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Grenar P, Nový J, Mědílek K, Jakl M. Point-of-Care Cardiac Ultrasound Training Programme: Experience from the University Hospital Hradec Králové. Emerg Med Int 2024; 2024:9974284. [PMID: 38222095 PMCID: PMC10787655 DOI: 10.1155/2024/9974284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/02/2023] [Accepted: 12/08/2023] [Indexed: 01/16/2024] Open
Abstract
Point-of-care ultrasound examinations performed by physicians of different specialties are a rapidly growing phenomenon, which has led to a worldwide effort to create a standardised approach to ultrasound examination training. The implementation of emergency echocardiography by noncardiologists is mainly aimed at the standardisation of the procedure, a structured training system, and an agreement on competencies. This article summarises the current training programmes for nonechocardiographers at the University Hospital in Hradec Králové. In cooperation with cardiologists specialised in cardiac ultrasound (ECHO), an extended acute echo protocol dedicated to emergency department physicians was developed and validated in daily practice. According to our retrospective evaluation, after one year of clinical practice, we can confirm that point-of-care ultrasound examinations performed using the standardised limited echo protocol are safe and accurate. The observed concordance with comprehensive ECHO was 78%. This trial is registered with NCT05306730.
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Affiliation(s)
- Petr Grenar
- Department of Emergency Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Jiří Nový
- Department of Emergency Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic
- First Department of Cardio-Angiology and Internal Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Karel Mědílek
- First Department of Cardio-Angiology and Internal Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Martin Jakl
- Department of Emergency Medicine, University Hospital Hradec Králové, Hradec Králové, Czech Republic
- Department of Military Internal Medicine and Military Hygiene, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic
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Rao VV, DellaValle J, Gelin G, Day J. Mission POCUS in Haiti. JOURNAL OF RADIOLOGY NURSING 2023; 42:77-84. [PMID: 36742420 PMCID: PMC9890376 DOI: 10.1016/j.jradnu.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Introduction Point-of-care ultrasound (POCUS) has enhanced patient care and safety around the world. Clinicians can now use a small diagnostic ultrasound imaging device to answer some binary clinical questions and manage patients more effectively. Since the COVID-19 pandemic, there has been a significant adoption of POCUS by clinicians worldwide. Materials and Methods A basic cardiac POCUS training was conducted in Haiti with focus on physics, instrumentation, and basic echocardiography. Results The Mission POCUS team trained 15 Haitian physicians interested in better serving their patients with the implementation of POCUS cardiac in their patient assessment. Conclusion POCUS skills will empower clinicians from around the world to make rapid and accurate diagnosis and help save lives by diagnosing life threatening conditions and manage patient appropriately. Our experience in Haiti showed that a short POCUS training course can help improve the knowledge of physicians.
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Affiliation(s)
- Victor V Rao
- Point-of-Care Ultrasound Certification Academy, Inteleos, Rockville, Maryland
| | - James DellaValle
- United Health Services, Johnson City, New York
- Upstate Medical University, Syracuse, New York
| | - Gedeon Gelin
- Emmanuel Community Hospital of Peredo-Haiti, Haiti
- Polyclinique Universitaire de Pernier-ECG Sono Gnle- Echo Doppler Laboratoire, Pernier 35, Rue Charles Legrand, Haiti
| | - James Day
- Point-of-Care Ultrasound Certification Academy, Inteleos, Rockville, Maryland
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Jujo S, Sakka BI, Lee-Jayaram JJ, Kataoka A, Izumo M, Kusunose K, Nakahira A, Oikawa S, Kataoka Y, Berg BW. Medical student medium-term skill retention following cardiac point-of-care ultrasound training based on the American Society of Echocardiography curriculum framework. Cardiovasc Ultrasound 2022; 20:26. [PMID: 36224597 PMCID: PMC9554392 DOI: 10.1186/s12947-022-00296-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 10/06/2022] [Indexed: 11/17/2022] Open
Abstract
Background No studies have demonstrated medium- or long-term skill retention of cardiac point-of-care ultrasound (POCUS) curriculum for medical student. Based on the American Society of Echocardiography (ASE) curriculum framework, we developed a blended-learning cardiac POCUS curriculum with competency evaluation. The objective of this study was to investigate the curriculum impact on image acquisition skill retention 8 weeks after initial training. Methods This study was a prospective, pre-post education intervention study for first- and second-year medical students, with blinded outcome assessment. The curriculum included a pre-training ASE online module and healthy volunteer hands-on training to obtain 5 views: parasternal long-axis (PLAX), parasternal short-axis (PSAX), apical 4-chamber (A4C), subcostal 4-chamber (S4C), and subcostal inferior vena cava (SIVC) views. Students took 5-view image acquisition skill tests at pre-, immediate post-, and 8-week post-training, using a healthy volunteer. Three blinded assessors rated the image quality using a validated 10-point maximum scoring system. Students used a hand-held ultrasound probe (Butterfly iQ). Results Fifty-four students completed hands-on training, and pre- and immediate post-training skill tests. Twenty-seven students completed 8-week post-training skill tests. Skill test score improvement between pre- and 8-week post-training was 2.11 points (95% CI, 1.22–3.00; effect size, 1.13). Conclusion The cardiac POCUS curriculum demonstrated medium-term skill retention. The curriculum was sufficient for S4C and SIVC skill retention, but inadequate for PLAX, PSAX, and A4C. Therefore, instructional design modifications or re-training for PLAX, PSAX, and A4C are needed to make the curriculum more effective for clinically relevant skill retention.
Supplementary Information The online version contains supplementary material available at 10.1186/s12947-022-00296-z.
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Affiliation(s)
- Satoshi Jujo
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA. .,Department of Anesthesiology, Kameda Medical Center, Chiba, Japan.
| | - Brandan I Sakka
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA
| | - Jannet J Lee-Jayaram
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA
| | - Akihisa Kataoka
- Division of Cardiology, Department of Internal Medicine, Teikyo University, Tokyo, Japan
| | - Masaki Izumo
- Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
| | - Kenya Kusunose
- Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan
| | - Atsushi Nakahira
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.,Division of Critical Care Medicine, Nara Prefecture General Medical Center, Nara, Japan
| | - Sayaka Oikawa
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.,Center for Medical Education and Career Development, Fukushima Medical University, Fukushima, Japan
| | - Yuki Kataoka
- Department of Internal Medicine, Kyoto Min-Iren Asukai Hospital, Kyoto, Japan.,Systematic Review Workshop Peer Support Group (SRWS-PSG), Osaka, Japan.,Section of Clinical Epidemiology, Department of Community Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.,Department of Healthcare Epidemiology, Kyoto University Graduate School of Medicine / School of Public Health, Kyoto, Japan
| | - Benjamin W Berg
- SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA
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