Recommendations for Echocardiography Laboratories Participating in Cardiac Point of Care Cardiac Ultrasound (POCUS) and Critical Care Echocardiography Training: Report from the American Society of Echocardiography

Kirkpatrick, James N.; Grimm, Richard A.; Johri, Amer M.; Kimura, Bruce J.; Kort, Smadar; Labovitz, Arthur J.; Lanspa, Michael J.; Phillip, Sue; Raza, Samreen; Thorson, Kelly; Turner, Joel

doi:10.1016/j.echo.2020.01.008

Cited by 135 publications

(123 citation statements)

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“…The WINFOCUS recommendations and the EACVI consensus selected the same 5 views as an ideal standard or basic for cardiac POCUS examination, and the 3 studies utilized the same 5 views for hands-on training. The ASE recently published cardiac POCUS and critical care echocardiography (CCE) training recommendations that also supported our 5 views selection for initial cardiac POCUS learning tasks [3].…”

Section: Cardiac Pocus Views Selectionmentioning

confidence: 80%

“…Development of a cardiac POCUS curriculum for pre-clinical medical students, 2. Evaluation of curriculum feasibility and further modi cations needed for a de nitive study, 3. Development of an assessment tool to evaluate curriculum learning effects and gathering validity evidence of the tool, and 4.…”

Section: Designmentioning

confidence: 99%

“…Therefore, we accepted a mild LV foreshortening and plan to prioritize clear visualization of all 4 chambers in order to provide straightforward instructions to novice students for the de nitive study. Our modi cation of the A4C teaching instruction was supported by ASE POCUS and comprehensive TTE guidelines [3,24].…”

Section: -View Hands-on Teaching Instructionsmentioning

confidence: 99%

“…As technology advances, cardiac point-of-care ultrasound (POCUS) with hand-held ultrasound devices (HHU) is being used increasingly in clinical practice by multiple specialties including cardiology, emergency medicine, critical care medicine, anesthesiology, and family medicine [1][2][3][4][5]. In 2019, HHU that operate with smartphones or tablets became commercially available (https://www.butter ynetwork.com/).…”

Section: Introductionmentioning

confidence: 99%

“…SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, USA 2. Department of Anesthesiology, Kameda General Hospital, Chiba, Japan 3. Department of CriticalCare Medicine, Nara Prefecture General Medical Center, Nara, Japan 4.…”

mentioning

confidence: 99%

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Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

Jujo

Lee-Jayaram

Sakka

et al. 2020

Preprint

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Background Cardiac point-of-care ultrasound (POCUS) training has been integrated into medical school curricula. However, there is no standardized cardiac POCUS training method for medical students. To address this issue, the American Society of Echocardiography (ASE) proposed a framework for medical student cardiac POCUS training. The objective of this pilot study was to develop a medical student cardiac POCUS curriculum with test scoring systems and test the curriculum feasibility for a future definitive study.Methods Based on the ASE-recommended framework, we developed a cardiac POCUS curriculum consisting of a pre-training online module and hands-on training with a hand-held ultrasound (Butterfly iQ). The curriculum learning effects were assessed with a 10-point maximum skill test and a 40-point maximum knowledge test at pre-, immediate post-, and 8-week post-training. To determine the curriculum feasibility, we planned to recruit 6 pre-clinical medical students. We semi-quantitatively evaluated the curriculum feasibility in terms of recruitment rate, follow-up rate 8 weeks after training, instructional design of the curriculum, the effect size (ES) of the test score improvements, and participant satisfaction. Discriminatory ability of the test scoring systems were assessed by comparing the scores of the medical students, medical interns, and experts.Results Six pre-clinical medical students participated in the curriculum. The recruitment rate was 100% (6/6 students) and the follow-up rate 8 weeks after training was 100% (6/6). ESs of skill and knowledge test score differences between pre- and immediate post-, and between pre- and 8-week post-training were large. The students reported high satisfaction with the curriculum. The test scoring systems demonstrated excellent discriminatory ability between the 3 different performance levels.Conclusions This pilot study confirmed the curriculum design as feasible with instructional design modifications including the hands-on training group size, content of the cardiac POCUS lecture, hands-on teaching instructions, and hand-held ultrasound usage. Based on the pilot study findings, we plan to conduct the definitive study with the primary outcome of long-term skill retention 8 weeks after initial training. The definitive study has been registered in ClinicalTrials.gov (Identifier: NCT04083924).

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Section: Cardiac Pocus Views Selectionmentioning

confidence: 80%

Section: Designmentioning

confidence: 99%

Section: -View Hands-on Teaching Instructionsmentioning

confidence: 99%