Pocket-size echocardiograph - a valuable tool for non-experts or just a portable device for echocardiographers?

Filipiak-Strzecka, Dominika; John, Bobby; Kasprzak, Jarosław D.; Michalski, Błażej; Lipiec, Piotr

doi:10.2478/v10039-012-0054-2

Cited by 30 publications

(39 citation statements)

References 22 publications

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“…One was performed by Filipiak-Strzecka et al, 16 in which two medical students were trained for a total of 25 hours, including 40 training scans. Assessment for LV function and pericardial effusion was very good, and assessment for mitral and aortic valve pathology was good.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] Low cost and simplified operation have opened their potential use to nontraditional cardiac ultrasound users, and a growing body of evidence suggests that inexperienced operators also improve bedside diagnosis with such scanners. [9][10][11][12][13][14][15][16][17] However, the amount of training required to reach a given and standardized level of accomplishment is still a matter of debate. The prospect of educating and training all physicians represents an enormous challenge, and the demand for cost-effective training programs may gain in importance.…”

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confidence: 99%

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Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

Stokke

Ruddox

Sarvari

et al. 2014

Journal of the American Society of Echocardiography

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

Stokke

Ruddox

Sarvari

et al. 2014

Journal of the American Society of Echocardiography

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“…Two papers surveyed ultrasound experts using a 'Delphi' methodology to establish ultrasound learning milestones [21] and an assessment tool [22]. Description of subcategory [92][93][94][95][96][97][98] Training medical students in POCUS for 1 year appears to provide them with a significant advantage in the postgraduate arena [92]. Retention of knowledge can be problematic (one paper reported a 17% decrease in knowledge learned after 1 year).…”

Section: Learning Category-incorporation Of Ultrasound Into Teaching mentioning

confidence: 99%

“…Low fidelity models are sufficient for improving hand-eye co-ordination prior to procedures on patients [94]. The learning curve to enable novices to detect major cardiac abnormalities with acceptable diagnostic value when compared with experienced echocardiographer findings is short [95]. Ultrasound 'knobology' has been shown to be responsible for a large portion of the cognitive load for novice ultrasound learners [96,97].…”

Section: Learning Category-incorporation Of Ultrasound Into Teaching mentioning

confidence: 99%

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

et al. 2017

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Introduction Increasingly, medical schools are integrating Point of Care Ultrasound (POCUS) into their curricula. This review investigated the available literature on how best to integrate POCUS in the teaching of medical students and the benefits of doing so. Methods Given the heterogeneous literature that has emerged on POCUS education, a scoping review was conducted. Relevant medical databases, including PubMed, MEDLINE, PsycINFO, EMBASE and CINAHL, were searched between January 1980 and August 2016, using keywords identified by the authors. Inclusion criteria were as follows: prospective or retrospective studies, observational or intervention studies, and studies describing how medical students learn to use ultrasound. Results The literature search yielded 593 articles, of which 128 met the inclusion criteria. Studies that met the inclusion criteria were sub-categorised under the following headings: those that described or evaluated an ultrasound curriculum, those that employed ultrasound as a means of teaching another topic in the curriculum (i.e., anatomy, physical examination, physiology, invasive procedures), those that investigated the learning curve of ultrasound education and those that employed adjuncts or peer mentoring to teach ultrasound. Conclusions The reviewed literature indicates that the integration of ultrasound in undergraduate medical education is both feasible and beneficial to medical students. This article is intended to inform medical educators aiming to integrate ultrasound into their medical school curricula.

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“…However, its diagnostic accuracy is suboptimal [1–8]. Some cardiovascular pathologies are difficult to identify by means of physical examination due to imperceptible or barely detectable clinical manifestations [4, 6, 9–12], with no connection to physicians’ skills. In order to improve their diagnostic capability, physicians make use of complementary diagnostic imaging techniques.…”

Section: Introductionmentioning

confidence: 99%

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

et al. 2017

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BackgroundTeaching cardiac ultrasound to medical students in a brief course is a challenge. We aimed to evaluate the feasibility of teaching large groups of medical students the acquisition and interpretation of cardiac ultrasound images using a pocket ultrasound device (PUD) in a short, specially designed course.MethodsThirty-one medical students in their first clinical year participated in the study. All were novices in the use of cardiac ultrasound. The training consisted of 4 hours of frontal lectures and 4 hours of hands-on training. Students were encouraged to use PUD for individual practice. Finally, the students’ proficiency in the acquisition of ultrasound images and their ability to recognize normal and pathological states were evaluated.ResultsSixteen of 27 (59%) students were able to demonstrate all main ultrasound views (parasternal, apical, and subcostal views) in a six-minute test. The most obtainable view was the parasternal long-axis view (89%) and the least obtainable was the subcostal view (58%). Ninety-seven percent of students correctly differentiated normal from severely reduced left ventricular function, 100% correctly differentiated a normal right ventricle from a severely hypokinetic one, 100% correctly differentiated a normal mitral valve from a rheumatic one, and 88% correctly differentiated a normal aortic valve from a calcified one, while 95% of them correctly identified the presence of pericardial effusion.ConclusionsTraining of medical students in cardiac ultrasound during the first clinical year using a short, focused course is feasible and enables students with modest ability to acquire the main transthoracic ultrasound views and gain proficiency in the diagnosis of a limited number of cardiac pathologies.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-017-0928-x) contains supplementary material, which is available to authorized users.

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Pocket-size echocardiograph - a valuable tool for non-experts or just a portable device for echocardiographers?

Cited by 30 publications

References 22 publications

Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

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