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Chambers O, Eckhardt D, Jackson TE, Vincent A, Zapata I, Simon B. Development of a Novel, Reusable Task Trainer for Foreign Body Removal and Abscess Incision and Drainage. J Physician Assist Educ 2024:01367895-990000000-00140. [PMID: 38684090 DOI: 10.1097/jpa.0000000000000580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
INTRODUCTION Cutaneous abscess incision and drainage and foreign body removal are 2 common procedures in a variety of outpatient settings. The goal of this project was to create a novel, clean, reusable task trainer that could more accurately reproduce all the steps necessary to perform cutaneous abscess drainage or foreign body removal including ultrasound to identify the abscess cavity or foreign body. METHODS The novel task trainer was constructed using silicone for both the base and the top skin. Toothpaste mixed with saline was used for the abscess material as this produced an ultrasound image that mimicked purulent material. A piece of a metal paper clip was imbedded in the top skin to mimic a cutaneous foreign body. Physician assistant (PA) students given a didactic lecture then used the novel task trainer as part of a clinical skills course. RESULTS After the activity, the PA students were asked to voluntarily complete a brief preretrospective/postretrospective survey comprised 8 questions that addressed their self-perceived knowledge and skills using a 5-point Likert scale. Survey data from an initial cohort of PA students at one university show effectiveness of the models when used with the associated curriculum. DISCUSSION This study demonstrates the feasibility of constructing a practical, low-cost, non-animal-based task trainer for the purpose of training incision and drainage of cutaneous abscesses and removal of cutaneous foreign bodies. This novel task trainer allows for ultrasound skill development and provides realistic imaging experience.
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Affiliation(s)
- Orrin Chambers
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
| | - David Eckhardt
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
| | - Thomas E Jackson
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
| | - Apolline Vincent
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
| | - Isain Zapata
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
| | - Bradley Simon
- Orrin Chambers, OMS IV, is a principal investigator, Rocky Vista University, Englewood, Colorado
- David Eckhardt, MS, PA-C, is a faculty advisor, Department of Physician Assistant Studies, Rocky Vista University, Englewood, Colorado
- Thomas E. Jackson, III, BA, is a research associate, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
- Apolline Vincent, OMS II, is a research associate, Rocky Vista University, Englewood, Colorado
- Isain Zapata, PhD, is a statistician, Department of Biomedical Sciences, Rocky Vista University, Englewood, Colorado
- Bradley Simon, MD, FACEP, is a faculty advisor, Office of Simulation in Medicine and Surgery, Rocky Vista University, Englewood, Colorado
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Rosenblatt LS, King SA, Callahan ME, Wilkerson RG. Which Way Would You Slice It? Evaluation of 3 Educational Models for the Loop Drainage Technique. MEDICAL SCIENCE EDUCATOR 2022; 32:481-494. [PMID: 35528288 PMCID: PMC9054987 DOI: 10.1007/s40670-022-01530-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/03/2022] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Emergency department visits for cutaneous abscesses are increasing. It is important for healthcare professionals to be proficient in identifying and treating abscesses. Loop drainage technique (LDT) is a newer technique which has been described in several articles but limited resources for teaching have been studied. The objective of this study was to compare 3 models for learning and teaching the LDT. METHODS This was a prospective survey study of a convenience sample of emergency medicine residents at a large urban academic center. Residents volunteered to participate during a scheduled cadaver and simulation session. After a self-directed review of the LDT, each participant performed ultrasound visualization and then the LDT on 3 simulated abscesses: a cadaveric model, a commercial abscess pad, and a homemade phantom. Participants completed pre- and post-simulation surveys. RESULTS Of 57 residents, 28 participated in the 1-day simulation. The majority (57.1%, p < 0.009) preferred the cadaver model for learning the LDT, and 78.6% reported it to have the most realistic physical examination for an abscess (p = 0.001). Prior to participation, 0% of residents felt proficient performing LDT. After participation, 46.4% of residents felt proficient and 78.6% reported intent to use in clinical practice (p < 0.001). CONCLUSIONS Simulation is an effective educational tool for both learning new skills and improving procedural competency. Residents found cadavers provided the most realistic physical examination, and the majority preferred it for learning the LDT. However, cadavers are not always accessible, an important factor when considering various educational settings.
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Affiliation(s)
- Lauren S. Rosenblatt
- Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 USA
| | - Samantha A. King
- Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 USA
| | - Michele E. Callahan
- Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 USA
| | - R. Gentry Wilkerson
- Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 USA
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Sevak S, Lurvey B, Woodfin AA, Hothem Z, Callahan RE, Robbins J, Ziegler K. Solid, Cystic, and Tubular: Novice Ultrasound Skills Training Using a Versatile, Affordable Practice Model. JOURNAL OF SURGICAL EDUCATION 2018; 75:1403-1409. [PMID: 29650483 DOI: 10.1016/j.jsurg.2018.02.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 01/08/2018] [Accepted: 02/18/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE In spite of the recognized benefits of ultrasound, many physicians have little experience with using ultrasound to perform procedures. Many medical schools and residency programs lack a formal ultrasound training curriculum. We describe an affordable ultrasound training curriculum and versatile, inexpensive practice model. DESIGN Participants underwent a didactic session to teach the theory required to perform ultrasound-guided procedures. Motor skills were taught using a practice model incorporating analogs of common anatomic and pathologic structures into an opacified gelatin substrate. SETTING The Marcia and Eugene Applebaum Simulation Learning Institute, Beaumont Hospital, Royal Oak, MI; a private nonprofit tertiary care hospital associated with the OUWB School of Medicine, Rochester, MI. PARTICIPANTS The model was tested in a cohort of 50 medical students and general surgery residents. RESULTS The gelatin model can be constructed for $1.03 per learner. The solid, cystic, and vascular structural analogs were readily identifiable on ultrasound and easily differentiated based on their echotextures. Eighty-four percent of participants successfully aspirated the cystic structure, 88% successfully biopsied a portion of the solid structure, and 76% successfully cannulated the tubular structure. Overall, 82% of participants achieved a passing score for the exercise based on a validated Objective Structured Assessment of Technical Skill instrument. There were no significant differences between the medical students and residents. CONCLUSION This model can be used to teach basic ultrasound skills such as aspiration, biopsy, and vessel cannulation, providing a foundation for the use of ultrasound in a broad range of clinical procedures, as well as providing practice opportunities for medical students and residents to gain increased ultrasound competency and confidence.
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Affiliation(s)
- Shruti Sevak
- Department of Surgery, Beaumont Health, Royal Oak, Michigan
| | - Benjamin Lurvey
- OUWB School of Medicine, Beaumont Health, Royal Oak, Michigan
| | | | - Zachary Hothem
- Department of Surgery, Beaumont Health, Royal Oak, Michigan
| | | | - James Robbins
- Department of Surgery, Beaumont Health, Royal Oak, Michigan; OUWB School of Medicine, Beaumont Health, Royal Oak, Michigan; Section of Trauma Surgery, Beaumont Health, Royal Oak, Michigan
| | - Kathryn Ziegler
- Department of Surgery, Beaumont Health, Royal Oak, Michigan; OUWB School of Medicine, Beaumont Health, Royal Oak, Michigan; Marcia and Eugene Applebaum Surgical Learning Institute, Beaumont Health, Royal Oak, Michigan.
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