Training Performance in Diagnosis of Congenital Uterine Anomalies With 3-Dimensional Sonography
| Autor: | M. Angela Pascual, Anna Mallafre, Cristina de Lorenzo, Juan Luis Alcázar, Ignacio Rodríguez, Stefano Guerriero, Lourdes Hereter, Betlem Graupera |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
3d sonography
medicine.medical_specialty Volume analysis CUSUM 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Obstetrics and gynaecology medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies 030212 general & internal medicine Prospective cohort study Training performance Retrospective Studies Ultrasonography 030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology business.industry Uterus Internship and Residency Retrospective cohort study Surgery Gynecology Urogenital Abnormalities Female Clinical Competence Radiology business Training program Learning Curve |
| Zdroj: | Journal of Ultrasound in Medicine. 35:2589-2594 |
| ISSN: | 0278-4297 |
| DOI: | 10.7863/ultra.16.02003 |
| Popis: | Objectives We evaluated learning curve cumulative summation (CUSUM) of 3-dimensional (3D) sonography for diagnosis of congenital uterine anomalies and the deviations of the level of trainees' performance at the control-stage CUSUM. Methods First-year (R1), second-year (R2), and third-year (R3) residents in obstetrics and gynecology received a training program to learn how to analyze 3D sonographic volumes and to classify congenital uterine anomalies. Each trainee worked on 155 3D sonographic volumes from preselected patients. Their results were evaluated by learning curve CUSUM and standard CUSUM. The time for each volume analysis was calculated for the expert examiner and the trainees. Results Trainees R1, R2, and R3 reached competence at the 85th, 58th, and 40th evaluations, respectively, with success rates of 80%, 81%, and 85%, and kept the process under control with error levels of less than 4.5% until the end of the test. The trainees significantly reduced the average time of the evaluation per volume (P < .001). Conclusions Learning curve CUSUM provided quantitative indicators of the learning evolution of 3D sonography for diagnosis of congenital uterine anomalies by obstetrics and gynecology residents. The training received by the residents was adequate for diagnosis of congenital uterine anomalies using 3D sonography. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text