Medical Education in Emergency Ultrasound, Point-of-care Ultrasound, Simulation Training
Conditions
Keywords
point-of-care ultrasound, simulation training, medical education
Brief summary
This study is a prospective cohort study implementing a point-of-care ultrasound (POCUS) simulation case-based workshop in emergency (EM) physicians at different training levels as an educational and competency-based assessment tool. The investigators incorporate elements of Miller's pyramid (second and third levels of "knows how" and "shows how") and the latter part of Kern's six step model framework for curriculum development (intervention implementation and student assessment, program evaluation, and feedback). The investigators will compare pre-/post-workshop knowledge and post-OSCE (Objective Structured Clinical Exam) technical skills scores. The investigators will also collect demographic data on baseline POCUS scans completed, training level, interest in ultrasound fellowship, monthly performed clinical POCUS scans, etc. The standardized simulation cases for EM POCUS training can then be generalized for use at any program globally to improve clinical training and patient care.
Interventions
BEHAVIORALultrasound simulation training case-based workshop during resident sim days
Using the CAE Vimedix ultrasound simulator or standardized patient, a patient stem will be read or video shown to an individual participant. The participant will have 10 minutes to discuss the scenario and scan the simulator/patient. Participants will verbalize their findings and receive additional information, including diagnostic tests or point-of-care ultrasound (POCUS) videos, as they proceed through the case. They will be scored using a standardized rubric. For Objective Structured Clinical Exam (OSCE) testing, two independent raters, both with ultrasound fellowship training, one known to the participants and one unknown to the participants, will observe and rate the participant on a simulated POCUS case using the already published OSCE tool. The rater will read a brief standardized stem, and the participant will have 10 minutes to complete the station.
Sponsors
Duke University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Emergency medicine physicians
Exclusion criteria
* Emergency medicine nurses * Emergency medicine technicians * Advanced practice providers (APPs)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in knowledge exam score | Baseline to 12 months | Assessing the impact of the POCUS (point-of-care ultrasound) simulation workshop to improve training for clinical diagnostic thought processes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ultrasound Competency Assessment Tool (UCAT) score | 12 months | Assessing the impact of the POCUS (point-of-care ultrasound) simulation workshop to improve training for clinical diagnostic thought processes. |
| Number of POCUS (point-of-care ultrasound) exams performed per participant | 12 months | Collected via electronic health records. |
| Change in quality assurance score | Baseline to 12 months | — |
Countries
United States
Contacts
CONTACTRebecca G Theophanous, MD, MHSc
PRINCIPAL_INVESTIGATORRebecca G Theophanous, MD, MHSc
Duke University
Outcome results
None listed