Ensuring competency in focused cardiac ultrasound: a systematic review of training programs
Abstract Background Focused cardiac ultrasound (FoCUS) is a valuable skill for rapid assessment of cardiac function and volume status. Despite recent widespread adoption among physicians, there is limited data on the optimal training methods for teaching FoCUS and metrics for determining competency....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | Journal of Intensive Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40560-020-00503-x |
| _version_ | 1830297440094257152 |
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| author | Lauren E. Gibson Gabrielle A. White-Dzuro Patrick J. Lindsay Sheri M. Berg Edward A. Bittner Marvin G. Chang |
| author_facet | Lauren E. Gibson Gabrielle A. White-Dzuro Patrick J. Lindsay Sheri M. Berg Edward A. Bittner Marvin G. Chang |
| author_sort | Lauren E. Gibson |
| collection | DOAJ |
| description | Abstract Background Focused cardiac ultrasound (FoCUS) is a valuable skill for rapid assessment of cardiac function and volume status. Despite recent widespread adoption among physicians, there is limited data on the optimal training methods for teaching FoCUS and metrics for determining competency. We conducted a systematic review to gain insight on the optimal training strategies, including type and duration, that would allow physicians to achieve basic competency in FoCUS. Methods Embase, PubMed, and Cochrane Library databases were searched from inception to June 2020. Included studies described standardized training programs for at least 5 medical students or physicians on adult FoCUS, followed by an assessment of competency relative to an expert. Data were extracted, and bias was assessed for each study. Results Data were extracted from 23 studies on 292 learners. Existing FoCUS training programs remain varied in duration and type of training. Learners achieved near perfect agreement (κ > 0.8) with expert echocardiographers on detecting left ventricular systolic dysfunction and pericardial effusion with 6 h each of didactics and hands-on training. Substantial agreement (κ > 0.6) on could be achieved in half this time. Conclusion A short training program will allow most learners to achieve competency in detecting left ventricular systolic dysfunction and pericardial effusion by FoCUS. Additional training is necessary to ensure skill retention, improve efficiency in image acquisition, and detect other pathologies. |
| first_indexed | 2024-12-19T07:32:36Z |
| format | Article |
| id | doaj.art-dfe96ec0f54a460fba7c39aa799c5f19 |
| institution | Directory Open Access Journal |
| issn | 2052-0492 |
| language | English |
| last_indexed | 2024-12-19T07:32:36Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Intensive Care |
| spelling | doaj.art-dfe96ec0f54a460fba7c39aa799c5f192022-12-21T20:30:39ZengBMCJournal of Intensive Care2052-04922020-12-018111610.1186/s40560-020-00503-xEnsuring competency in focused cardiac ultrasound: a systematic review of training programsLauren E. Gibson0Gabrielle A. White-Dzuro1Patrick J. Lindsay2Sheri M. Berg3Edward A. Bittner4Marvin G. Chang5Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General HospitalAbstract Background Focused cardiac ultrasound (FoCUS) is a valuable skill for rapid assessment of cardiac function and volume status. Despite recent widespread adoption among physicians, there is limited data on the optimal training methods for teaching FoCUS and metrics for determining competency. We conducted a systematic review to gain insight on the optimal training strategies, including type and duration, that would allow physicians to achieve basic competency in FoCUS. Methods Embase, PubMed, and Cochrane Library databases were searched from inception to June 2020. Included studies described standardized training programs for at least 5 medical students or physicians on adult FoCUS, followed by an assessment of competency relative to an expert. Data were extracted, and bias was assessed for each study. Results Data were extracted from 23 studies on 292 learners. Existing FoCUS training programs remain varied in duration and type of training. Learners achieved near perfect agreement (κ > 0.8) with expert echocardiographers on detecting left ventricular systolic dysfunction and pericardial effusion with 6 h each of didactics and hands-on training. Substantial agreement (κ > 0.6) on could be achieved in half this time. Conclusion A short training program will allow most learners to achieve competency in detecting left ventricular systolic dysfunction and pericardial effusion by FoCUS. Additional training is necessary to ensure skill retention, improve efficiency in image acquisition, and detect other pathologies.https://doi.org/10.1186/s40560-020-00503-xCardiac ultrasoundPoint-of-care ultrasoundBedside ultrasoundUltrasonographyTrainingEducation |
| spellingShingle | Lauren E. Gibson Gabrielle A. White-Dzuro Patrick J. Lindsay Sheri M. Berg Edward A. Bittner Marvin G. Chang Ensuring competency in focused cardiac ultrasound: a systematic review of training programs Journal of Intensive Care Cardiac ultrasound Point-of-care ultrasound Bedside ultrasound Ultrasonography Training Education |
| title | Ensuring competency in focused cardiac ultrasound: a systematic review of training programs |
| title_full | Ensuring competency in focused cardiac ultrasound: a systematic review of training programs |
| title_fullStr | Ensuring competency in focused cardiac ultrasound: a systematic review of training programs |
| title_full_unstemmed | Ensuring competency in focused cardiac ultrasound: a systematic review of training programs |
| title_short | Ensuring competency in focused cardiac ultrasound: a systematic review of training programs |
| title_sort | ensuring competency in focused cardiac ultrasound a systematic review of training programs |
| topic | Cardiac ultrasound Point-of-care ultrasound Bedside ultrasound Ultrasonography Training Education |
| url | https://doi.org/10.1186/s40560-020-00503-x |
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