A Mixed-Methods Evaluation of Medical Residents' Attitudes Towards Interprofessional Learning and Stereotypes Following Sonography Student-Led Point-of-Care Ultrasound Training.
interprofessional education
medical education
point-of-care ultrasound
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
12
02
2020
accepted:
30
07
2020
pubmed:
12
8
2020
medline:
15
5
2021
entrez:
12
8
2020
Statut:
ppublish
Résumé
Point-of-care ultrasound (POCUS) training is growing across internal medicine graduate medical education, but lack of trained faculty is a barrier to many programs. Interprofessional education (IPE) may offer a solution but must overcome potential biases of trainees. To evaluate the impact of an interprofessional POCUS training on residents' attitudes towards interprofessional learning and stereotypes. Midwestern health sciences university. Diagnostic medical sonography (DMS) students (n = 13) served as teachers for first-year internal medicine residents (IMR) (n = 49). DMS students participated in a train-the-trainer session to learn teaching strategies via case-based simulation, then coached IMR to acquire images of the kidneys, bladder, and aorta on live models. Mixed-methods evaluation, including pre-/post-surveys and focus group interviews. The survey response rate was 100% (49/49 IMR). Composite survey scores evaluating residents' attitudes towards IPE and stereotyping of sonographers improved significantly following the intervention. Qualitative analysis of focus group interviews yielded four themes: enhanced respect for other disciplines, implications for future practice, increased confidence of DMS students, and interest in future IPE opportunities. Interprofessional POCUS education can improve residents' perceptions towards IPE, increase their level of respect for sonographers, and motivate interest in future interprofessional collaboration.
Sections du résumé
BACKGROUND
Point-of-care ultrasound (POCUS) training is growing across internal medicine graduate medical education, but lack of trained faculty is a barrier to many programs. Interprofessional education (IPE) may offer a solution but must overcome potential biases of trainees.
AIM
To evaluate the impact of an interprofessional POCUS training on residents' attitudes towards interprofessional learning and stereotypes.
SETTING
Midwestern health sciences university.
PARTICIPANTS
Diagnostic medical sonography (DMS) students (n = 13) served as teachers for first-year internal medicine residents (IMR) (n = 49).
PROGRAM DESCRIPTION
DMS students participated in a train-the-trainer session to learn teaching strategies via case-based simulation, then coached IMR to acquire images of the kidneys, bladder, and aorta on live models.
PROGRAM EVALUATION
Mixed-methods evaluation, including pre-/post-surveys and focus group interviews. The survey response rate was 100% (49/49 IMR). Composite survey scores evaluating residents' attitudes towards IPE and stereotyping of sonographers improved significantly following the intervention. Qualitative analysis of focus group interviews yielded four themes: enhanced respect for other disciplines, implications for future practice, increased confidence of DMS students, and interest in future IPE opportunities.
DISCUSSION
Interprofessional POCUS education can improve residents' perceptions towards IPE, increase their level of respect for sonographers, and motivate interest in future interprofessional collaboration.
Identifiants
pubmed: 32779142
doi: 10.1007/s11606-020-06105-5
pii: 10.1007/s11606-020-06105-5
pmc: PMC7572976
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
3081-3086Références
Med Educ. 2005 Dec;39(12):1255-6
pubmed: 16313586
J Ultrasound Med. 2019 Jun;38(6):1433-1439
pubmed: 30255947
BMC Med Educ. 2018 Dec 27;18(1):321
pubmed: 30591050
Fam Med. 2015 Oct;47(9):706-11
pubmed: 26473563
J Midwifery Womens Health. 2015 Nov-Dec;60(6):727-34
pubmed: 26769384
J Hosp Med. 2015 Feb;10(2):120-4
pubmed: 25408226
PLoS One. 2013 Sep 25;8(9):e76354
pubmed: 24086732
Med Educ. 2009 Jul;43(7):637-44
pubmed: 19573186
PLoS One. 2013 Jul 31;8(7):e68967
pubmed: 23935915
Adv Health Sci Educ Theory Pract. 2002;7(3):179-90
pubmed: 12510140
Nurse Educ Today. 2011 Feb;31(2):208-13
pubmed: 20655633
Ultrasound Med Biol. 2017 Oct;43(10):2125-2132
pubmed: 28716434
Anat Sci Educ. 2018 Jan;11(1):94-99
pubmed: 28914990
Am J Emerg Med. 2019 Feb;37(2):298-303
pubmed: 30413369
BMC Med Educ. 2016 Nov 3;16(1):284
pubmed: 27809905
J Surg Educ. 2018 Mar - Apr;75(2):510-515
pubmed: 28801083
Med Educ. 1999 Feb;33(2):95-100
pubmed: 10211258
J Interprof Care. 2005 Oct;19(5):480-91
pubmed: 16308171
Med Teach. 2016 Jul;38(7):656-68
pubmed: 27146438
Acad Med. 2018 Jul;93(7):996-1001
pubmed: 29517532
Res Nurs Health. 2000 Aug;23(4):334-40
pubmed: 10940958
Can Med Educ J. 2016 Oct 18;7(2):e51-e69
pubmed: 28344693
Am J Med. 2019 Nov;132(11):1356-1360
pubmed: 31400298
J Interprof Care. 2006 Mar;20(2):162-81
pubmed: 16608718
Teach Learn Med. 2011 Jul-Sep;23(3):244-50
pubmed: 21745059
Adv Med Educ Pract. 2015 May 27;6:399-406
pubmed: 26060417
Acad Med. 2016 Jun;91(6):865-88
pubmed: 26703415
Eur J Heart Fail. 2019 Jun;21(6):754-766
pubmed: 30690825
Nurse Educ Today. 2018 Jul;66:73-78
pubmed: 29684835
Mayo Clin Proc. 2016 Dec;91(12):1811-1827
pubmed: 27825617
J Grad Med Educ. 2013 Sep;5(3):498-502
pubmed: 24404317
J Allied Health. 2010 Fall;39 Suppl 1:196-7
pubmed: 21174039
Am J Pharm Educ. 2006 Jun 15;70(3):66
pubmed: 17136186
Med Educ. 2007 Sep;41(9):892-6
pubmed: 17696982