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Point-of-care echocardiography in simulation-based education and assessment

UA Open Access Publishing Fund / Background: Emergency medicine milestones released by the Accreditation Council for Graduate
Medical Education require residents to demonstrate competency in bedside ultrasound (US).
The acquisition of these skills necessitates a combination of exposure to clinical pathology,
hands-on US training, and feedback.
Objectives: We describe a novel simulation-based educational and assessment tool designed
to evaluate emergency medicine residents’ competency in point-of-care echocardiography for
evaluation of a hypotensive patient with chest pain using bedside US.
Methods: This was a cross-sectional study conducted at an academic medical center. A
simulation-based module was developed to teach and assess the use of point-of-care echocardiography
in the evaluation of the hypotensive patient. The focus of this module was sonographic
imaging of cardiac pathology, and this focus was incorporated in all components of the session:
asynchronous learning, didactic lecture, case-based learning, and hands-on stations.
Results: A total of 52 residents with varying US experience participated in this study. Questions
focused on knowledge assessment demonstrated improvement across the postgraduate
year (PGY) of training. Objective standardized clinical examination evaluation demonstrated
improvement between PGY I and PGY III; however, it was noted that there was a small dip
in hands-on scanning skills during the PGY II. Clinical diagnosis and management skills also
demonstrated incremental improvement across the PGY of training.
Conclusion: The 1-day, simulation-based US workshop was an effective educational and
assessment tool at our institution.

Identiferoai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/617183
Date31 May 2016
CreatorsAmini, Richard, Stolz, Lori A, Javedani, Parisa P, Gaskin, Kevin, Baker, Nicola, Ng, Vivienne, Adhikari, Srikar
ContributorsDepartment of Emergency Medicine, University of Arizona Medical Center
PublisherDove Press
Source SetsUniversity of Arizona
LanguageEnglish
Detected LanguageEnglish
TypeArticle
Rights© 2016 Amini et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/)
Relationhttps://www.dovepress.com/point-of-care-echocardiography-in-simulation-based-education-and-asses-peer-reviewed-article-AMEP

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