Point-of-care echocardiography in simulation-based education and assessment
| Autor: | Nicola Baker, Parisa P. Javedani, Srikar Adhikari, Richard Amini, Vivienne Ng, Lori A Stolz, Kevin Gaskin |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Medical education
medicine.diagnostic_test business.industry education Graduate medical education Physical examination 030204 cardiovascular system & hematology Chest pain Education Skills management Asynchronous learning 03 medical and health sciences 0302 clinical medicine medicine simulation education 030212 general & internal medicine Advances in Medical Education and Practice medicine.symptom business Simulation based Accreditation Point of care Original Research point-of care ultrasound |
| Zdroj: | Advances in Medical Education and Practice |
| ISSN: | 1179-7258 |
| Popis: | Richard Amini,Lori A Stolz,Parisa P Javedani,Kevin Gaskin,Nicola Baker,Vivienne Ng,Srikar Adhikari Department of Emergency Medicine, University of Arizona Medical Center, Tucson, AZ, USA 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. Methods: This was a cross-sectional study conducted at an academic medical center. A simulation-based module was developed to teach and assess the use of point-of-care echocardiography in the evaluation of the hypotensive patient. The focus of this module was sonographic imaging of cardiac pathology, and this focus was incorporated in all components of the session: asynchronous learning, didactic lecture, case-based learning, and hands-on stations. Results: A total of 52 residents with varying US experience participated in this study. Questions focused on knowledge assessment demonstrated improvement across the postgraduate year (PGY) of training. Objective standardized clinical examination evaluation demonstrated improvement between PGY I and PGY III; however, it was noted that there was a small dip in hands-on scanning skills during the PGY II. Clinical diagnosis and management skills also demonstrated incremental improvement across the PGY of training. Conclusion: The 1-day, simulation-based US workshop was an effective educational and assessment tool at our institution. Keywords: point-of care ultrasound, simulation education |
| Databáze: | OpenAIRE |
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