Point-of-care echocardiography in simulation-based education and assessment

Richard Amini, Lori A. Stolz, Parisa P. Javedani, Kevin Gaskin, Nicola Baker, Vivienne Ng, Srikar Adhikari

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Emergency medicine milestones released by the Accreditation Council for Gradu-ate Medical Education require residents to demonstrate competency in bedside ultrasound (US). The acquisition of these skills necessitates a combination of exposure to clinical pathology, hands-on US training, and feedback. Objectives: We describe a novel simulation-based educational and assessment tool designed to evaluate emergency medicine residents’ competency in point-of-care echocardiography for evaluation of a hypotensive patient with chest pain using bedside US. Methods: This was a cross-sectional study conducted at an academic medical center. A simulation-based module was developed to teach and assess the use of point-of-care echocar-diography in the evaluation of the hypotensive patient. The focus of this module was sonographic imaging of cardiac pathology, and this focus was incorporated in all components of the session: asynchronous learning, didactic lecture, case-based learning, and hands-on stations. Results: A total of 52 residents with varying US experience participated in this study. Ques-tions focused on knowledge assessment demonstrated improvement across the postgraduate year (PGY) of training. Objective standardized clinical examination evaluation demonstrated improvement between PGY I and PGY III; however, it was noted that there was a small dip in hands-on scanning skills during the PGY II. Clinical diagnosis and management skills also demonstrated incremental improvement across the PGY of training. Conclusion: The 1-day, simulation-based US workshop was an effective educational and assessment tool at our institution.

Original languageEnglish (US)
Pages (from-to)325-328
Number of pages4
JournalAdvances in Medical Education and Practice
Volume7
DOIs
StatePublished - 2016
Externally publishedYes

Keywords

  • Point-of care ultrasound
  • Simulation education

ASJC Scopus subject areas

  • Education
  • Medicine(all)

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