha¹,

Blank²,

Shrestha³

et al. 2020

OAEM

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Point-of-care ultrasound (POCUS) is a quick bedside tool that has the potential to improve emergency care in resource-limited settings due to its relatively low cost and accessibility. Effort to disseminate the knowledge and skills about POCUS is inadequate in low and middle income countries like Nepal. We conducted a two-day interdisciplinary advanced emergency ultrasound workshop that targeted physicians working in emergency department and primary care, especially in rural Nepal. We explored the effectiveness of this training based on validated Kirkpatrick's 4 steps of evaluating training outcomes. Materials and Methods: We conducted a prospective quasi-experimental study with mixed research design. Multidisciplinary physicians working in emergency departments participated in the two-day workshop. We assessed and compared the pre-and post-workshop knowledge. We collected on-site and a follow-up feedback to explore pre-and post-workshop confidence level, perceived usefulness and clinical use of ultrasound using a 5-point Likert scale. The barriers to use POCUS were explored. Results: A total of 50 physicians from different parts of Nepal participated in the workshop. The academic level of the participants, duration of their clinical experience and the previous use of POCUS did not have a significant difference in their pre-and posttest knowledge scores. The difference between the median (IQR) pre-and posttest scores [14 (12.75-17.75) and 24.5 (22.25-25.5), respectively] was statistically significant (p<0.001). Perceived confidence level and usefulness of the POCUS increased significantly in all of its domains (p<0.001). Self-reported increase in its clinical use was significant (p<0.001) for all fields. Conclusion: The participation in this emergency ultrasound workshop increased the knowledge of participants in POCUS. Their confidence, perceived usefulness and clinical use of POCUS improved significantly. Objective longitudinal follow-up of participants' skill and demonstration of increased clinical use of POCUS in emergency department influencing the clinical outcome would be the focus of future research.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 90%

<p>Evaluation of Interdisciplinary Emergency Ultrasound Workshop for Primary Care Physicians in Nepal</p>

Shrestha¹,

Blank²,

Shrestha³

et al. 2020

OAEM

View full text Add to dashboard Cite

show abstract

“…Larrivée et al were able to create and implement an MSK POCUS curriculum which demonstrated improvement in resident physician knowledge, skills and confidence with MSK POCUS. 24…”

Section: Discussionmentioning

confidence: 99%

Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

2021

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Prompt recognition and treatment of septic arthritis are crucial to prevent significant morbidity and mortality in affected patients. During the current COVID-19 pandemic, anchoring bias may make an already challenging diagnosis like septic arthritis more difficult to diagnose quickly and efficiently. Musculoskeletal (MSK) point of care ultrasonography (POCUS) is an imaging modality that can be used to quickly and efficiently obtain objective findings that may help a clinician establish the diagnosis of septic arthritis. We report a case where MSK POCUS was a key element in establishing the diagnosis of glenohumeral joint septic arthritis and subdeltoid septic bursitis for a patient that presented to the emergency department with a fever during the era of the COVID-19 pandemic.

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“…In addition, when ranking which form of point-of-care ultrasound was the most unfamiliar among 854 Canadian family medicine residents, MSK ultrasound ranked the highest [ 4 ]. Despite the difficulty and lack of exposure to MSK ultrasound, it is rapidly becoming integrated into medical education for residents in MSK-related specialties, such as physical medicine and rehabilitation and orthopedic surgery, due to its ability to diagnose a high variety of common MSK conditions [ 5 , 6 ]. Point-of-care ultrasound in general has become widely adopted into medical school preclinical curricula as well [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effectiveness and Image Quality of Musculoskeletal Ultrasound of First-Year Medical Students After Training by Student Tutors Versus Ultrasound Instructors: A Pilot Study

Li¹,

Kim²,

Young³

et al. 2022

Cureus

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BackgroundUltrasound is a vital part in many medical schools' curriculum. Although there is strong support for the use of student tutors (STs), there is a lack in gauging their effectiveness with more difficult organ systems such as the musculoskeletal (MSK) system. We aim to determine the effectiveness of using STs versus expert ultrasound instructors (UIs) when teaching MSK ultrasound. MethodologyMedical students were recruited to participate in an MSK workshop to identify superficial volar arm structures (radial nerve, radial artery, median nerve, ulnar artery, ulnar nerve) using Butterfly iQ. In total, 14 participants were taught by STs and 10 participants were taught by UIs. Participants imaged the five structures and answered surveys gauging their confidence via five-point Likert scales. ResultsThere was no significant difference in confidence or identification accuracy for all five structures between the two groups. However, there was a significant difference in confidence in the understanding of basic ultrasound concepts in favor of the UI group (p < 0.05). A greater number of students were more confident in identifying all five structures when taught by STs, but more students correctly identified the structures when taught by UIs. ConclusionsThe results on confidence could be due to positive peer perception. Both groups scored relatively high in their identification accuracies, promoting the successful use of STs. The successful use of STs in teaching MSK ultrasound opens the possibility to developing peer-led ultrasound curriculum on more complex ultrasound topics in the future.

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Orthopaedic residents demonstrate retention of point of care ultrasound knowledge after a brief educational session: a quasi experimental study

Cited by 6 publications

References 19 publications

<p>Evaluation of Interdisciplinary Emergency Ultrasound Workshop for Primary Care Physicians in Nepal</p>

<p>Evaluation of Interdisciplinary Emergency Ultrasound Workshop for Primary Care Physicians in Nepal</p>

Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

Comparing the Effectiveness and Image Quality of Musculoskeletal Ultrasound of First-Year Medical Students After Training by Student Tutors Versus Ultrasound Instructors: A Pilot Study

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