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Resident Ultrasound Education

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https://www.readbyqxmd.com/read/27904260/sonographic-identification-of-peripheral-nerves-in-the-forearm
#1
Saundra A Jackson, Charlotte Derr, Anthony De Lucia, Marvin Harris, Zuheily Closser, Branko Miladinovic, Rahul Mhaskar, Theresa Jorgensen, Lori Green
BACKGROUND: With the growing utilization of ultrasonography in emergency medicine combined with the concern over adequate pain management in the emergency department (ED), ultrasound guidance for peripheral nerve blockade in ED is an area of increasing interest. The medical literature has multiple reports supporting the use of ultrasound guidance in peripheral nerve blocks. However, to perform a peripheral nerve block, one must first be able to reliably identify the specific nerve before the procedure...
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27890330/assessing-surgical-residents-imaging-interpretation-skills
#2
Joseph J Eid, Francisco Igor B Macedo, Edsa Negussie, Vijay K Mittal
PURPOSE: During general surgery (GS) training, residents are expected to accurately interpret radiologic images. Objective evidence evaluating residents' ability to provide accurate interpretation of imaging studies is currently lacking. METHODS: A 30-item web-based test was developed using images from different radiologic modalities. Residents from 6 ACGME accredited GS programs participated. Residents from 1 radiology program served as a control group. RESULTS: 74 GS residents (GSR) enrolled in the online test...
November 19, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27863720/can-residents-detect-errors-in-technique-while-observing-central-line-insertions
#3
Kevin Pei, Jonathan Merola, Kimberly A Davis, Walter E Longo
BACKGROUND: Procedural teaching and the ability to detect and correct errors are important components of surgical education. This study evaluates whether review of an instructional video will improve residents' ability to detect errors. We hypothesized that clinical experience and confidence do not correlate with ability to detect errors. METHODS: Participants were randomized to 2 groups: the study group viewed an instructional video demonstrating correct technique, whereas the control group did not view the instructional video...
October 19, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27853492/variability-in-observer-performance-between-faculty-members-and-residents-using-breast-imaging-reporting-and-data-system-bi-rads-ultrasound-fifth-edition-2013
#4
Youn Joo Lee, So Young Choi, Kyu Sun Kim, Po Song Yang
BACKGROUND: Ultrasonography (US) is a useful tool for breast imaging, yet is highly operator-dependent. OBJECTIVES: We evaluated inter-observer variability and performance discrepancies between faculty members and radiology residents when describing breast lesions, by the fifth edition of breast imaging reporting and data system (BI-RADS)-US lexicon, and then attempted to identify whether inter-observer variability could be improved after one education session. PATIENTS AND METHODS: In total, 50 malignant lesions and 70 benign lesions were considered in our retrospective study...
July 2016: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/27850066/426-point-of-care-ultrasound-education-in-im-and-med-peds-residencies-a-nationwide-survey
#5
Matthew Siuba, Michael Wagner, Thomas Melgar
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850038/398-point-of-care-ultrasound-education-in-pediatric-residency-programs-a-nationwide-survey
#6
Matthew Siuba, Michael Wagner, Thomas Melgar
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27739636/emergency-medicine-resident-assessment-of-the-emergency-ultrasound-milestones-and-current-training-recommendations
#7
Lori A Stolz, Uwe Stolz, J Matthew Fields, Turandot Saul, Michael Secko, Matthew J Flannigan, Johnathan M Sheele, Robert P Rifenburg, Anthony J Weekes, Elaine B Josephson, John Bedolla, Dana M Resop, Jonathan Dela Cruz, Megan Boysen-Osborn, Terrell Caffery, Charlotte Derr, Rimon Bengiamin, Gerardo Chiricolo, Brandon Backlund, Jagdipak Heer, Robert J Hyde, Srikar Adhikari
OBJECTIVES: Emergency ultrasound (EUS) has been recognized as integral to the training and practice of emergency medicine (EM). The Council of Emergency Medicine Residency-Academy of Emergency Ultrasound (CORD-AEUS) consensus document provides guidelines for resident assessment and progression. The Accredited Council for Graduate Medical Education (ACGME) has adopted the EM Milestones for assessment of residents' progress during their residency training which includes demonstration of procedural competency in bedside ultrasound...
October 14, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27565985/assessment-of-ultrasound-guided-procedures-in-preclinical-years
#8
Richard Amini, Lori Ann Stolz, Elliot Breshears, Asad E Patanwala, Nicholas Stea, Nicolaus Hawbaker, Matthew Thompson, Arthur Barry Sanders, Srikar Adhikari
Medical graduates entering residency often lack confidence and competence in procedural skills. Implementation of ultrasound (US)-guided procedures into undergraduate medical education is a logical step to addressing medical student procedural competency. The objective of our study was to determine the impact of an US teaching workshop geared toward training medical students in how to perform three distinct US-guided procedures. Cross-sectional study at an urban academic medical center. Following a 1-h didactic session, a sample of 11 students out of 105 (10...
