Self-assessment and learning motivation in emergency point-of-care ultrasound: an online pilot investigation in German physicians.

Autor: Bansbach J; Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany., Bentele M; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany.; Institute for Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Hegau-Bodensee Hospital, Singen, Germany., Bollinger M; Faculty of Medical and Life Sciences, University Furtwangen, Villingen-Schwenningen, Germany.; Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany., Bentele S; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany.; Department for Emergency Medicine, University-Hospital Augsburg, University of Augsburg, Augsburg, Germany Institute for Medical Education, University Hospital, LMU Munich, Munich, Germany., Langenhan R; Department of Orthopaedic Surgery, Hegau-Bodensee-Klinikum Singen, Virchowstrasse 10, D-78224, Singen, Germany.; Department of Orthopaedic Surgery, Klinikum Chemnitz gGmbH, Flemmingstraße 2, D-09116, Chemnitz, Germany., Gerber B; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany.; Institute for Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Hegau-Bodensee Hospital, Singen, Germany., Trifunovic-Koenig M; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany., Bushuven S; Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. Stefan.bushuven@notis-ev.de.; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany. Stefan.bushuven@notis-ev.de.; Institute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, Virchowstrase 10, 78224, Singen, Germany. Stefan.bushuven@notis-ev.de.; Institute for Medical Education, University Hospital, LMU Munich, Munich, Germany. Stefan.bushuven@notis-ev.de.
Jazyk: angličtina
Zdroj: BMC emergency medicine [BMC Emerg Med] 2024 Dec 18; Vol. 24 (1), pp. 235. Date of Electronic Publication: 2024 Dec 18.
DOI: 10.1186/s12873-024-01154-z
Abstrakt: Introduction: Learning motivation is essential to obtain and maintain ultrasound competencies in emergency medicine. One's competencies herein and the need for ongoing training are best evaluated by self-assessment. This may be flawed by overconfidence effects - the belief to be better than others or better than tests reveal. This study aims to clarify the underinvestigated interaction of learning motivation and self-assessment in emergency point-of-care-ultrasound (POCUS).
Methods: In this cross-sectional multicenter project, physicians assessed their own and others' competence and learning motivation using the Situational Motivation Scale comprising intrinsic motivation, external and identified regulation, and amotivation. In addition, we presented eight ultrasound loops of different pathologies to emergency physicians of various specialties.
Results: Overall, the motivation to learn was high, while self-assessment showed no significant overconfidence in POCUS. The rate of correct diagnoses based on the loops was relatively low. As a result, we did not detect overconfidence effects in participants who completed questions (n = 86) and tests (n = 56). Overplacing oneself above peers negatively correlated with intrinsic learning motivation and identified regulation and positively correlated to amotivation. Further analyses indicated that learning motivation was associated with the interactions of the physicians' risk perception, speciality, and self-assessment.
Discussion: The absence of overconfidence effects, the complexity of learning motivation and their interaction show that prior findings in other contexts may not be easily transferable to POCUS and could be highly context-sensitive. In conclusion, this study highlights high levels of learning motivation but relatively low diagnostic accuracy in POCUS, which suggests the need for ongoing education and assessment. Ensuring that physicians continue to receive objective feedback and opportunities to refine their skills is critical for maintaining high standards of care. Despite the small sample size and other limitations of the study, the results primarily served to generate hypotheses for future research on emergency ultrasound education.
Competing Interests: Declarations. Ethics approval and consent to participate: The study was conducted after approval by the ethical committee of the University of Freiburg (EK: 22-1201-S1, Decision on 14.06.22). The study was conducted in accordance with the Declaration of Helsinki and national recommendations and law. Data safety was ensured by blinding IP-Adresses. Informed consent for participation was obtained from all participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: