Training Surgical Residents for Ultrasound-Guided Assessment and Management of Unstable Patients.

Mahmood, Faraz, Jeffrey Bortman, Rabia Amir, John Mitchell, Vanessa Wong, Ruby Feng, Zhifeng Gao, et al. 2019. “Training Surgical Residents for Ultrasound-Guided Assessment and Management of Unstable Patients.”. Journal of Surgical Education 76 (2): 540-47.

Abstract

OBJECTIVE: Proficiency in the use of ultrasound is presently not an ACGME required core competency for accredited surgical training. There should be a basic unified ultrasound curriculum for surgical trainees. We developed a multimodal ultrasound-training program to ensure baseline proficiency and readiness for clinical performance without impacting trainee duty hours.

DESIGN: We developed and implemented a multimodal curriculum for ultrasound education and its use as a supplement to clinical evaluation of unstable patients.

SETTING: A single-center study was completed in a hospital setting.

PARTICIPANTS: Post-graduate year-1 surgical residents at our institution were invited to participate in a multimodal perioperative course.

RESULTS: 51 residents attended the course over the three sessions. The vignette exam as a whole demonstrated a Cronbach's alpha of 0.819 indicating good internal reliability of the entire test. There was significant improvement in their knowledge in clinical vignettes (55% ± 12.4 on pre-test vs. 83% ± 13.2% on post-test, p<0.001).

CONCLUSION: It is feasible to incorporate a focused ultrasound curriculum to assess clinically unstable patients. The multimodal nature of the course aid in the development of preclinical proficiency and decreased the orientation phase of ultrasound use.

Last updated on 05/07/2024
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