Effectiveness of the “Teaching the Teachers” Diagnostic US Training Program

Goldberg, Barry B.; Schultz, Susan M.; Baltarowich, Oksana H.; Waldroup, L.; Bogen, Janice M.; Veloski, J. Jon

doi:10.1016/s1076-6332(03)80730-4

Cited by 12 publications

(5 citation statements)

References 12 publications

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“…Trainees participate in an intensive 3‐month training course, with examination before, immediately following and 6 months following completion. Examination has shown doubling of test scores following the course with good retention of knowledge at 6 months (Goldberg et al. 2001).…”

Section: Discussionmentioning

confidence: 99%

A review of training opportunities for ultrasonography in low and middle income countries

LaGrone

Sadasivam

Kushner

et al. 2012

Tropical Med Int Health

104

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Abstractobjective To review the current training opportunities for ultrasound use for health workers practising in low-and middle-income countries (LMICs).methods A PubMed search using terms ultrasound, sonography, echocardiography, developing country ⁄ countries, developing world, low resource settings, low income country ⁄ countries, training and education was conducted. Articles from 2000 to 2011 that included data on ultrasonography training were eligible for inclusion.results This review shows that most ultrasound scans are performed by generalist and obstetric physicians and even non-medical personnel with little to no formal training in ultrasonography. The spectrum of ultrasonography training described spanned from no formal training to formal certification and residency programmes. All courses included some component of didactics and hands-on training. Follow-up of trainee skills ranged from none, to telemedicine case review, to formal re-evaluations and intensive refresher courses. Ultrasonographic training in LMICs often does not meet the WHO criteria such as the number of scans under supervision and length of training programme recommended by WHO. Nevertheless, some programmes manage to have excellent outcomes with regard to diagnostic accuracy and retention of knowledge by trained personnel.conclusion Regulation and quality control of training in ultrasound skills for those working in LMICs can be improved. Research on effective training and follow-up should be encouraged.

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Section: Discussionmentioning

confidence: 99%

A review of training opportunities for ultrasonography in low and middle income countries

LaGrone

Sadasivam

Kushner

et al. 2012

Tropical Med Int Health

104

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“…Several reports of international ultrasound training programs have been published previously10, 32–34. Some of these were based in district hospitals in developing countries, where local health workers were trained successfully in theoretical and practical scanning skills.…”

Section: Discussionmentioning

confidence: 99%

Obstetric ultrasound scanning by local health workers in a refugee camp on the Thai–Burmese border

Rijken

Lee

Boel

et al. 2009

Ultrasound in Obstet & Gyne

135

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ObjectivesUltrasound examination of the fetus is a powerful tool for assessing gestational age and detecting obstetric problems but is rarely available in developing countries. The aim of this study was to assess the intraobserver and interobserver agreement of fetal biometry by locally trained health workers in a refugee camp on the Thai–Burmese border.MethodsOne expatriate doctor and four local health workers participated in the study, which included examinations performed on every fifth pregnant woman with a singleton pregnancy between 16 and 40 weeks' gestation, and who had undergone an early dating ultrasound scan, attending the antenatal clinic in Maela refugee camp. At each examination, two examiners independently measured biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL), with one of the examiners obtaining duplicate measurements of each parameter. Intraobserver measurement error was assessed using the intraclass correlation coefficient (ICC) and interobserver error was assessed by the Bland and Altman 95% limits of agreement method.ResultsA total of 4188 ultrasound measurements (12 per woman) were obtained in 349 pregnancies at a median gestational age of 27 (range, 16–40) weeks in 2008. The ICC for BPD, HC, AC and FL was greater than 0.99 for all four trainees and the doctor (range, 0.996–0.998). For gestational ages between 18 and 24 weeks, interobserver 95% limits of agreement corresponding to differences in estimated gestational age of less than ± 1 week were calculated for BPD, HC, AC and FL. Measurements by local health workers showed high levels of agreement with those of the expatriate doctor.ConclusionsLocally trained health workers working in a well organized unit with ongoing quality control can obtain accurate fetal biometry measurements for gestational age estimation. This experience suggests that training of local health workers in developing countries is possible and could allow effective use of obstetric ultrasound imaging. Copyright © 2009 ISUOG. Published by John Wiley & Sons, Ltd.

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“…Participant performance has been shown to improve when learning experiences incorporate knowledge assessment and assessment of clinical practice needs (Mazmanian & Davis, 2002). Multiple choice questions have routinely been used to assess health professionals involved in similar training programs and were used in this study Goldberg, et al, 2001). Excellent reliability has been stated when using multiple choice questions to evaluate factual knowledge, problem solving skills and some aspects of content and clinical reasoning however there are few validated strategies to assess actual clinical practice (Epstein & Hundert, 2002).…”

Section: Introductionmentioning

confidence: 99%

A comparison between workshop and DVD methods of training for physiotherapists in diagnostic ultrasound

2012

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The aim of this study was to evaluate the training package for improved educational outcome and to ascertain if there was a difference in outcome between two forms of delivery. The training package was delivered either during a workshop, where the training package was delivered face to face, or via a self paced DVD, which was mailed to participants. Both participant groups completed a web based assessment prior to and at the completion of the training. The assessment assessed their knowledge in ultrasound physics, scanning technique and anatomy. Pre and post training assessment scores were available for 84 participants who attended a workshop and 96 participants who received the DVD. Important and statistically significant (p < 0.05) increases in assessment scores from the beginning to the end of the training program were seen in both groups. On average, workshop participant scores improved by 37% and DVD participant scores improved by 27%. No statistical difference in the post assessment scores of the workshop trained or DVD trained participants was evident. On comparison, no statistically significant difference between the two methods of training; workshop and DVD, was found so both can be seen to be beneficial to the professional development of the physiotherapist in the use of diagnostic ultrasound within their profession.

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Effectiveness of the “Teaching the Teachers” Diagnostic US Training Program

Cited by 12 publications

References 12 publications

A review of training opportunities for ultrasonography in low and middle income countries

A review of training opportunities for ultrasonography in low and middle income countries

Obstetric ultrasound scanning by local health workers in a refugee camp on the Thai–Burmese border

A comparison between workshop and DVD methods of training for physiotherapists in diagnostic ultrasound

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