Education, Teaching, and Quality Improvement |

Impact of a Short 3-Hour Ultrasound Training Workshop for Internal Medicine Residents FREE TO VIEW

Abdullah Quddus; Taro Minami; Eleanor Summerhill
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Memorial Hospital of Rhode Island/Brown University, Providence, RI

Chest. 2014;146(4_MeetingAbstracts):509A. doi:10.1378/chest.1989267
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SESSION TITLE: Education and Teaching in Pulmonary Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: Ultrasound is becoming ubiquitous in everyday practice and rapidly becoming the standard of care for intervention and diagnosis in many specialities including critical care. It has additionally emerged as a powerful instrument allowing intensive care physicians and internists an opportunity to extend their traditional physical examination in evaluation of critically ill patients. Therefore, it is imperative that future internal medicine physicians have a strong foundation in sonography and be trained to take advantage of this powerful tool. We conducted a pilot study to assess the feasibility and impact of incorporating a 3 hour ultrasound workshop for training of internal medicine residents

METHODS: A structured 3-hour workshop in diagnostic and procedural ultrasound training was conducted for internal medicine residents. Residents learned basic ultrasound physics and machine handling; focused cardiac, great vessel, lung, and abdominal ultrasound diagnostic examinations; and vascular insertion. Paired 2-tailed t test was used to compare scores for residents on the pretest and posttests.

RESULTS: In post course testing, learners demonstrated increased knowledge scores, and demonstrated improved performance on practical scenarios designed to test abilities in image acquisition, interpretation, and incorporation into medical decision making (mean pretest total score 4.67, mean posttest score 5.67; p 0.045). In the post course survey, learners strongly agreed (4.9 of 5.0) that ultrasound skills would be valuable during residency and in their careers. Learners demonstrated a statistically significant increased confidence in using ultrasound for vascular access (p <0.0001) and evaluating cardiac function (<0.0001), volume status (p <0.0001), renal failure (p <0.0001), pneumothorax (p <0.0001), pleural effusion(p 0.0004), and ascites (p <0.004).

CONCLUSIONS: A short 3-hour course of ultrasound training session for residents has resulted in increased performance.

CLINICAL IMPLICATIONS: Even a short training session like this, if performed appropriately, has a positive impact on residents proficiency on ultrasound performance and our result should encourage Internal medicine residency programs to arrange similar workshops regularly throughout the training so as to acquire further proficiency.

DISCLOSURE: The following authors have nothing to disclose: Abdullah Quddus, Taro Minami, Eleanor Summerhill

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