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Resident Ultrasound Education

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
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
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
Mathew Nelson, Amin Abdi, Srikar Adhikari, Michael Boniface, Robert M Bramante, Daniel J Egan, J Matthew Fields, J Matthew Fields, Megan M Leo, Andrew S Liteplo, Rachel Liu, Jason T Nomura, David C Pigot, Christopher C Raio, Jennifer Ruskis, Robert Strony, Chris Thom, Resa Lewiss
In 2012 the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Emergency Medicine (ABEM) released the Emergency Medicine (EM) Milestones. The Patient Care 12 (PC12) subcompetency delineates staged and progressive accomplishment in emergency ultrasound (EUS). 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 multi-organizational taskforce was formed between the American College of Emergency Physicians (ACEP) Ultrasound Section, the Council of Emergency Medicine Residency Directors (CORD), and the Academy of Emergency Ultrasound (AEUS) of the Society for Academic Emergency Medicine (SAEM)...
August 13, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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
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
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
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
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
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
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
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
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
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
Kathryn E Darras, Anne Worthington, David Russell, Daniel J Hou, Bruce B Forster, Cameron J Hague, Colin Mar, Silvia D Chang
RATIONALE AND OBJECTIVES: In order to ease the transition from internship to diagnostic radiology residency, a year-long didactic introduction to radiology course was offered to post-graduate year one (PGY-1) diagnostic radiology residents during their internship, which consisted of 27 hours of lecture over 9 months. The purpose of this study was to determine the quantitative and qualitative educational value of this course and its effect with respect to on-call preparedness. MATERIALS AND METHODS: Two consecutive cohorts of Diagnostic Radiology residents were included: the first cohort (PGY-1s in 2011-2012) did not participate in the new course (Old Curriculum Residents) and the second cohort (PGY-1s in 2012-2013) completed the new course (New Curriculum Residents)...
July 2016: Academic Radiology
Kevin S Baker, Daniel Cormican, Peggy A Seidman
BACKGROUND: We describe the influence of a 6-week "Summer Anesthesiology Externship" featuring didactic, procedure, and simulation education on formation of medical students' specialty choice. METHODS: Eighteen months after externship completion, externs were sent a questionnaire with Likert scale agreement ratings of subspecialties/simulations and yes/no questions about student career interests before/after the program, stipend importance, and procedural skill performance during/after the program...
July 2012: Journal of Education in Perioperative Medicine: JEPM
Julie Rice, Amanda Crichlow, Marrissa Baker, Linda Regan, Adam Dodson, Yu-Hsiang Hsieh, Rodney Omron
Background Ultrasound-guided peripheral intravenous line (USGPIV) placement is becoming an important tool in current clinical practice. Many residency programs utilize unstructured clinical observation to evaluate residents in this and other procedural skills. Simulation-based assessment permits educators to make objective, standardized observations, and may be ideal for assessment of important procedural competencies. Objective We created a simulation-based assessment tool for the skill of USGPIV placement...
May 2016: Journal of Graduate Medical Education
Michael I Prats, Nelson A Royall, Ashish R Panchal, David P Way, David P Bahner
OBJECTIVES: Many medical specialties have adopted the use of ultrasound, creating demands for higher-quality ultrasound training at all levels of medical education. Little is known about the long-term benefit of integrating ultrasound training during undergraduate medical education. This study evaluated the effect of a longitudinal fourth-year undergraduate medical education elective in ultrasound and its impact on the future use of ultrasound in clinical practice. METHODS: A cross-sectional survey of medical graduates from The Ohio State University College of Medicine (2006-2011) was done, comparing those who participated and those who did not participate in a rigorous ultrasound program for fourth-year medical students...
May 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Ahtsham U Niazi, Philip W Peng, Melissa Ho, Akhilesh Tiwari, Vincent W Chan
PURPOSE: Application of ultrasound in regional anesthesia has now become the standard of care and its use has shown to reduce complications. Nevertheless, gaining expertise in ultrasound-guided regional anesthesia requires the acquisition of new cognitive and technical skills. In addition, due to a reduction in resident working hours and enforcement of labour laws and directives across various states and countries, trainees perform and witness fewer procedures. Together, these issues create challenges in the teaching and learning of ultrasound-guided regional anesthesia in the time-based model of learning...
August 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Ezekiel Maloney, Daniel S Hippe, Angelisa Paladin, Felix S Chew, Alice S Ha
RATIONALE AND OBJECTIVES: A prospective randomized study was conducted to assess whether an electronic learning module was as effective as a didactic lecture to teach musculoskeletal ultrasound to radiology residents. MATERIALS AND METHODS: Thirty-three residents were randomized into a module group versus a didactic group. All residents took a written "pretest" to assess baseline knowledge. Subsequently, the 17 residents in the didactic group attended a live didactic session delivered by a subspecialist musculoskeletal radiology faculty member...
July 2016: Academic Radiology
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