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USEFUL: Ultrasound Exam for Underlying Lesions Incorporated into Physical Exam
USEFUL: Ultrasound Exam for Underlying Lesions Incorporated into Physical Exam
- Source :
- Western Journal of Emergency Medicine, Vol 15, Iss 3, Pp 260-266 (2014), Steller, Jon; Russell, Bianca; Lotfipour, Shahram; Maldonado, Graciela; Siepel, Tim; Jakle, Halsey; et al.(2014). USEFUL: Ultrasound Exam for Underlying Lesions Incorporated into Physical Exam. Western Journal of Emergency Medicine, 15(3). doi: 10.5811/westjem.2013.8.19080. Retrieved from: http://www.escholarship.org/uc/item/6dt1q9vh, Western Journal of Emergency Medicine
- Publication Year :
- 2014
- Publisher :
- eScholarship Publishing, University of California, 2014.
-
Abstract
- Introduction: The Ultrasound Screening Exam for Underlying Lesions (USEFUL) was developed in an attempt to establish a role for bedside ultrasound in the primary and preventive care setting. It is the purpose of our pilot study to determine if students were first capable of performing all of the various scans required of our USEFUL while defining such an ultrasound-assisted physical exam that would supplement the standard hands-on physical exam in the same head-to-toe structure. We also aimed to assess the time needed for an adequate exam and analyze if times improved with repetition and previous ultrasound training. Methods: Medical students with ranging levels of ultrasound training received a 25-minute presentation on our USEFUL followed by a 30-minute hands-on session. Following the hands-on session, the students were asked to perform a timed USEFUL on 2–3 standardized subjects. All images were documented as normal or abnormal with the understanding that an official detailed exam would be performed if an abnormality were to be found. All images were read and deemed adequate by board eligible emergency medicine ultrasound fellows. Results: Twenty-six exams were performed by 9 students. The average time spent by all students per USEFUL was 11 minutes and 19 seconds. Students who had received the University of California, Irvine School of Medicine's integrated ultrasound curriculum performed the USEFUL significantly faster (p< 0.0025). The time it took to complete the USEFUL ranged from 6 minutes and 32 seconds to 17 minutes, and improvement was seen with each USEFUL performed. The average time to complete the USEFUL on the first standardized patient was 13 minutes and 20 seconds, while 11 minutes and 2 seconds, and 9 minutes and 20 seconds were spent performing the exam on the second and third patient, respectively. Conclusion: Students were able to effectively complete all scans required by the USEFUL in a timely manner. Students who have been a part of the integrated ultrasound in medicine curriculum performed the USEFUL significantly faster than students who had not. Students were able to significantly improve upon the time it took them to complete the USEFUL with successive attempts. Future endpoints are aimed at assessing the feasibility and outcomes of an ultrasound-assisted physical exam in a primary care setting and the exam's effect on doctor-patient satisfaction. [West J Emerg Med. 2014;15(3):260–266.]
- Subjects :
- TECHNOLOGY IN EMERGENCY CARE
medicine.medical_specialty
Students, Medical
medicine
emergency department
Point-of-Care Systems
education
lcsh:Medicine
Pilot Projects
Physical examination
Primary care
Session (web analytics)
Preventive care
primary care
family medicine
Ultrasound screening
Task Performance and Analysis
Humans
Bedside ultrasound
Medicine
Physical Examination
Ultrasonography
Original Research
medicine.diagnostic_test
business.industry
ultrasound
Ultrasound
lcsh:R
lcsh:Medical emergencies. Critical care. Intensive care. First aid
General Medicine
lcsh:RC86-88.9
physical exam
Emergency Medicine
Physical therapy
Physical exam
Clinical Competence
Curriculum
business
Education, Medical, Undergraduate
Subjects
Details
- Language :
- English
- Volume :
- 15
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Western Journal of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....cafcdca32fcb4450960edc9af1cd559f
- Full Text :
- https://doi.org/10.5811/westjem.2013.8.19080.