Teaching point-of-care transfontanellar ultrasound for pediatricians and medical students

Camilo, Gustavo Bittencourt; Toledo, Gabriela Cumani; Júnior, Hebert Olímpio; Dias, Eleusa Nogueira; Oliveira, Bianca Lopes de; Ferreira, Julia P.; Mendes, Pedro de Freitas Batista; Bastos, Marcus Gomes

doi:10.1016/j.jped.2021.01.006

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…However, as previously shown in other publications, our study shows that ultrasound training consumes little time to be effectively taught 21,22 . Medical students able to perform POCUS efficiently at the end of their course have a higher chance of practicing and implementing it in the residency and later in their practice 24,25 . Some limitations are recognized in our study.…”

Section: Discussionmentioning

confidence: 99%

Abdominal ultrasound augments the medical students’ ability to identify free intraabdominal fluid

Toledo

Schreider

Camilo

et al. 2021

Rev. Assoc. Med. Bras.

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OBJECTIVE: Free intra-abdominal fluid describes an accumulation of free fluid in the peritoneal cavity. It has different etiologies, but it frequently constitutes a meaningful clinical sign. In this study, the authors interrogate whether abdominal ultrasound augments the medical students' ability to identify free intra-abdominal fluid.METHODS: Thirty-one medical students without any previous formal ultrasound training were subjected to cognitive assessment before and after four and a half-hour of theoretical lecture and hands-on course about the diagnosis of free intra-abdominal fluid by physical examination and abdominal ultrasound. The hands-on sessions were done in healthy volunteers with a simulated peritoneal catheter and in patients treated with peritoneal dialysis with different amounts of dialysate in their cavity. RESULTS:The cognitive assessment before and after the course increased from 6.7±2.3 to 11.6±1.1 points (p<0.0001). The sensitivity, specificity, and accuracy in the diagnosis of free intra-abdominal fluid were higher when students used abdominal ultrasound. The students agree with the inclusion of abdominal ultrasound in the diagnose of free intra-abdominal fluid in the undergraduate curriculum. CONCLUSIONS:This study demonstrates that incorporating abdominal ultrasound is feasible and improves medical students' short-time competency in performing and interpreting the findings diagnostic of free intra-abdominal fluid.

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Section: Discussionmentioning

confidence: 99%

Abdominal ultrasound augments the medical students’ ability to identify free intraabdominal fluid

Toledo

Schreider

Camilo

et al. 2021

Rev. Assoc. Med. Bras.

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“…Several studies have demonstrated the feasibility of medical students using POCUS and have included teaching multiple POCUS applications to medical students simultaneously [2,4,5]. However, there are few studies demonstrating medical students' ability to accurately perform POCUS on pediatric patients and these studies have typically included one POCUS application taught at a time [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum

Cooper

Jones

Pascual

et al. 2022

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Purpose: To determine medical student ability to accurately obtain and interpret POCUS exams of varying difficulty in the pediatric population after a short didactic and hands-on POCUS course. Methods: Five medical students were trained in four POCUS applications (bladder volume, long bone for fracture, limited cardiac for left ventricular function, & inferior vena cava collapsibility) and enrolled pediatric ED patients. Ultrasound-fellowship-trained emergency medicine physicians reviewed each scan for image quality and interpretation accuracy using the American College of Emergency Physicians’ quality assessment scale. We report acceptable scan frequency and medical student vs. Ultrasound-fellowship-trained emergency medicine physician interpretation agreement with 95% confidence intervals (CI). Results: Ultrasound-fellowship-trained emergency medicine physicians graded 51/53 bladder volume scans as acceptable (96.2%; 95% CI 87.3-99.0%) and agreed with 50/53 bladder volume calculations (94.3%; 95% CI 88.1-100%). Ultrasound-fellowship-trained emergency medicine physicians graded 35/37 long bone scans as acceptable (94.6%; 95% CI 82.3-98.5%) and agreed with 32/37 medical student long bone scan interpretations (86.5%; 95% CI 72.0-94.1%). Ultrasound-fellowship-trained emergency medicine physicians graded 116/120 cardiac scans as acceptable (96.7%; 95% CI 91.7-98.7%) and agreed with 111/120 medical student left ventricular function interpretations (92.5%; 95% CI 86.4-96.0%). Ultrasound-fellowship-trained emergency medicine physicians graded 99/117 inferior vena cava scans as acceptable (84.6%; 95% CI 77.0-90.0%) and agreed with 101/117 medical student interpretations of inferior vena cava collapsibility (86.3%; 95% CI 78.9-91.4%). Conclusions: Medical students demonstrated satisfactory ability within a short period of time in a range of POCUS scans on pediatric patients after a novel curriculum. This supports the incorporation of a formal POCUS education into medical school curricula and suggests that novice POCUS learners can attain a measure of competency in multiple applications after a short training course.

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“…Ultrasound is one of the most important imaging techniques in medicine and has endless advantages including portability, non-invasiveness, low cost, absence of radiation or contrast, real-time imaging, ease of use, and bedside assessment, in addition to facilitating decisions in medical practice ( 1 – 3 ). This method provides the physician with greater skill in caring for patients and improves the information collected upon physical examination ( 4 , 5 ).…”

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Editorial: Experiences and advances in endocrinology point-of-care ultrasound (POCUS)

2023

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Editorial on the Research TopicExperiences and advances in endocrinology point-of-care ultrasound (POCUS)Ultrasound is one of the most important imaging techniques in medicine and has endless advantages including portability, non-invasiveness, low cost, absence of radiation or contrast, real-time imaging, ease of use, and bedside assessment, in addition to facilitating decisions in medical practice (1-3). This method provides the physician with greater skill in caring for patients and improves the information collected upon physical examination (4, 5).Advances in technology associated with the growth of medical ultrasound education in undergraduate studies have facilitated the integration of point-of-care ultrasound (POCUS) not only in radiology and cardiology but also into a wider variety of fields such as anesthesia and emergency medicine (6, 7). In endocrinology, the use of ultrasonography is also widely used, and the evaluation of the thyroid should be highlighted (4, 8).It is important to emphasize that this imaging technique is also being used to guide many procedures, biopsies, and surgeries (9).The objective of the Research Topic "Experiences and advances in endocrinology point-ofcare ultrasound (POCUS)" was to gather original research articles and review illustrations of the recent advances concerning the roles of ultrasound and its support in clinical practice especially in endocrinology. This Research Topic consists of five original articles.Two original articles deal with the theme interventional ultrasound to guide procedures in thyroid. Minimally invasive measures are applied in nodules and tumors like laser ablation, ethanol ablation, and radiofrequency ablation. Both articles highlighted the importance of diagnosing thyroid nodules and predicting the differentiation between benign and malignant lesions and is never too much to emphasize that ultrasound is the first-line imaging examination for the malignancy risk assessment of thyroid nodules (1). Yong-ping et al. investigated the efficacy and safety of ultrasound-guided percutaneous laser ablation for treating recurrent papillary thyroid cancer nodules. They showed that the ultrasound-guided laser ablation is minimally invasive and common for patients with thyroid nodules and is a clinically effective, repeatable, and efficient outpatient treatment that is well-tolerated and isFrontiers in Endocrinology frontiersin.org 01

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Teaching point-of-care transfontanellar ultrasound for pediatricians and medical students

Cited by 4 publications

References 28 publications

Abdominal ultrasound augments the medical students’ ability to identify free intraabdominal fluid

Abdominal ultrasound augments the medical students’ ability to identify free intraabdominal fluid

Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum

Editorial: Experiences and advances in endocrinology point-of-care ultrasound (POCUS)

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