1
|
Dornhofer K, Farhat A, Guan K, Parker E, Kong C, Kim D, Nguyen T, Mogi J, Lahham S, Fox JC. Evaluation of a point-of-care ultrasound curriculum taught by medical students for physicians, nurses, and midwives in rural Indonesia. JOURNAL OF CLINICAL ULTRASOUND : JCU 2020; 48:145-151. [PMID: 31876301 DOI: 10.1002/jcu.22809] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 12/04/2019] [Accepted: 12/14/2019] [Indexed: 05/09/2023]
Abstract
PURPOSE In the Indonesian health-care system, nurses and midwives often serve as the primary health-care providers due to physician shortages. Seeking to address the need for medical care in resource-limited environments, some have advocated for portable equipment in the hands of health-care providers. We hypothesized that medical students are able to effectively teach point-of-care ultrasound (POCUS) to physicians, nurses, and midwives in rural Indonesia. METHODS We conducted a prospective, observational study using health-care practitioners from a clinic and accredited school for nursing and midwifery in Mojokerto, East Java, Indonesia. Enrolled practitioners took part in a 4-week POCUS course followed by postinstructional testing. RESULTS A total of 55 health-care practitioners completed the course. This included 19 physicians, 13 nurses, and 19 midwives. Of the 55 clinicians, 43 (72%) passed the course and 12 (28%) failed. CONCLUSIONS Physicians, nurses, and midwives in rural Indonesia showed significant acquisition of ultrasound (US) knowledge and skills following a 4-week US course. Following training, all three groups displayed skills in practical US use during a postcourse practical examination. This is one of the first studies to assess the efficacy of medical students teaching POCUS to midwives and nurses.
Collapse
Affiliation(s)
- Kyle Dornhofer
- University of California, Irvine School of Medicine, California
| | - Ahmed Farhat
- University of California, Irvine School of Medicine, California
| | - Kevin Guan
- University of California, Irvine School of Medicine, California
| | - Erica Parker
- University of California, Irvine School of Medicine, California
| | - Christina Kong
- University of California, Irvine School of Medicine, California
| | - Daniel Kim
- University of California, Irvine School of Medicine, California
| | - Thalia Nguyen
- University of California, Irvine School of Medicine, California
| | - Jennifer Mogi
- University of California, Irvine School of Medicine, California
| | - Shadi Lahham
- Department of Emergency Medicine, University of California, Irvine, California
| | - John C Fox
- Department of Emergency Medicine, University of California, Irvine, California
| |
Collapse
|
2
|
Lee JB, Tse C, Keown T, Louthan M, Gabriel C, Anshus A, Hasjim B, Lee K, Kim E, Yu L, Yu A, Lahham S, Bunch S, Alvarado M, Gari A, Fox JC. Evaluation of a point of care ultrasound curriculum for Indonesian physicians taught by first-year medical students. World J Emerg Med 2017; 8:281-286. [PMID: 29123606 DOI: 10.5847/wjem.j.1920-8642.2017.04.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The purpose of this study was to assess the short-term efficacy of a 4-week ultrasound curriculum taught by American first-year medical students to general practitioners working in public health care clinics, or puskesmas, in Bandung, Indonesia. METHODS We performed a prospective, observational study of Indonesian health care practitioners from public clinics in Bandung, Indonesia. These practitioners were enrolled in a 4-week ultrasound training course taught by first-year American medical students. A total of six sessions were held comprising of 38 ultrasound milestones. A pre-course and post-course written exam and practical exam was taken by each participant. RESULTS We enrolled 41 clinicians in the course. The average pre-course exam score was 35.2% with a 2.4% pass rate, whereas the average post-course exam score was 82.0% with a 92.7% pass rate. The average practical score at the completion of the course was 83.2% (SD=0.145) with 82.9% of the class passing (score above 75.0%). CONCLUSION Our data suggests that first-year medical students can effectively teach ultrasound to physicians in Indonesia using a 4-week intensive ultrasound training course. Future studies are needed to determine the amount of training required for proficiency and to evaluate the physicians' perceptions of the student-instructors' depth of knowledge and skill in point of care ultrasound.
Collapse
Affiliation(s)
- Jonathan B Lee
- School of Medicine, University of California, Irvine, USA
| | - Christina Tse
- School of Medicine, University of California, Irvine, USA
| | - Thomas Keown
- School of Medicine, University of California, Irvine, USA
| | | | | | | | - Bima Hasjim
- School of Medicine, University of California, Irvine, USA
| | - Katrina Lee
- School of Medicine, University of California, Irvine, USA
| | - Esther Kim
- School of Medicine, University of California, Irvine, USA
| | - Luke Yu
- School of Medicine, University of California, Irvine, USA
| | - Allen Yu
- School of Medicine, University of California, Irvine, USA
| | - Shadi Lahham
- Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA
| | - Steven Bunch
- Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA
| | - Maili Alvarado
- Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA
| | - Abdulatif Gari
- Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA
| | - John C Fox
- School of Medicine, University of California, Irvine, USA.,Department of Emergency Medicine, University of California, Irvine, Orange, California 92868, USA
| |
Collapse
|