ACES: Accurate Cervical Evaluation With Sonography
| Autor: | Michele R. Hacker, Anna M. Modest, Diana Rodriguez, Melissa I. March, Margaret K. Chory, William T. Schnettler |
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| Rok vydání: | 2015 |
| Předmět: |
Educational measurement
medicine.medical_specialty Preterm labor education Sensitivity and Specificity Ultrasonography Prenatal 03 medical and health sciences Young Adult 0302 clinical medicine Obstetrics and gynaecology Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Young adult Curriculum Cervical length 030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology business.industry Teaching Internship and Residency Reproducibility of Results Checklist Cervical Length Measurement Obstetrics Physical therapy Clinical Competence Educational Measurement business Boston |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 35(1) |
| ISSN: | 1550-9613 |
| Popis: | OBJECTIVES Transvaginal sonographic cervical length screening is an important tool for the evaluation of preterm labor. However, a structured curriculum is lacking in obstetrics and gynecology residency programs. The Accurate Cervical Evaluation with Sonography (ACES) program was developed to address this deficiency and combines an online didactic course with a standardized performance assessment of live scans. We sought to evaluate the effectiveness of the ACES program to teach residents sonographic cervical length assessment. METHODS All obstetrics and gynecology residents at our institution were invited to participate from 2012 to 2013. The program consisted of an initial supervised transvaginal cervical evaluation, an online didactic course and written examination, and 5 subsequent supervised scans. The instructor performed an independent cervical length measurement at each encounter. The primary outcome was the difference in cervical length measurement between the resident and instructor. We hypothesized that this difference would decrease over time. At each visit, a 10-item checklist was used for skill assessment. Comparisons of checklist scores over time were also performed. RESULTS Seventeen of 20 residents completed at least some of the training, and 10 completed the entire program. The median difference in cervical length measurement between residents and instructors at posttests 3, 4, and 5 improved significantly compared to the pretest scan (all P ≤ .02). Similarly, the checklist scores improved over time (all P ≤ .0008). CONCLUSIONS Transvaginal cervical sonography is an important tool in the evaluation of preterm labor. The ACES program provides residents a structured curriculum for cervical evaluation and supervisors a standardized means of evaluating trainees' skills. |
| Databáze: | OpenAIRE |
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