Observations during development of an internal medicine residency training program in cardiovascular limited ultrasound examination
| Autor: | Bruce J. Kimura, James N. Phan, David J. Shaw, Stan A. Amundson, Donna L. Agan |
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| Rok vydání: | 2012 |
| Předmět: |
Program evaluation
medicine.medical_specialty Time Factors Leadership and Management Teaching method Statistics as Topic education MEDLINE Graduate medical education Assessment and Diagnosis Internal medicine Intensive care Internal Medicine medicine Humans Outpatient clinic Program Development Care Planning Curriculum Ultrasonography Medical education business.industry Health Policy Internship and Residency General Medicine United States Hospital medicine Cardiovascular Diseases Education Medical Graduate Fundamentals and skills Clinical Competence business Program Evaluation |
| Zdroj: | Journal of Hospital Medicine. 7:537-542 |
| ISSN: | 1553-5606 1553-5592 |
| DOI: | 10.1002/jhm.1944 |
| Popis: | BACKGROUND: Despite the future potential of using ultrasound stethoscopes to augment the bedside cardiac physical, few data exist on a general cardiovascular imaging protocol that can be taught to physicians on a perpetual basis as a curriculum in graduate medical education. METHODS: During the past decade, we developed and integrated a cardiovascular limited ultrasound training program within the confines of an internal medicine residency. The evidence-based rationale for the exam, the teaching methods, and curriculum are delineated, and subsequent observations regarding program requirements, proficiency, and academic outcomes are explored. Analysis of variance and linear regression assessed for relationships between academic scores, chief resident selection, and gender to proficiency in ultrasound. RESULTS: A brief, 5-minute cardiovascular limited ultrasound exam (CLUE) was taught using both didactic and bedside methods, and practiced primarily within the cardiology consult, outpatient clinic, and intensive care rotations. Program costs were minimized by employing readily available institutional resources. After a 2-year lead-in training phase, the subsequent 4 years of senior resident performance (n = 41 residents) showed an 81% pass rate in CLUE competency. Resident ultrasound performance did not relate to academic scores (r = 0.05, P = 0.75), chief resident selection, nor gender. Observations regarding resident pitfalls in CLUE practice and increased participation in extracurricular research are described. CONCLUSIONS: We report our initial experience in developing and implementing a training program for bedside cardiovascular ultrasound examination that employed evidence-based techniques, set proficiency goals, and assessed resident performance. It may be feasible to teach future internist–hospitalists the technique of bedside ultrasound during residency. Journal of Hospital Medicine 2012;. © 2012 Society of Hospital Medicine |
| Databáze: | OpenAIRE |
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