Use and Education of Point‐of‐Care Ultrasound in Pediatric Emergency Medicine in Saudi Arabia

Alzayedi, Abdullah Saad; Azizalrahman, Amani; Almadi, Hamad A.; Althekair, Ahmed M.; Blaivas, Michael; Karakitsos, Dimitrios

doi:10.1002/jum.14254

Cited by 3 publications

(5 citation statements)

References 31 publications

(61 reference statements)

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“…The present study also found a significant increase in the trainees' self-efficacy levels in performing the procedure after training (Table 5). In our study, the self-efficacy level for ocular, fracture, and soft tissue US increased considerably between before and after the course, which was consistent with the findings of previously published studies of US training courses demonstrating that the self-efficacy level was lower in US applications that trainees had not experienced than in those they had, and that the self-efficacy level increased significantly after the course [5,21,22]. In addition, the hands-on session contributed greatly to enhancing trainees' efficacy level, as seen previously in a study of pediatric POCUS training [5].…”

Section: Discussionsupporting

confidence: 92%

“…The questionnaire used in our study was created by referencing previously published studies on implementing a POCUS training course [5,17,18] after discussion among the instructors (Table 3). Due to the difficulty of simultaneously evaluating all components of the Kirkpatrick model for each course, the overall satisfaction level with our training course and the trainees' self-efficacy level in each US application before and after the course were selected for assessment in this pilot study.…”

Section: Questionnairementioning

confidence: 99%

“…Thanks to its increasing popularity, in 2015 the American College of Emergency Physicians and the American Academy of Pediatrics published a consensus statement on its use [3], and in 2016 a systematic review of POCUS use in pediatric care proposed reporting guidelines for POCUS examinations [4]. Given its popularity, training courses in pediatric POCUS are being implemented worldwide, further corroborating the efficacy of this technique [5][6][7][8][9][10][11][12][13]. However, many of the training courses target specialists such as pediatric intensivists and pediatric cardiologists [7][8][9][10]12], and focus on cardiac and soft tissue US or US-guided nerve block [6,9,11].…”

Section: Introductionmentioning

confidence: 99%

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Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

et al. 2021

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Purpose The popularity of point-of-care ultrasound (POCUS) has led to the creation of educational guidelines for its use. In Japan, however, a comprehensive training course for POCUS use in pediatric emergency medicine has yet to be developed. The present study aimed to implement a pilot course for pediatric POCUS training in Japan and to compare participants' self-efficacy level before and after the course. Methods A half-day training course in pediatric POCUS was implemented at a meeting of the Japan Society of Point-of-Care Ultrasound. A standardized training course, including pre-learning materials, live lectures, and hands-on sessions, was developed based on the US consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation and completed a self-evaluation survey before and after the course to access their background, self-efficacy in performing selected ultrasound procedures before and after the course, and their overall satisfaction with the course. Results In total, 31 physicians participated. Of these, 25 completed the survey. Ten participants were in post-graduate year (PGY) 1-2, 13 were in PGY 3-5, and eight were in PGY 6 or higher. The post-training self-efficacy score was significantly higher than the pre-course assessment score (86.0 [standard deviation (SD): 19.2] vs. 35.6 [SD 17.6], p = < 0.05, mean difference: 49.6 [95% confidence interval 39.6-61.2]). Furthermore, overall satisfaction with the course was high at 8.6 (SD 1.8). ConclusionThe present study implemented a pilot training course in pediatric POCUS and found the participants' selfefficacy level to be significantly higher after the course.

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Section: Discussionsupporting

confidence: 92%

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

et al. 2021

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“…In the near future, our PEM training curriculum not only needs to be reformed by adding extended critical care rotations, pediatric emergency placements, and clinical skill training, but also needs to aggressively cultivate pediatric emergency educators. Novel teaching and learning methods such as simulation sessions, [44][45][46] animal model drills, 35,[47][48][49] or ultrasound applications [50][51][52] may be also incorporated into the current curriculum to improve the clinical competencies and preparedness of EM residents.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to programs in Western countries, some parts of our EM residency programs can still be improved. Based upon the opinions of the participants in this study, the [44][45][46] animal model drills, 35,[47][48][49] or ultrasound applications [50][51][52] may be also incorporated into the current curriculum to improve the clinical competencies and preparedness of EM residents.…”

