Topics in Ultrasound Education

Lucas, Louis W.; Tessler, Franklin N.; Lockhart, Mark E.; Hester, Felix A.; Canon, Cheri L.

doi:10.1097/00013644-200606000-00024

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…While the advantages and benefits of TVU have been well documented, TVU remains a challenging and invasive procedure with its own limitations. Of all the types of diagnostic examinations performed, TVU remains one of the greatest challenges for radiology residents and faculty alike [12]. The spatial relationship between the transducer position and the image is still confusing for novices.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice

Tabbara

Evangelopoulos²,

Raio³

et al. 2012

Emergency Medicine International

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Background. Transvaginal ultrasound (TVU) in female patients with acute right lower quadrant (RLQ) abdominal pain is time and infrastructure intensive and not always available. This study aims to evaluate the role of TVU in these patients. Methods. Retrospective analysis identified 224 female patients with RLQ pain and TVU. Results. TVU revealed an underlying pathology in 34 (15%) patients, necessitating a diagnostic laparoscopy in 12 patients. Six patients (2%) had a true gynaecological emergency. The remaining 23 patients did not require surgery. The other 190 patients with RLQ pain had a bland TVU; 127 (67%) were discharged, while 63 patients (33%) received a diagnostic laparoscopy. Conclusion. The incidence of true gynaecological emergencies requiring urgent surgical intervention is very low in our patient cohort. TVU is a helpful tool if performed by a physician who is well trained in TVU.

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Section: Discussionmentioning

confidence: 99%

Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice

Tabbara

Evangelopoulos²,

Raio³

et al. 2012

Emergency Medicine International

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Transvaginal ultrasound training for the obstetrics and gynecology resident: A multisite randomized controlled trial of educational DVD

McCurdy

High

Schnatz

et al. 2018

J of Clinical Ultrasound

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Purpose: Residents in obstetrics and gynecology are deemed to be proficient in transvaginal ultrasound (TVUS) upon graduation, although TVUS education in residency is not standardized.The objective of this study is to assess for improvement in TVUS knowledge among residents after viewing an educational DVD.Methods: This is a multisite prospective randomized controlled trial using an educational DVD ("Gynecology: Beginners Only"), compared to routine education. All participants completed a pretest on TVUS images and principles. The intervention group repeated the test after DVD viewing. During the trial, performing and logging TVUS examinations were encouraged. All enrolled residents repeated the test 6-10 months later.Results: Fifty-seven residents completed the study with a mean pretest score of 9.7 (1st year resident 9.8, 2nd year resident 9.6, 3rd year resident 10.1, 4th year resident 9.4, P = .763), with a mean of 31.5 TVUS examinations logged prior to intervention. The mean score in the intervention group (n = 34) improved significantly after viewing (11.2, P < 0.003). This improvement did not persist 6-10 months later on a follow-up quiz (mean 10.7, P = .894). At completion of the study, participants logged an average of 56.7 TVUS examinations.Conclusion: An educational DVD is easily implemented and demonstrates short-term benefit. Exploration of different teaching modalities in development of a comprehensive training program may improve long-term retention. K E Y W O R D S randomized controlled trial, resident education, transvaginal ultrasound 1 | INTRODUCTION Current practice in obstetrics and gynecology (OB/GYN) requires competent use of transvaginal ultrasound (TVUS), yet formal training during residency is typically limited and not standardized. The Accreditation Council for Graduate Medical Education (ACGME) reported in the September 2012 National Resident Report that graduating OB/GYN residents completed an average of 119.9 TVUS examinations as "surgeon" by the completion of their residency (range 0-623, 95th percentile was 260). 1 While the ACGME advises a resident to perform 50 TVUS examinations before completing residency, there are typically no specific program requirements, nor are there any specific recommendations in regards to how a program might assess competency in TVUS skills. Physicians who have graduated from an ACGME approved OB/GYN residency after 1982 are deemed competent to perform TVUS. Unfortunately, various components of TVUS use, including equipment calibration and transducer reprocessing, may not be part of the residency education. 2 Additionally, the American College of Radiology requires that for a practice to be accredited, the supervising physician must have at least 2 years of US experience during which at least 500 US examinations were performed or supervised and interpreted. 3 This is more than almost all OB/GYN residents perform during their 4-year residency.A PubMed search using the MeSH terms "ultrasonography," "internship and residency," and "gynecology" identified 1...

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A phenomenological study to explore the experiences of Ugandan women that have undergone transvaginal ultrasound

Mubuuke

2014

J of Medical Radiation Sci

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IntroductionTransvaginal ultrasound (TVUS) is an important examination of the female pelvis that involves the transducer being inserted into the vagina to obtain more detailed images of the pelvic organs. Unfortunately, this examination has received mixed experiences from the women who have undergone it. This study set out to explore the lived experiences of Ugandan women who have undergone TVUS.MethodsIt was a phenomenological exploratory study involving 20 women in Uganda that had previously undergone TVUS. Data were collected using in-depth individual interviews. The responses from the women were audio-recorded and later transcribed. Thematic analysis was used to interpret and make meaning of the data collected.ResultsAnalysis of data revealed mostly negative experiences of the women who were included in this study. Key words from the participating women that illustrated the negative experiences included: fear, vulnerability, guilt, anxiety and embarrassment. It was also observed that these initial negative experiences are likely to reduce the women's acceptability and compliance to TVUS even when it is needed for better clinical management. Data were categorised into the following three thematic areas: (1) broken communication, (2) anxiety and discomfort and (3) cultural influence.ConclusionWomen in this study portrayed negative experiences of undergoing TVUS. Key suggestions like informed consent are recommended to improve compliance of the women to this type of procedure.

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Topics in Ultrasound Education

Abstract: Learning how to perform endovaginal pelvic ultrasound is often challenging for novices in a busy clinical practice. In this article, we describe a program in which we hired female patient models to help residents acquire basic endovaginal scanning skills.

Cited by 4 publications

References 6 publications

Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice

Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice

Transvaginal ultrasound training for the obstetrics and gynecology resident: A multisite randomized controlled trial of educational DVD

A phenomenological study to explore the experiences of Ugandan women that have undergone transvaginal ultrasound

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