Arthrocentesis of the Knee

Thomsen, Todd W.; Shen, Sam; Shaffer, Robert W.; Setnik, Gary S.

doi:10.1056/nejmvcm051914

Cited by 34 publications

(2 citation statements)

References 5 publications

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“…Free on-line medical education tools were used as primers for the workshop. That is, participants and facilitators were provided with links to the applicable New England Journal of Medicine Videos in Clinical Medicine for self-study prior to the session (Thomsen et al, 2006;Dev et al, 2007;Anderson et al, 2008;Hsiao and Pacheco-Fowler, 2008;Tsui et al, 2008;Ortega et al, 2010;Nagler and Krauss, 2011;Fitch et al, 2012;Lighthall, Harrison and Chu, 2013;Pasquier, Hugli and Carron, 2013). These videos reviewed the indications, contraindications, equipment and steps for each procedure.…”

Section: Methodsmentioning

confidence: 99%

Critical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers

Langhan¹,

Tiyyagura²,

Emerson³

2020

MedEdPublish

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Objective: Pediatric emergency medicine providers must attain competence in both rare and life-saving procedures to care for acutely ill and injured children presenting to the hospital. However, there are inadequate numbers of patients available to ensure that all trainees are exposed to, learn about, and perform these critical procedures. Cost, time and need for travel can limit attendance at regional or national workshops for these skills. Using educational frameworks, a one-day local simulation workshop focusing on rare and critical procedures was developed and evaluated. Methods: Learners who care for acutely ill children were invited to attend. Small groups rotated through 8 stations: advanced airway, cricothyroidotomy and translaryngeal ventilation, pericardiocentesis, central venous catheterization, tube thoracostomy, vascular access, arthrocentesis, and vaginal delivery. Each station was manned by a faculty expert and participants had 20 minutes to learn and practice each procedure on task trainers. Participants received anonymous electronic surveys before and after the workshop to gauge their knowledge and experiences. Results: Twenty-four participants including pediatric emergency medicine fellows, pediatric residents, and pediatric critical care transport staff attended the workshop. Participants had very limited experience with the selected procedures in simulated or real patients prior to workshop. After the workshop, participants had increased agreement regarding their ability to name the indications, contraindications, equipment and procedural steps necessary for almost all procedures. Conclusion: This one-day simulated procedural workshop was able to expose relevant trainees and providers to rare and critical procedures. Use of local resources and faculty experts from a variety of specialties mitigated barriers to training for these procedures. Participants both experienced increases in knowledge and hands-on practice for these procedures. This workshop fulfilled an important gap in training and educational recommendations.

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Section: Methodsmentioning

confidence: 99%

Critical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers

Langhan¹,

Tiyyagura²,

Emerson³

2020

MedEdPublish

View full text Add to dashboard Cite

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“…[13][14][15][16][17] Residents were also directed to watch instructional videos on both the SonoSite website and NEJM to review the US technique for all procedures. 13,14,[18][19][20][21][22][23][24][25]…”

Section: Pre-course Materialsmentioning

confidence: 99%

Implementation of a Progressive Three-Year Point of Care Ultrasound Curriculum for Internal Medicine Residents

Lewis¹,

Martin²,

Mazzetti³

et al. 2018

Can Journ Gen Int Med

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Background Point-of-Care Ultrasound (PoCUS) is an ultrasound examination performed by the clinician to answer a focused question or guide an invasive procedure. Despite gaining popularity and evidence supporting the use of PoCUS, core Internal Medicine (IM) residency programs in Canada have yet to implement a comprehensive PoCUS curriculum. The objective of this study was to create a formal PoCUS curriculum. Methods We conducted a systematic needs assessment with a survey that assessed IM attending and resident comfort, training, and application of PoCUS. We also performed a literature review of selected PoCUS-guided procedures and diagnostics to assess the evidence. A working group analyzed the collected data and designed a graduated 3-year curriculum. Results The needs assessment demonstrated that PoCUS education was both necessary and in high demand. The PoCUS-guided procedures and diagnostics that were identified by the survey to be necessary for IM training were then evaluated by a literature review. Based on the evidence, a progressive 3-year curriculum was created. The working group decided on the method and timing of curriculum delivery. Conclusion McMaster University is the first IM residency program to introduce a graduated 3-year curriculum complete with competency assessment and quality assurance. Résumé Contexte L'échographie ponctuelle est un examen d'échographie effectué par le clinicien pour répondre à une question ciblée ou guider une procédure invasive. Malgré l'obtention de la popularité et des preuves appuyant l'utilisation de la messagerie instantanée, les programmes de résidence au Canada pour la médecine interne de base (GI) n'ont pas encore mis en œuvre un programme exhaustif. L'objectif de cette étude était de créer un programme d'études officiel. Méthodes Nous avons effectué une évaluation systématique des besoins avec un sondage qui évaluait la présence de GI et le confort des résidents, la formation et l'application de ces programmes. Nous avons également effectué un examen de la documentation de certaines procédures et diagnostics guidés pour évaluer la preuve. Un groupe de travail a analysé les données collectées et conçu un programme gradué de trois ans. Résultats L'évaluation des besoins a démontré que l'éducation était à la fois nécessaire et trèsdemandée. Les procédures et les diagnostics qui ont été identifiés par le sondage comme étant nécessaires à la formation en GI ont ensuite été évalués par un examen de la documentation. Sur la base des données probantes, un programme d'études progressive de trois ans a été créé. Le groupe de travail a décidé de la méthode et ducalendrier de l'exécution des programmes. Conclusion L'Université McMaster est le premier programme de résidence en GI à présenter un programme gradué de trois ans complété par l'évaluation des compétences et l'assurance de la qualité.

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Aspiration of a Knee Joint

Sprigings¹,

Chambers²

2007

Acute Medicine

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Arthrocentesis of the Knee

Cited by 34 publications

References 5 publications

Critical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers

Critical Procedures in Children: Skills Training for Pediatric Emergency Medicine Providers

Implementation of a Progressive Three-Year Point of Care Ultrasound Curriculum for Internal Medicine Residents

Aspiration of a Knee Joint

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