Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework

Background: The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation. Methods...

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Main Authors: Valérie Desjardins, Paul Pageau, Barbara Power, Isabelle Burnier, Carolina Souza, Warren J. Cheung, Michael Y. Woo
Format: Article
Language:English
Published: CINQUILL Medical Publishers Inc. 2021-11-01
Series:POCUS Journal
Subjects:
Online Access:https://ojs.library.queensu.ca/index.php/pocus/article/view/15192
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author Valérie Desjardins
Paul Pageau
Barbara Power
Isabelle Burnier
Carolina Souza
Warren J. Cheung
Michael Y. Woo
author_facet Valérie Desjardins
Paul Pageau
Barbara Power
Isabelle Burnier
Carolina Souza
Warren J. Cheung
Michael Y. Woo
author_sort Valérie Desjardins
collection DOAJ
description Background: The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation. Methods:  A pilot-tested, expert developed, bilingual on-line survey consisting of 15 questions was sent to all clerkship directors (23) in December 2019. The survey included questions regarding the expectations of medical students with respect to physical examination and PoCUS using the RIME Framework: none, reporter, interpreter, manager, educator. Results: The response rate was 60.9% (14/23). With regards to physical exam skills, 82.8% of directors had no expectations or expected students to be reporters when starting clerkship. At graduation, 77.5% of directors expected students to be interpreters, managers, or educators. For PoCUS, 100.0% of directors had no expectations or expected students to be reporters when starting clerkship. At clerkship completion, 33.0% of directors felt that students should be interpreters or managers for PoCUS skills. Conclusions: Clerkship directors have low expectations of PoCUS skills for entering and graduating clerks when compared with their physical examination skills despite formal pre-clerkship PoCUS objectives. Enhanced communication and targeted education of directors could improve the PoCUS curriculum.
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spelling doaj.art-cee4478a983841349b879559138644fe2022-12-22T01:49:30ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432021-11-016210.24908/pocus.v6i2.15192Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME FrameworkValérie Desjardins0Paul Pageau1Barbara Power2Isabelle Burnier3Carolina Souza4Warren J. Cheung5Michael Y. Woo6University of OttawaDepartment of Emergency Medicine, University of Ottawa and The Ottawa HospitalDepartment of Medicine, University of Ottawa and The Ottawa HospitalUniversity of OttawaDepartment of Radiology, University of Ottawa and The Ottawa HospitalDepartment of Emergency Medicine, University of Ottawa and Ottawa Hospital Research InstituteDepartment of Emergency Medicine, University of Ottawa and Ottawa Hospital Research Institute Background: The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation. Methods:  A pilot-tested, expert developed, bilingual on-line survey consisting of 15 questions was sent to all clerkship directors (23) in December 2019. The survey included questions regarding the expectations of medical students with respect to physical examination and PoCUS using the RIME Framework: none, reporter, interpreter, manager, educator. Results: The response rate was 60.9% (14/23). With regards to physical exam skills, 82.8% of directors had no expectations or expected students to be reporters when starting clerkship. At graduation, 77.5% of directors expected students to be interpreters, managers, or educators. For PoCUS, 100.0% of directors had no expectations or expected students to be reporters when starting clerkship. At clerkship completion, 33.0% of directors felt that students should be interpreters or managers for PoCUS skills. Conclusions: Clerkship directors have low expectations of PoCUS skills for entering and graduating clerks when compared with their physical examination skills despite formal pre-clerkship PoCUS objectives. Enhanced communication and targeted education of directors could improve the PoCUS curriculum. https://ojs.library.queensu.ca/index.php/pocus/article/view/15192point-of-care ultrasoundundergraduate clerkship
spellingShingle Valérie Desjardins
Paul Pageau
Barbara Power
Isabelle Burnier
Carolina Souza
Warren J. Cheung
Michael Y. Woo
Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
POCUS Journal
point-of-care ultrasound
undergraduate clerkship
title Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
title_full Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
title_fullStr Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
title_full_unstemmed Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
title_short Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework
title_sort comparison of clerkship directors expectations of physical examination skills with point of care ultrasound skills using the rime framework
topic point-of-care ultrasound
undergraduate clerkship
url https://ojs.library.queensu.ca/index.php/pocus/article/view/15192
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