Point of Care Ultrasound (POCUS), Ultrasound Evaluation, Ultrasound Exam in Emergency/Medical Care
Conditions
Keywords
POCUS, Point of Care Ultrasound, Point of Care Ultrasonography, Medical Education, Ultrasound Education, POCUS Training, POCUS Education, Ultrasound Supervision, POCUS Supervision, Ultrasound Training
Brief summary
This study compares Point of Care Ultrasound (POCUS) training in two hospitals, one that uses an online application for supervision and one that does not use the application. The goal of this trial is to learn if POCUS supervision using the online application is associated with improved POCUS skills in residents in General Internal Medicine (GIM). The main question it aims to answer is: \- Do POCUS skills improve more during 6 months in GIM residents supervised using the application than in GIM residents who do not use the application? Further questions the study aims to answer are: * Do residents using the application perform more POCUS exams during 6 months than residents not using the application? * Are residents using the application more satisfied with their POCUS training than residents not using the application?
Interventions
None listed
Sponsors
Kantonsspital Baden
Spital Limmattal Schlieren
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* General Internal Medicine resident employed at one of the study sites for at least 2 months * Probably or definitely interested in achieving POCUS certification (mandatory for the General Internal Medicine specialisation in Switzerland) * Basic ultrasound course completed (Basic course Abdominal ultrasound or Emergency ultrasound) * Will spend at least 3 months within a rotation where POCUS training is offered during the 6 months after baseline assessment
Exclusion criteria
* Definitely or probably not interested in achieving POCUS certification * Has already performed more than 80 supervised and more than 160 total POCUS exams * Will end employment at the study site less than 7 months after baseline assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in POCUS skills | Post-test 6 months (+/- 2 weeks) from pre-test | POCUS skills will be evaluated on healthy volunteers by video-recorded OSCE |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of POCUS exams performed | During 6 months after baseline assessment (pre-test) | In the cohort using the application, the number is automatically recorded. The usual supervision cohort will manually record the number of exams. |
| Number of supervised POCUS exams performed | During 6 months after baseline assessment (pre-test) | In the cohort using the application, the number is automatically recorded. The usual supervision cohort will manually record the number of exams. |
| Number of directly supervised POCUS exams performed | During 6 months after baseline assessment (pre-test) | Direct supervision means that the supervisor is present during the exam. In the cohort using the application, the number is automatically recorded. The usual supervision cohort will manually record the number of exams. |
| Change in satisfaction and engagement with POCUS training | Follow-up assessment 6 months (+/- 2 weeks) after baseline assessment | Measured with a survey |
| Change in self-assessed POCUS competency | Follow-up assessment 6 months (+/- 2 weeks) after baseline assessment | Assessed with a survey. Included since the objective evaluation (primary outcome) will not assess all regions that residents are trained to examine, in order to keep the evaluation feasible. |
Countries
Switzerland
Contacts
CONTACTTudor Cosma, MD
STUDY_CHAIRMaria M Wertli, MD PhD
Kantonsspital Baden
Outcome results
None listed