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Retention of Ultrasound Skills and Training in 'Point-of-Care' Cardiac Ultrasound
- Source :
- Journal of the American Society of Echocardiography. 29:992-997
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Background Although the growth of point-of-care ultrasound has resulted in a proliferation of teaching programs, few data exist on the maintenance of proficiency. The aim of this study was to evaluate the retention of cardiac ultrasound skills and training in physicians up to 7 years after a formal focused curriculum in residency. Methods Thirty internal medicine physicians, deemed proficient at graduation and having passed a practical examination that confirms imaging skills and knowledge base when a score of ≥80% correct is attained, were retested. Twenty graduates (the NOPREP group) did not study any relevant material, and 10 graduates (the PREP group) were encouraged to study online videos. Scores were categorized by length of time (1-7 years) from graduates' last performance of ultrasound. Results The mean original test score of the physicians was 90 ± 6%. With retesting NOPREP ( n = 20), seven physicians were within 1 year of their last use, and five (71%) repassed the examination, scoring 80 ± 15%. Among the remaining 13 NOPREP physicians who had >1 year of nonuse, none repassed, scoring 58 ± 17%. In retesting PREP ( n = 10), one physician was within 1 year of last use and repassed, scoring 95%. Among the remaining nine PREP physicians with >1 year since last use, three (33%) repassed ( P = .05), scoring 72 ± 21%. Diagnostic knowledge was significantly higher when good-quality images were obtained. Conclusions Learned skills in cardiac ultrasound diminish notably within 2 years of nonuse.
- Subjects :
- medicine.medical_specialty
Point-of-Care Systems
Internal medicine physicians
Cardiology
030204 cardiovascular system & hematology
California
Cardiac Ultrasound
03 medical and health sciences
0302 clinical medicine
medicine
Radiology, Nuclear Medicine and imaging
Longitudinal Studies
Ultrasonography
Point of care
business.industry
Ultrasound
Internship and Residency
030208 emergency & critical care medicine
Surgery
Test score
Physical therapy
Hand carried ultrasound
Clinical Competence
Curriculum
Clinical competence
Radiology
Cardiology and Cardiovascular Medicine
business
Graduation
Subjects
Details
- ISSN :
- 08947317
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of the American Society of Echocardiography
- Accession number :
- edsair.doi.dedup.....1e14ef2a3c9fab0f393c7552d1cdcab9