August 26, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27564282/using-an-abdominal-phantom-to-teach-urology-residentes-ultrasound-guided-percutaneous-needle-placement
#9
Pauline Filippou, Anobel Odisho, Krishna Ramaswamy, Manint Usawachintachit, Weiguo Hu, Jianxing Li, Thomas Chi
INTRODUCTION: To assess the effect of a hands-on ultrasound training session to teach urologic trainees ultrasound-guided percutaneous needle placement. MATERIALS AND METHODS: University of California, San Francisco (UCSF) urology residentes completed a time trial, placing a needle into a phantom model target under ultrasound guidance. Participants were randomized into three educational exposure groups: Group 1's time trial occurred prior to any teaching intervention, group 2's after experiencing a hands-on training module, and group 3's after exposure to both the training module and one-on-one attending feedback...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27520068/goal-directed-focused-ultrasound-milestones-revised-a-multiorganizational-consensus
#10
Mathew Nelson, Amin Abdi, Srikar Adhikari, Michael Boniface, Robert M Bramante, Daniel J Egan, J Matthew Fields, Megan M Leo, Andrew S Liteplo, Rachel Liu, Jason T Nomura, David C Pigott, Christopher C Raio, Jennifer Ruskis, Robert Strony, Chris Thom, Resa E Lewiss
In 2012 the Accreditation Council for Graduate Medical Education and the American Board of Emergency Medicine released the emergency medicine milestones. The Patient Care 12 (PC12) subcompetency delineates staged and progressive accomplishment in emergency ultrasound. While valuable as an initial framework for ultrasound resident education, there are limitations to PC12. This consensus paper provides a revised description of criteria to define the subcompetency. A multiorganizational task force was formed between the American College of Emergency Physicians Ultrasound Section, the Council of Emergency Medicine Residency Directors, and the Academy of Emergency Ultrasound of the Society for Academic Emergency Medicine...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27515967/teaching-the-internist-to-see-effectiveness-of-a-1-day-workshop-in-bedside-ultrasound-for-internal-medicine-residents
#11
Ryan D Clay, Elizabeth C Lee, Marc F Kurtzman, Renee K Dversdal
BACKGROUND: A growing body of evidence supports the use of bedside ultrasound for core Internal Medicine procedures and increasingly as augmentation of the physical exam. The literature also supports that trainees, both medical students and residents, can acquire these skills. However, there is no consensus on training approach. AIM: To implement and study the effectiveness of a high-yield and expedited curriculum to train internal medicine interns to use bedside ultrasound for physical examination and procedures...
December 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27475971/knowledge-of-the-costs-of-diagnostic-imaging-a-survey-of-physician-trainees-at-a-large-academic-medical-center
#12
Arvind Vijayasarathi, Richard Duszak, Rondi B Gelbard, Mark E Mullins
PURPOSE: To study the awareness of postgraduate physician trainees across a variety of specialties regarding the costs of common imaging examinations. METHODS: During early 2016, we conducted an online survey of all 1,238 physicians enrolled in internships, residencies, and fellowships at a large academic medical center. Respondents were asked to estimate Medicare national average total allowable fees for five commonly performed examinations: two-view chest radiograph, contrast-enhanced CT abdomen and pelvis, unenhanced MRI lumbar spine, complete abdominal ultrasound, and unenhanced CT brain...
July 27, 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27428572/the-emergency-medicine-milestones-with-experience-comes-suggestions-to-improve
#13
Michael S Beeson
In this issue an article, Goal Directed Focused Ultrasound Milestones Revised: A Multi-organizational Consensus, recommends significant change to the PC 12 subcompetency of the Emergency Medicine (EM) Milestones. The membership of this consensus group spans multiple organizations and individuals interested in emergency ultrasound (EUS) as well as resident education. This effort to improve this particular subcompetency is to be lauded. An iterative improvement to the progression of Milestones within PC12 can be justified on the basis of a large body of work produced after the introduction of the EM Milestones...
July 18, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27330672/introducing-a-fresh-cadaver-model-for-ultrasound-guided-central-venous-access-training-in-undergraduate-medical-education
#14
Ryan Miller, Hang Ho, Vivienne Ng, Melissa Tran, Douglas Rappaport, William J A Rappaport, Stewart J Dandorf, James Dunleavy, Rebecca Viscusi, Richard Amini
INTRODUCTION: Over the past decade, medical students have witnessed a decline in the opportunities to perform technical skills during their clinical years. Ultrasound-guided central venous access (USG-CVA) is a critical procedure commonly performed by emergency medicine, anesthesia, and general surgery residents, often during their first month of residency. However, the acquisition of skills required to safely perform this procedure is often deficient upon graduation from medical school...
