Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation
Introduction: The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ). We were unable to find a publis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
CINQUILL Medical Publishers Inc.
2021-11-01
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| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/15190 |
| _version_ | 1798037088632832000 |
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| author | Zachary W. Binder Sharon E. O'Brien Tehnaz P. Boyle Howard J. Cabral Joseph R. Pare |
| author_facet | Zachary W. Binder Sharon E. O'Brien Tehnaz P. Boyle Howard J. Cabral Joseph R. Pare |
| author_sort | Zachary W. Binder |
| collection | DOAJ |
| description |
Introduction: The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ). We were unable to find a published curriculum to deliver education for this at any skill level. Therefore, we developed, delivered, and evaluated a curriculum for the assessment of TRJ for novice physician sonographers. Methods: We designed an educational intervention for novice physician sonographers. The curriculum was created using a modified Delphi methodology. All novice sonographers participated in the educational intervention which consisted of a didactic lecture followed by hands-on-deliberate practice on healthy medical student volunteers with expert feedback in a simulated setting. Sonographer’s knowledge was assessed at 3 time points: pre-intervention, immediately post-intervention, and 3 months post-intervention (retention assessment) by multiple choice exam. Results: Nine novice physician sonographers participated in the intervention. Mean exam performance increased from 55.6% [standard deviation (SD) 11.3%] on the pre-intervention exam to 94.4% (SD 7.3%) on the post-intervention exam and 92.9% (SD 12.5%) on the retention exam. The mean improvement between the pre- and post- exam was +38.9% (95% CI 31.8 - 46.0), and between the pre-exam and retention exam +37.1% (95% CI 22.3 - 52.0). Conclusion: Sonographer knowledge of TRJ assessment improved following a brief educational intervention as measured by exam performance. Given the expanding role of POCUS it is increasingly important to provide effective resources for teaching these skills. This work establishes the basis for further study and implementation of our TRJ curriculum.
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| first_indexed | 2024-04-11T21:21:49Z |
| format | Article |
| id | doaj.art-071234bc048944b28b80b36c7634e0b1 |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-11T21:21:49Z |
| publishDate | 2021-11-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-071234bc048944b28b80b36c7634e0b12022-12-22T04:02:36ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432021-11-016210.24908/pocus.v6i2.15190Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and ValidationZachary W. Binder0Sharon E. O'Brien1Tehnaz P. Boyle2Howard J. Cabral3Joseph R. Pare4UMass Memorial Medical Center, University of Massachusetts Medical School, Worchester, MA, USA; Boston Medical Center, Boston University School of Medicine, Boston, MA, USABoston Medical Center, Boston University School of Medicine, Boston, MA, USABoston Medical Center, Boston University School of Medicine, Boston, MA, USABoston University School of Public Health, Boston, MA, USABoston Medical Center, Boston University School of Medicine, Boston, MA, USA Introduction: The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ). We were unable to find a published curriculum to deliver education for this at any skill level. Therefore, we developed, delivered, and evaluated a curriculum for the assessment of TRJ for novice physician sonographers. Methods: We designed an educational intervention for novice physician sonographers. The curriculum was created using a modified Delphi methodology. All novice sonographers participated in the educational intervention which consisted of a didactic lecture followed by hands-on-deliberate practice on healthy medical student volunteers with expert feedback in a simulated setting. Sonographer’s knowledge was assessed at 3 time points: pre-intervention, immediately post-intervention, and 3 months post-intervention (retention assessment) by multiple choice exam. Results: Nine novice physician sonographers participated in the intervention. Mean exam performance increased from 55.6% [standard deviation (SD) 11.3%] on the pre-intervention exam to 94.4% (SD 7.3%) on the post-intervention exam and 92.9% (SD 12.5%) on the retention exam. The mean improvement between the pre- and post- exam was +38.9% (95% CI 31.8 - 46.0), and between the pre-exam and retention exam +37.1% (95% CI 22.3 - 52.0). Conclusion: Sonographer knowledge of TRJ assessment improved following a brief educational intervention as measured by exam performance. Given the expanding role of POCUS it is increasingly important to provide effective resources for teaching these skills. This work establishes the basis for further study and implementation of our TRJ curriculum. https://ojs.library.queensu.ca/index.php/pocus/article/view/15190tricuspid regurgitant jet velocitypoint-of-care ultrasoundnovice echocardiographypulmonary hypertension |
| spellingShingle | Zachary W. Binder Sharon E. O'Brien Tehnaz P. Boyle Howard J. Cabral Joseph R. Pare Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation POCUS Journal tricuspid regurgitant jet velocity point-of-care ultrasound novice echocardiography pulmonary hypertension |
| title | Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation |
| title_full | Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation |
| title_fullStr | Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation |
| title_full_unstemmed | Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation |
| title_short | Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation |
| title_sort | tricuspid regurgitant jet velocity point of care ultrasound curriculum development and validation |
| topic | tricuspid regurgitant jet velocity point-of-care ultrasound novice echocardiography pulmonary hypertension |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/15190 |
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