Ultrasound curricula in obstetrics and gynecology training programs

Leonardi, Mathew; Murji, Ally; D’Souza, Rohan

doi:10.1002/uog.18978

Cited by 20 publications

(21 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…20,21 In general, the applicable studies concluded that fewer than 50 scans are required for competency development. [17][18][19] We hope to broaden our understanding of training requirements in light of the overall poor training in gynecologic ultrasound (US) for gynecologic trainees 22 and overall low awareness and use of expert-guided TVUS for endometriosis internationally. 23 We aimed to assess whether gynecologic fellows (in minimally invasive gynecologic surgery and gynecologic sonology) can become competent in the real-time classification of the POD obliteration state and direct visualization of bowel DE during a learning program with a prespecified number of TVUS examinations.…”

mentioning

confidence: 99%

One‐Size‐Fits‐All Approach Does Not Work for Gynecology Trainees Learning Endometriosis Ultrasound Skills

Leonardi

Ong

Espada

et al. 2020

J of Ultrasound Medicine

Self Cite

View full text Add to dashboard Cite

Objectives-To evaluate whether gynecologic surgical trainees (fellows) can become competent in the real-time classification of the pouch of Douglas (POD) obliteration state and direct visualization of bowel deep endometriosis (DE) during a program with a prespecified number of transvaginal ultrasound (TVUS) examinations. Methods-We performed a prospective study between December 2017 and December 2018. Three fellows (F1-F3) performed 50 scans each, which were all supervised by an expert sonologist, who performed the reference standard TVUS examination. The fellows performed a focused TVUS examination to assess the bowel and POD state, having been blinded to the patient's clinical history and reference standard findings. Immediate feedback and hands-on teaching were provided after each of the fellow's official classifications. To evaluate the number of scans needed to gain competency, the cumulative summation test for the learning curve was used. Results-A total of 150 examinations were performed on 145 patients. Twentysix (17.9%) patients had a diagnosis of bowel DE, and 34 (23.4%) were classified as having a negative sliding sign by the reference standard. The overall accuracy of the presence/absence of bowel DE was 90% (range, 82%-94%). The overall accuracy of POD state classification was 93% (range, 90%-96%). The cumulative summation test for the learning curve for bowel DE showed that F1 did not reach competency by 50 scans, whereas F2 and F3 required 21 and 25 scans, respectively. For POD obliteration, F2 did not reach competency, whereas F1 and F3 required 40 and 22 scans. Conclusions-Not all trainees can reach competency for TVUS evaluations of POD obliteration and bowel DE in a predefined number of scans.

show abstract

mentioning

confidence: 99%

One‐Size‐Fits‐All Approach Does Not Work for Gynecology Trainees Learning Endometriosis Ultrasound Skills

Leonardi

Ong

Espada

et al. 2020

J of Ultrasound Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ultrasonography is considered safe but highly operator dependent, and its certi cation of personnel and compliance with protocols are important 1,2 . Ultrasound is performed and interpreted by a wide range of healthcare providers in the specialty of obstetrics and gynecology (Ob/Gyn), which still lacks standardized training 3,4 . The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) is the leading international society of professionals in ultrasound for Ob/Gyn, which encourages best practice, teaching and research in the eld of imaging in women's healthcare 5,6 .…”

Section: Introductionmentioning

confidence: 99%

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) Basic Training Course: Evaluation in China

Wang¹,

Lin²,

Xuan³

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundThe aim of this study is to evaluate effectiveness of ISUOG (International Society of Ultrasound in Obstetrics and Gynecology) basic training curse in Chinese sonographer, which has not been reported yet. MethodsISUOG basic training course includes 30 lectures and was held in 3 days in 2019 in Beijing, China. We included the questionnaires answered by the trainees both before and after the course in each day. There were 9 lectures presented in the first day, 12 in the second and 9 in the last. The theoretical tests were provided by ISUOG, including 22, 21 and 21 multiple-choice questions respectively in 3 days. Pre and post-training theoretical test scores were compared by Wilcoxon singned-rank test. The changes of the theoretical test scores and the rates of “very satisfied” and “very useful” from trainees of different professional titles were compared by Wilcoxon singned-rank test and Chi-square test.ResultsQuestionnaires from 481 trainees who have experience of ultrasonic scan in Ob/Gyn and also had done the survey both before and after course were collected, with 274 in the first day, 94 in the second and 113 in the last. The differences of the correct-answer-number got from the before-test and after-test were with statistically significance(all P-values <0.05). The trainees who got better scores after the training were 219(79.9%), 73(77.7%) and 82(72.6%) in each day, and the changes of scores were without significant difference between doctors of different titles( all P-values >0.05). After every day’s training, the rates as “very satisfied” evaluated by trainees were 81.4%, 87.2% and 91.1% respectively, and the rates as “very useful” were 80.3%, 88.3% and 91.2%. The rate of “very useful” evaluated by trainees of primary title was higher than that of high title, with P-values of 0.01.ConclusionOur results indicated that ISUOG basic training course in China got good feedback and could assist Chinese sonographers in some degree.

show abstract

“…Ultrasound relies heavily on the technical skills of providers and effective training is essential to ensure consistently high-quality care. However, there is still a lack of standardized training for ultrasound in obstetrics and gynecology [1]. Recent surveys of trainees across the USA and Europe report widespread variability in availability, quality, and methods of training and assessment, both within and across countries [2].…”

Section: Introductionmentioning

confidence: 99%

International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) - the propagation of knowledge in ultrasound for the improvement of OB/GYN care worldwide: experience of basic ultrasound training in Oman

et al. 2019

View full text Add to dashboard Cite

BackgroundThe aim of this study is to evaluate effectiveness of a new ISUOG (International Society of Ultrasound in Obstetrics and Gynecology) Outreach Teaching and Training Program delivered in Muscat, Oman.MethodsQuantitative assessments to evaluate knowledge and practical skills were administered before and after an ultrasound course for sonologists attending the ISUOG Outreach Course, which took place in November, 2017, in Oman. Trainees were selected from each region of the country following a national vetting process conducted by the Oman Ministry of Health. Twenty-eight of the participants were included in the analysis. Pre- and post-training practical and theoretical scores were evaluated and compared.ResultsParticipants achieved statistically significant improvements, on average by 47% (p < 0.001), in both theoretical knowledge and practical skills. Specifically, the mean score in the theoretical knowledge test significantly increased from 55.6% (± 14.0%) to 81.6% (± 8.2%), while in the practical test, the mean score increased from 44.6% (± 19.5%) to 65.7% (± 23.0%) (p < 0.001). Performance was improved post-course among 27/28 participants (96.4%) in the theoretical test (range: 14 to 200%) and among 24/28 (85.7%) trainees in the practical skills test (range: 5 to 217%).ConclusionApplication of the ISUOG Basic Training Curriculum and Outreach Teaching and Training Course improved the theoretical knowledge and practical skills of local health personnel. Long-term re-evaluation is, however, considered imperative to ascertain and ensure knowledge retention.

show abstract

Ultrasound curricula in obstetrics and gynecology training programs

Cited by 20 publications

References 12 publications

One‐Size‐Fits‐All Approach Does Not Work for Gynecology Trainees Learning Endometriosis Ultrasound Skills

One‐Size‐Fits‐All Approach Does Not Work for Gynecology Trainees Learning Endometriosis Ultrasound Skills

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) Basic Training Course: Evaluation in China

International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) - the propagation of knowledge in ultrasound for the improvement of OB/GYN care worldwide: experience of basic ultrasound training in Oman

Contact Info

Product

Resources

About