Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi
Purpose: This article describes the process of training medical providers of different backgrounds about the “focused assessment with sonography for HIV-associated TB” (FASH) exam to expand the availability of ultrasound for TB diagnosis in resource poor settings in the central region of Malawi. Met...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
UMass Chan Medical School
2018-03-01
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| Series: | Journal of Global Radiology |
| Subjects: | |
| Online Access: | https://escholarship.umassmed.edu/jgr/vol4/iss1/2/ |
| _version_ | 1797967393849344000 |
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| author | Timothy Canan Risa M. Hoffman Alan Schooley Zachary Boas Kristin Schwab Daniel Kahn Roger Shih Khumbo Phiri Julie Parent Ben Allan Banda Ronald Chagoma Chifundo Chipungu Kara-Lee Pool |
| author_facet | Timothy Canan Risa M. Hoffman Alan Schooley Zachary Boas Kristin Schwab Daniel Kahn Roger Shih Khumbo Phiri Julie Parent Ben Allan Banda Ronald Chagoma Chifundo Chipungu Kara-Lee Pool |
| author_sort | Timothy Canan |
| collection | DOAJ |
| description | Purpose: This article describes the process of training medical providers of different backgrounds about the “focused assessment with sonography for HIV-associated TB” (FASH) exam to expand the availability of ultrasound for TB diagnosis in resource poor settings in the central region of Malawi. Methods and Materials: A survey was completed by the 19 eligible participants before and after a 4-day training course regarding the utility of the FASH exam. A six-question quiz was used to assess knowledge of the use of ultrasound in the FASH exam before and after the course. Results: Participants’ knowledge of the FASH technique significantly improved after the four-day course with a 32% increase in total quiz questions answered correctly (p<0.001). Ninety-five percent (n= 18) of participants answered that they would “likely” incorporate FASH in their clinical practice. Furthermore, 100% (n=19) of participants agreed that the FASH exam would improve their ability to diagnose TB and 95% (n=18) agreed that FASH would improve patient care in their clinic. Conclusions: After completing a 4-day training course, medical providers were more knowledgeable about the FASH exam and its findings, and felt more comfortable using ultrasound for the diagnosis of TB. Participants were also unanimous in opinion that the FASH ultrasound exam would improve their ability to diagnose TB. |
| first_indexed | 2024-04-11T02:30:32Z |
| format | Article |
| id | doaj.art-b192766ff0964508a2ec64d4f7402d4e |
| institution | Directory Open Access Journal |
| issn | 2372-8418 |
| language | English |
| last_indexed | 2024-04-11T02:30:32Z |
| publishDate | 2018-03-01 |
| publisher | UMass Chan Medical School |
| record_format | Article |
| series | Journal of Global Radiology |
| spelling | doaj.art-b192766ff0964508a2ec64d4f7402d4e2023-01-02T21:35:49ZengUMass Chan Medical SchoolJournal of Global Radiology2372-84182018-03-014110.7191/jgr.2018.1045Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in MalawiTimothy Canan0Risa M. Hoffman1Alan Schooley2Zachary Boas3Kristin Schwab4Daniel Kahn5Roger Shih6Khumbo Phiri7Julie Parent8Ben Allan Banda9Ronald Chagoma10Chifundo Chipungu11Kara-Lee Pool12University of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesPartners in Hope Medical Centre and EQUIP MalawiPartners in Hope Medical Centre and EQUIP MalawiPartners in Hope Medical Centre and EQUIP MalawiPartners in Hope Medical Centre and EQUIP MalawiPartners in Hope Medical Centre and EQUIP MalawiUniversity of California, Los AngelesPurpose: This article describes the process of training medical providers of different backgrounds about the “focused assessment with sonography for HIV-associated TB” (FASH) exam to expand the availability of ultrasound for TB diagnosis in resource poor settings in the central region of Malawi. Methods and Materials: A survey was completed by the 19 eligible participants before and after a 4-day training course regarding the utility of the FASH exam. A six-question quiz was used to assess knowledge of the use of ultrasound in the FASH exam before and after the course. Results: Participants’ knowledge of the FASH technique significantly improved after the four-day course with a 32% increase in total quiz questions answered correctly (p<0.001). Ninety-five percent (n= 18) of participants answered that they would “likely” incorporate FASH in their clinical practice. Furthermore, 100% (n=19) of participants agreed that the FASH exam would improve their ability to diagnose TB and 95% (n=18) agreed that FASH would improve patient care in their clinic. Conclusions: After completing a 4-day training course, medical providers were more knowledgeable about the FASH exam and its findings, and felt more comfortable using ultrasound for the diagnosis of TB. Participants were also unanimous in opinion that the FASH ultrasound exam would improve their ability to diagnose TB.https://escholarship.umassmed.edu/jgr/vol4/iss1/2/Radiologyultrasoundtuberculosisglobal health |
| spellingShingle | Timothy Canan Risa M. Hoffman Alan Schooley Zachary Boas Kristin Schwab Daniel Kahn Roger Shih Khumbo Phiri Julie Parent Ben Allan Banda Ronald Chagoma Chifundo Chipungu Kara-Lee Pool Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi Journal of Global Radiology Radiology ultrasound tuberculosis global health |
| title | Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi |
| title_full | Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi |
| title_fullStr | Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi |
| title_full_unstemmed | Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi |
| title_short | Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi |
| title_sort | training course in focused assessment with sonography for hiv tb in hiv prevalent medical centers in malawi |
| topic | Radiology ultrasound tuberculosis global health |
| url | https://escholarship.umassmed.edu/jgr/vol4/iss1/2/ |
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