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Bedside ultrasound training using web-based e-learning and simulation early in the curriculum of residents.

Beaulieu Y, Laprise R, Drolet P, Thivierge RL, Serri K, Albert M, Lamontagne A, Bélliveau M, Denault AY, Patenaude JV - Crit Ultrasound J (2015)

Bottom Line: After the educational intervention, performance of the junior residents on the practical tests was superior to that of the senior residents.The junior residents also had a significantly higher success rate in performing ultrasound-guided needle insertion compared to the senior residents for both the transverse (95% vs. 60%, Fisher's exact test p = 0.0048) and longitudinal views (100% vs. 73%, Fisher's exact test p = 0.0055).Our study demonstrated that a structured curriculum combining web-based education, hands-on training, and simulation integrated early in the training of the junior residents can lead to better proficiency in performing ultrasound-guided techniques compared to the traditional apprenticeship model.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, Department of Medicine and Hôpital Sacré-Coeur, 5400 boul. Gouin ouest, Montréal, H4J 1C5 Canada.

ABSTRACT

Background: Focused bedside ultrasound is rapidly becoming a standard of care to decrease the risks of complications related to invasive procedures. The purpose of this study was to assess whether adding to the curriculum of junior residents an educational intervention combining web-based e-learning and hands-on training would improve the residents' proficiency in different clinical applications of bedside ultrasound as compared to using the traditional apprenticeship teaching method alone.

Methods: Junior residents (n = 39) were provided with two educational interventions (vascular and pleural ultrasound). Each intervention consisted of a combination of web-based e-learning and bedside hands-on training. Senior residents (n = 15) were the traditionally trained group and were not provided with the educational interventions.

Results: After the educational intervention, performance of the junior residents on the practical tests was superior to that of the senior residents. This was true for the vascular assessment (94% ± 5% vs. 68% ± 15%, unpaired student t test: p < 0.0001, mean difference: 26 (95% CI: 20 to 31)) and even more significant for the pleural assessment (92% ± 9% vs. 57% ± 25%, unpaired student t test: p < 0.0001, mean difference: 35 (95% CI: 23 to 44)). The junior residents also had a significantly higher success rate in performing ultrasound-guided needle insertion compared to the senior residents for both the transverse (95% vs. 60%, Fisher's exact test p = 0.0048) and longitudinal views (100% vs. 73%, Fisher's exact test p = 0.0055).

Conclusions: Our study demonstrated that a structured curriculum combining web-based education, hands-on training, and simulation integrated early in the training of the junior residents can lead to better proficiency in performing ultrasound-guided techniques compared to the traditional apprenticeship model.

No MeSH data available.


Educational intervention. Performance of the junior residents pre- and post-educational intervention (median, 25% to 75% interquartile, min.-max.) in relationship to their source hospital. Pre-intervention scores from hospital 3 were significantly lower (one-way ANOVA p = 0.006) than scores from hospitals 1 (p < 0.05), 2 (p < 0.05), and 4 (p < 0.001) (Tukey’s post-tests).
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Fig5: Educational intervention. Performance of the junior residents pre- and post-educational intervention (median, 25% to 75% interquartile, min.-max.) in relationship to their source hospital. Pre-intervention scores from hospital 3 were significantly lower (one-way ANOVA p = 0.006) than scores from hospitals 1 (p < 0.05), 2 (p < 0.05), and 4 (p < 0.001) (Tukey’s post-tests).

Mentions: The baseline scores of the junior residents on the practical tests in relationship to the hospital in which they were based were different. We found significant variability for the practical pre-intervention vascular exam (Figure 5). There was no difference between trainees after the intervention in relationship to their affiliated hospital. There was no significant difference either in the results of the comprehensive online vascular or pleural knowledge tests in relationship to the various hospitals in which the residents were based.Figure 5


Bedside ultrasound training using web-based e-learning and simulation early in the curriculum of residents.

Beaulieu Y, Laprise R, Drolet P, Thivierge RL, Serri K, Albert M, Lamontagne A, Bélliveau M, Denault AY, Patenaude JV - Crit Ultrasound J (2015)

Educational intervention. Performance of the junior residents pre- and post-educational intervention (median, 25% to 75% interquartile, min.-max.) in relationship to their source hospital. Pre-intervention scores from hospital 3 were significantly lower (one-way ANOVA p = 0.006) than scores from hospitals 1 (p < 0.05), 2 (p < 0.05), and 4 (p < 0.001) (Tukey’s post-tests).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4384705&req=5

Fig5: Educational intervention. Performance of the junior residents pre- and post-educational intervention (median, 25% to 75% interquartile, min.-max.) in relationship to their source hospital. Pre-intervention scores from hospital 3 were significantly lower (one-way ANOVA p = 0.006) than scores from hospitals 1 (p < 0.05), 2 (p < 0.05), and 4 (p < 0.001) (Tukey’s post-tests).
Mentions: The baseline scores of the junior residents on the practical tests in relationship to the hospital in which they were based were different. We found significant variability for the practical pre-intervention vascular exam (Figure 5). There was no difference between trainees after the intervention in relationship to their affiliated hospital. There was no significant difference either in the results of the comprehensive online vascular or pleural knowledge tests in relationship to the various hospitals in which the residents were based.Figure 5

Bottom Line: After the educational intervention, performance of the junior residents on the practical tests was superior to that of the senior residents.The junior residents also had a significantly higher success rate in performing ultrasound-guided needle insertion compared to the senior residents for both the transverse (95% vs. 60%, Fisher's exact test p = 0.0048) and longitudinal views (100% vs. 73%, Fisher's exact test p = 0.0055).Our study demonstrated that a structured curriculum combining web-based education, hands-on training, and simulation integrated early in the training of the junior residents can lead to better proficiency in performing ultrasound-guided techniques compared to the traditional apprenticeship model.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, Department of Medicine and Hôpital Sacré-Coeur, 5400 boul. Gouin ouest, Montréal, H4J 1C5 Canada.

ABSTRACT

Background: Focused bedside ultrasound is rapidly becoming a standard of care to decrease the risks of complications related to invasive procedures. The purpose of this study was to assess whether adding to the curriculum of junior residents an educational intervention combining web-based e-learning and hands-on training would improve the residents' proficiency in different clinical applications of bedside ultrasound as compared to using the traditional apprenticeship teaching method alone.

Methods: Junior residents (n = 39) were provided with two educational interventions (vascular and pleural ultrasound). Each intervention consisted of a combination of web-based e-learning and bedside hands-on training. Senior residents (n = 15) were the traditionally trained group and were not provided with the educational interventions.

Results: After the educational intervention, performance of the junior residents on the practical tests was superior to that of the senior residents. This was true for the vascular assessment (94% ± 5% vs. 68% ± 15%, unpaired student t test: p < 0.0001, mean difference: 26 (95% CI: 20 to 31)) and even more significant for the pleural assessment (92% ± 9% vs. 57% ± 25%, unpaired student t test: p < 0.0001, mean difference: 35 (95% CI: 23 to 44)). The junior residents also had a significantly higher success rate in performing ultrasound-guided needle insertion compared to the senior residents for both the transverse (95% vs. 60%, Fisher's exact test p = 0.0048) and longitudinal views (100% vs. 73%, Fisher's exact test p = 0.0055).

Conclusions: Our study demonstrated that a structured curriculum combining web-based education, hands-on training, and simulation integrated early in the training of the junior residents can lead to better proficiency in performing ultrasound-guided techniques compared to the traditional apprenticeship model.

No MeSH data available.