Curriculum Development and Evaluation of a Hemodynamic Critical Care Ultrasound: A Systematic Review of the Literature

Kanji, Hussein D.; McCallum, Jessica; Bhagirath, Kapil M.; Neitzel, Andrew

doi:10.1097/ccm.0000000000001661

Cited by 36 publications

(31 citation statements)

References 28 publications

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“…A focused training program may help to achieve proficiency in bedside echocardiography [42]. A systematic review analyzed studies assessing the competence of residents with respect to bedside echocardiography after focused training in the intensive care unit [43]. Residents were involved in theoretical sessions integrating didactics and interactive clinical cases and hands-on teaching.…”

Section: Trainingmentioning

confidence: 99%

“…In most studies competence was defined as the ability to both acquire and interpret images correctly. Kanji et al [43] suggested that a minimum of 30 independent examinations is recommended to develop an acceptable level of competence with respect to answering binary questions regarding biventricular function, pericardial effusion, and volume status.…”

Section: Trainingmentioning

confidence: 99%

“…In den meisten Studien wurde Kompetenz als die Fähigkeit definiert, Bilder korrekt zu erfassen und zu interpretieren. Kanji et al[43] schlugen vor, mindestens 30 unabhängige Untersuchungen zu empfehlen, um ein akzeptables Kompetenzniveau bezüglich der Beantwortung binärer Fragen zur biventrikulären Funktion, zum Perikarderguss und zum Volumenstatus zu entwickeln.…”

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I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

et al. 2020

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As the availability of portable echocardiographic equipment is becoming more and more widespread, physicians can add a powerful tool to their bedside examination skills, thus helping them to more effectively face the growing complexity of patients admitted to internal medicine departments or the emergency room. Focused cardiac ultrasound (FoCUS) can be defined as a goal-directed, simplified, qualitative examination performed at the bedside using portable echocardiographic devices. FoCUS is not meant to be a substitute for a standard 2D color Doppler echocardiographic examination. Nevertheless, it can provide rapid and reliable information when limited to basic questions, even when performed by non-cardiologists with brief training. Furthermore, a focused cardiac ultrasound examination maximizes its diagnostic role when integrated with an ultrasonographic assessment of the lung, abdomen and deep veins, in a multisystem approach that is particularly dear to internists. In this article, we will focus on the specific targets of a focused cardiac ultrasound examination, as well as the most common pitfalls that can be encountered in ultrasonographic practice. We will also address the application of FoCUS in the management of two typical scenarios in clinical practice, such as dyspnea and non-post-traumatic hypotension.

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Section: Trainingmentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

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I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

et al. 2020

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“…19,20 This workshop format has been published by several institutional courses for trainees as well. [21][22][23] These approaches tend to be "teacher-centric" models, whereby it is easier for a small number of faculty to teach a larger number of learners. 24 However, this may not equate to students fully learning the material, as is the focus in more learner-centric models.…”

Section: Introductionmentioning

confidence: 99%

Teaching vs learning: Impact of deliberate practice and formative feedback on developing point of care ultrasound skills

Schott

Kode

Mader

2020

J of Clinical Ultrasound

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Purpose The study investigators hypothesized that Point of Care Ultrasound (POCUS) training through bolus didactic and workshop experiences may be sufficient for trainees to learn the cognitive aspects, while an extended period of exposure with formative feedback is responsible for developing the psychomotor skills critical for POCUS. Methods The investigators studied trainees over the course of an academic year. They compared trainees' performance on written (cognitive) and observed image acquisition (psychomotor) exams at baseline and at each subsequent quarter, using a stepped‐wedge design. They performed linear regression analysis to determine which variables contributed to knowledge and psychomotor skill development. Results Twenty‐six trainees met the study requirements and participated in the POCUS curriculum. Participating in a POCUS rotation was consistently associated with an increase in psychomotor scores. There was no consistent variable to predict an increase in trainee's score on written knowledge assessments. Conclusions Extended exposure to POCUS over a 4‐week rotation with direct and indirect formative feedback can explain difference in scores on psychomotor skills assessments. Trainees scored similarly on the written assessment with or without a POCUS rotation. Training through didactic and workshop experiences may be sufficient to learn the cognitive aspects, but not psychomotor skills required for POCUS.

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“…Several ultrasound protocols have been developed to assist in the assessment of shock and respiratory distress , incorporating examinations of the heart, lungs and abdomen, in addition to other organ systems. Ultrasound has been shown to improve diagnostic accuracy, change management and may reduce mortality rates for critically ill patients. Although there have been several studies demonstrating the feasibility of ultrasound training in LMICs , evidence on the impact of ultrasound on emergency care in such settings is limited .…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary ultrasound for critically ill adults improves diagnostic accuracy in a resource‐limited setting: the AFRICA trial

Becker

Tafoya

Osei‐Ampofo

et al. 2017

Tropical Med Int Health

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Curriculum Development and Evaluation of a Hemodynamic Critical Care Ultrasound: A Systematic Review of the Literature

Abstract: Assessment of cardiac function and volume assessment is becoming an essential skill in critical care medicine. Physicians can be taught bedside echocardiography in a time-effective manner with positive benefit to patients by applying a concise curriculum with limited content.

Cited by 36 publications

References 28 publications

I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

I Will Be at Your (Bed)Side – The Role of Bedside Echocardiography for Non-Cardiologists

Teaching vs learning: Impact of deliberate practice and formative feedback on developing point of care ultrasound skills

Cardiopulmonary ultrasound for critically ill adults improves diagnostic accuracy in a resource‐limited setting: the AFRICA trial

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