Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum
Purpose: To determine medical student ability to accurately obtain and interpret POCUS exams of varying difficulty in the pediatric population after a short didactic and hands-on POCUS course. Methods: Five medical students were trained in four POCUS applications (bladder volume, long bone for fra...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
CINQUILL Medical Publishers Inc.
2022-04-01
|
| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/15625 |
| _version_ | 1828148899497377792 |
|---|---|
| author | Michael C. Cooper Jodi Jones Mandy Pascual Steven Field Juan M. Rendon Christine Kulstad Bryant Dixon Kristie Pham Tu Aman Narayan Hunter Pyle Khiem Hoang Anthony Han Dalbir Bahga Aman Pandey Lynn Roppolo |
| author_facet | Michael C. Cooper Jodi Jones Mandy Pascual Steven Field Juan M. Rendon Christine Kulstad Bryant Dixon Kristie Pham Tu Aman Narayan Hunter Pyle Khiem Hoang Anthony Han Dalbir Bahga Aman Pandey Lynn Roppolo |
| author_sort | Michael C. Cooper |
| collection | DOAJ |
| description |
Purpose: To determine medical student ability to accurately obtain and interpret POCUS exams of varying difficulty in the pediatric population after a short didactic and hands-on POCUS course. Methods: Five medical students were trained in four POCUS applications (bladder volume, long bone for fracture, limited cardiac for left ventricular function, & inferior vena cava collapsibility) and enrolled pediatric ED patients. Ultrasound-fellowship-trained emergency medicine physicians reviewed each scan for image quality and interpretation accuracy using the American College of Emergency Physicians’ quality assessment scale. We report acceptable scan frequency and medical student vs. Ultrasound-fellowship-trained emergency medicine physician interpretation agreement with 95% confidence intervals (CI). Results: Ultrasound-fellowship-trained emergency medicine physicians graded 51/53 bladder volume scans as acceptable (96.2%; 95% CI 87.3-99.0%) and agreed with 50/53 bladder volume calculations (94.3%; 95% CI 88.1-100%). Ultrasound-fellowship-trained emergency medicine physicians graded 35/37 long bone scans as acceptable (94.6%; 95% CI 82.3-98.5%) and agreed with 32/37 medical student long bone scan interpretations (86.5%; 95% CI 72.0-94.1%). Ultrasound-fellowship-trained emergency medicine physicians graded 116/120 cardiac scans as acceptable (96.7%; 95% CI 91.7-98.7%) and agreed with 111/120 medical student left ventricular function interpretations (92.5%; 95% CI 86.4-96.0%). Ultrasound-fellowship-trained emergency medicine physicians graded 99/117 inferior vena cava scans as acceptable (84.6%; 95% CI 77.0-90.0%) and agreed with 101/117 medical student interpretations of inferior vena cava collapsibility (86.3%; 95% CI 78.9-91.4%). Conclusions: Medical students demonstrated satisfactory ability within a short period of time in a range of POCUS scans on pediatric patients after a novel curriculum. This supports the incorporation of a formal POCUS education into medical school curricula and suggests that novice POCUS learners can attain a measure of competency in multiple applications after a short training course.
|
| first_indexed | 2024-04-11T21:22:22Z |
| format | Article |
| id | doaj.art-91fa2b44d1014c5980ba60bbc51994c2 |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-11T21:22:22Z |
| publishDate | 2022-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-91fa2b44d1014c5980ba60bbc51994c22022-12-22T04:02:34ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432022-04-017110.24908/pocus.v7i1.15625Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short CurriculumMichael C. Cooper0Jodi Jones1Mandy Pascual2Steven Field3Juan M. Rendon4Christine Kulstad5Bryant Dixon6Kristie Pham Tu7Aman Narayan8Hunter Pyle9Khiem Hoang10Anthony Han11Dalbir Bahga12Aman Pandey13Lynn Roppolo14University of Texas Southwestern, Department of Pediatrics, Division of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Medical SchoolUniversity of Texas Southwestern, Medical SchoolUniversity of Texas Southwestern, Medical SchoolUniversity of Texas Southwestern, Medical SchoolUniversity of Texas Southwestern, Medical SchoolUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency MedicineUniversity of Texas Southwestern, Department of Emergency Medicine Purpose: To determine medical student ability to accurately obtain and interpret POCUS exams of varying difficulty in the pediatric population after a short didactic and hands-on POCUS course. Methods: Five medical students were trained in four POCUS applications (bladder volume, long bone for fracture, limited cardiac for left ventricular function, & inferior vena cava collapsibility) and enrolled pediatric ED patients. Ultrasound-fellowship-trained emergency medicine physicians reviewed each scan for image quality and interpretation accuracy using the American College of Emergency Physicians’ quality assessment scale. We report acceptable scan frequency and medical student vs. Ultrasound-fellowship-trained emergency medicine physician interpretation agreement with 95% confidence intervals (CI). Results: Ultrasound-fellowship-trained emergency medicine physicians graded 51/53 bladder volume scans as acceptable (96.2%; 95% CI 87.3-99.0%) and agreed with 50/53 bladder volume calculations (94.3%; 95% CI 88.1-100%). Ultrasound-fellowship-trained emergency medicine physicians graded 35/37 long bone scans as acceptable (94.6%; 95% CI 82.3-98.5%) and agreed with 32/37 medical student long bone scan interpretations (86.5%; 95% CI 72.0-94.1%). Ultrasound-fellowship-trained emergency medicine physicians graded 116/120 cardiac scans as acceptable (96.7%; 95% CI 91.7-98.7%) and agreed with 111/120 medical student left ventricular function interpretations (92.5%; 95% CI 86.4-96.0%). Ultrasound-fellowship-trained emergency medicine physicians graded 99/117 inferior vena cava scans as acceptable (84.6%; 95% CI 77.0-90.0%) and agreed with 101/117 medical student interpretations of inferior vena cava collapsibility (86.3%; 95% CI 78.9-91.4%). Conclusions: Medical students demonstrated satisfactory ability within a short period of time in a range of POCUS scans on pediatric patients after a novel curriculum. This supports the incorporation of a formal POCUS education into medical school curricula and suggests that novice POCUS learners can attain a measure of competency in multiple applications after a short training course. https://ojs.library.queensu.ca/index.php/pocus/article/view/15625POCUSclinical ultrasoundmedical student |
| spellingShingle | Michael C. Cooper Jodi Jones Mandy Pascual Steven Field Juan M. Rendon Christine Kulstad Bryant Dixon Kristie Pham Tu Aman Narayan Hunter Pyle Khiem Hoang Anthony Han Dalbir Bahga Aman Pandey Lynn Roppolo Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum POCUS Journal POCUS clinical ultrasound medical student |
| title | Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum |
| title_full | Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum |
| title_fullStr | Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum |
| title_full_unstemmed | Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum |
| title_short | Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum |
| title_sort | can medical students learn and perform pocus in the pediatric emergency department implementation of a short curriculum |
| topic | POCUS clinical ultrasound medical student |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/15625 |
| work_keys_str_mv | AT michaelccooper canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT jodijones canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT mandypascual canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT stevenfield canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT juanmrendon canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT christinekulstad canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT bryantdixon canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT kristiephamtu canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT amannarayan canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT hunterpyle canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT khiemhoang canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT anthonyhan canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT dalbirbahga canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT amanpandey canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum AT lynnroppolo canmedicalstudentslearnandperformpocusinthepediatricemergencydepartmentimplementationofashortcurriculum |