Internal Medicine Residents' Retention of Knowledge and Skills in Bedside Ultrasound

Autor: Akhil Narang, James A. Town, Paul A. Bergl, John F. McConville
Rok vydání: 2016
Předmět:
Zdroj: Journal of Graduate Medical Education. 8:553-557
ISSN: 1949-8357
1949-8349
DOI: 10.4300/jgme-d-15-00383.1
Popis: Background The long-term retention of knowledge and skills in bedside ultrasound by internal medicine residents after ultrasound training is not well understood. Objective We sought to determine whether knowledge and skills acquired from focused training in bedside ultrasound are retained over time, and whether retention is related to independent practice. Methods We conducted a prospective observational trial of 101 internal medicine residents at an academic medical center who participated in a bedside ultrasound workshop followed by 12 months of independent practice. Performance was measured on image-based knowledge and skills assessment using direct observation, both before the workshop and 12 months later. Individual usage data were obtained along with a survey on attitudes toward bedside ultrasound. Results Participants' mean knowledge assessment score increased from a baseline of 63.7% to 84.5% immediately after training (P 25 examinations) had higher scores in baseline knowledge and skills assessments than those with lower usage (< 25 examinations). Change in knowledge and image acquisition skills between assessments was equal in both subgroups. Conclusions Residents' knowledge of ultrasound improved after brief training but decayed over time, whereas skills showed marginal improvement over the study, with minimal support. Growth and retention of ultrasound abilities were not impacted by usage rates.
Databáze: OpenAIRE