Section: Discussionmentioning

confidence: 99%

Assessing the effectiveness of pediatric emergency medicine education in emergency medicine residency training: A national survey

Chen

Chaou

et al. 2020

Hong Kong Journal of Emergency Medicine

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Background: Evaluating the effectiveness of pediatric emergency medicine training is essential to ensure that emergency physicians and emergency medicine residents have sufficient knowledge, skill, and confidence in optimizing care for acute pediatric visits. Although the field of pediatric emergency medicine has experienced phenomenal growth in past decades, it still faces challenges in how to best implement the curriculums in emergency medicine residency training programs. Objectives: Exploring emergency physicians’ and emergency residents’ perspectives on pediatric emergency medicine training in emergency residency training programs in Taiwan through a nationwide survey. Methods: The survey was distributed to 1281 emergency physicians and emergency medicine residents in 43 teaching hospitals. The survey inquired about demographic data, hospital type, rank of proctored trainers and assessors, and the setting of pediatric emergency medicine training. Participants’ confidence in managing acute pediatric visits and their satisfaction and reflections of their pediatric emergency medicine training were explored. Results: In all, 258 responses were received from 117 residents and 141 emergency physicians. Seventy-seven percent reported working in medical centers. Clinical supervision was primarily performed by pediatric attending physicians and emergency physicians. Fifty-eight percent of participants felt satisfied with their pediatric emergency medicine training. However, only 52.3% felt confident managing acute pediatric visits, which was attributed to inadequate exposure to pediatric patients. Residents noted lack of confidence in managing newborns, infants, and clinical procedures. Therefore, simulation training and point-of-care ultrasound learning were considered advantageous. Conclusion: The pediatric emergency medicine training in emergency medicine residency programs is diverse in intensive care training, supervisors, and assessors. Surveys demonstrate that learning experience in pediatric wards and emergency department rotations is associated with overall satisfaction with pediatric emergency medicine training; inadequate exposure to pediatric patients contributed to learners having less confidence. Emergency medicine residency program reform might focus on adequate hands-on pediatric patient care.

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Implementation and Assessment of a Hybrid Training Course on Point-of-Care Pediatric Ultrasound in Vietnam During the COVID-19 Pandemic

Mori,

Chor,

Bui

et al. 2023

Cureus

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BackgroundAs point-of-care ultrasound (POCUS) has gained popularity, some educational guidelines have been developed. However, in Vietnam, no training course in pediatric POCUS has yet been developed. This was challenging, especially during the COVID-19 pandemic. ObjectivesThis study aimed to implement a three-month hybrid training course for pediatric POCUS training in Vietnam using both online and face-to-face hands-on sessions and to assess participants' self-efficacy level and change in their attitudes towards pediatric POCUS. MethodsA hybrid training course in pediatric POCUS was implemented at a children's hospital in Vietnam. This study developed a standardized training course, including online learning, live lectures, hands-on sessions, and skill assessment based on the POCUS consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation. They completed a self-evaluation survey before and after the course using a Likert score to assess their background, self-efficacy in performing POCUS, overall satisfaction with the course, and change in their attitudes towards POCUS three months after the course. ResultsA total of 19 physicians participated in the course. The mean post-training self-efficacy score was significantly higher than the pre-course assessment score: 73.1 (standard deviation (SD): 7.2) vs. 48.9 (SD: 12.5) (p <0.05). The efficacy level was retained three months after the course. Furthermore, overall satisfaction with the course was high at 9.5 (SD: 0.6). After the course, almost all participants strongly agreed to increase the use of POCUS in their clinical practice. ConclusionA hybrid training course in pediatric POCUS was successfully implemented in Vietnam and found the participants' self-efficacy level to be significantly higher after the course and the effect to be retained after the course. The training course could positively affect the participants' attitudes towards POCUS, encouraging them to use POCUS more frequently in their clinical practice.

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Use and Education of Point‐of‐Care Ultrasound in Pediatric Emergency Medicine in Saudi Arabia

Cited by 3 publications

References 31 publications

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study

Assessing the effectiveness of pediatric emergency medicine education in emergency medicine residency training: A national survey

Implementation and Assessment of a Hybrid Training Course on Point-of-Care Pediatric Ultrasound in Vietnam During the COVID-19 Pandemic

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