May 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27330339/point-of-care-echocardiography-in-simulation-based-education-and-assessment
#15
Richard Amini, Lori A Stolz, Parisa P Javedani, Kevin Gaskin, Nicola Baker, Vivienne Ng, Srikar Adhikari
BACKGROUND: Emergency medicine milestones released by the Accreditation Council for Graduate Medical Education require residents to demonstrate competency in bedside ultrasound (US). The acquisition of these skills necessitates a combination of exposure to clinical pathology, hands-on US training, and feedback. OBJECTIVES: We describe a novel simulation-based educational and assessment tool designed to evaluate emergency medicine residents' competency in point-of-care echocardiography for evaluation of a hypotensive patient with chest pain using bedside US...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27284269/bedside-echo-for-chest-pain-an-algorithm-for-education-and-assessment
#16
Richard Amini, Lori A Stolz, Jeffrey Z Kartchner, Matthew Thompson, Nicholas Stea, Nicolaus Hawbaker, Raj Joshi, Srikar Adhikari
BACKGROUND: Goal-directed ultrasound protocols have been developed to facilitate efficiency, throughput, and patient care. Hands-on instruction and training workshops have been shown to positively impact ultrasound training. OBJECTIVES: We describe a novel undifferentiated chest pain goal-directed ultrasound algorithm-focused education workshop for the purpose of enhancing emergency medicine resident training in ultrasound milestones competencies. METHODS: This was a cross-sectional study performed at an academic medical center...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27276225/ultrasound-tutorials-in-under-10-minutes-experience-and-results
#17
Susan J Back, Kassa Darge, Maria A Bedoya, Jorge Delgado, Yocabel Gorfu, Daniel Zewdneh, Janet R Reid
OBJECTIVE: The objective of the present study was to validate the use of web-based tutorials to teach technical skills in pediatric ultrasound. MATERIALS AND METHODS: A series of 10 video tutorials, each of which was less than 10 minutes long, was created to improve the education of radiology trainees in terms of their ultrasound technique. Pediatric radiology fellow trainees from our institution in the United States and radiology resident trainees from our partner institution in Ethiopia were invited to participate in the study...
September 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27268999/a-survey-of-ultrasound-milestone-incorporation-into-emergency-medicine-training-programs
#18
Courtney M Smalley, Alyrene Dorey, Molly Thiessen, John L Kendall
OBJECTIVES: With the introduction of the Emergency Medicine Milestone Project in 2013, residencies now assess emergency ultrasound (US) skills at regular intervals. However, it is unclear how programs are implementing the emergency US milestones and assessing competency. With the use of the milestone tool, a survey was distributed to emergency US educators to determine when programs are providing emergency US education, when residents are expected to attain competency, and whether the milestones reflect their expectations of trainees...
July 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27207087/a-workflow-task-force-affects-emergency-physician-compliance-for-point-of-care-ultrasound-documentation-and-billing
#19
Resa E Lewiss, Jessica Cook, Allison Sauler, Nicholas Avitabile, Nicole L Kaban, Jeffrey Rabrich, Turandot Saul, Sebastian D Siadecki, Dan Wiener
BACKGROUND: Emergency point-of-care ultrasound (POC u/s) is an example of a health information technology that improves patient care and time to correct diagnosis. POC u/s examinations should be documented, as they comprise an integral component of physician decision making. Incomplete documentation prevents coding, billing and physician group compensation for ultrasound-guided procedures and patient care. We aimed to assess the effect of directed education and personal feedback through a task force driven initiative to increase the number of POC u/s examinations documented and transferred to medical coders by emergency medicine physicians...
December 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27192802/-human-resource-development-for-thyroid-ultrasound-examination-program-in-fukushima
#20
REVIEW
Ayako Sato, Hiroki Shimura, Tomomi Hakoiwa, Toshie Sakagami, Manabu Ohishi, Yukari Sato, Nobuko Sakuma, Sanae Midorikawa, Satoru Suzuki, Akira Ohtsuru, Shinichi Suzuki
As a response to the health effects associated with the Fukushima Daiichi Nuclear Power Plant accident that occurred after the Great East Japan Earthquake, the Thyroid Ultrasound Examination program as a part of the Fukushima Health Management Survey was started on Oct. 9th, 2011. Since this project required a large-scale cohort comprising all residents aged ≤ 18 years living in Fukushima when the earthquake happened, the nurturing of many ultrasound examiners was a matter of great urgency. Moreover, the standardization of examination procedures and skills of examiners were also important issues...
January 2016: Rinsho Byori. the Japanese Journal of Clinical Pathology
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