Implementation and assessment of a pediatric point-of-care ultrasound training course in Japan: a pilot study.
Child
Education
Ultrasonography
Journal
Journal of medical ultrasonics (2001)
ISSN: 1613-2254
Titre abrégé: J Med Ultrason (2001)
Pays: Japan
ID NLM: 101128385
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
15
06
2021
accepted:
17
08
2021
pubmed:
23
10
2021
medline:
19
1
2022
entrez:
22
10
2021
Statut:
ppublish
Résumé
The popularity of point-of-care ultrasound (POCUS) has led to the creation of educational guidelines for its use. In Japan, however, a comprehensive training course for POCUS use in pediatric emergency medicine has yet to be developed. The present study aimed to implement a pilot course for pediatric POCUS training in Japan and to compare participants' self-efficacy level before and after the course. A half-day training course in pediatric POCUS was implemented at a meeting of the Japan Society of Point-of-Care Ultrasound. A standardized training course, including pre-learning materials, live lectures, and hands-on sessions, was developed based on the US consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation and completed a self-evaluation survey before and after the course to access their background, self-efficacy in performing selected ultrasound procedures before and after the course, and their overall satisfaction with the course. In total, 31 physicians participated. Of these, 25 completed the survey. Ten participants were in post-graduate year (PGY) 1-2, 13 were in PGY 3-5, and eight were in PGY 6 or higher. The post-training self-efficacy score was significantly higher than the pre-course assessment score (86.0 [standard deviation (SD): 19.2] vs. 35.6 [SD 17.6], p = < 0.05, mean difference: 49.6 [95% confidence interval 39.6-61.2]). Furthermore, overall satisfaction with the course was high at 8.6 (SD 1.8). The present study implemented a pilot training course in pediatric POCUS and found the participants' self-efficacy level to be significantly higher after the course.
Identifiants
pubmed: 34677709
doi: 10.1007/s10396-021-01155-6
pii: 10.1007/s10396-021-01155-6
pmc: PMC8532428
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
85-93Informations de copyright
© 2021. The Author(s), under exclusive licence to The Japan Society of Ultrasonics in Medicine.
Références
Marin JR, Lewiss RE. Point-of-care ultrasonography by pediatric emergency medicine physicians. Pediatr Emerg Care. 2015;31:525.
doi: 10.1097/PEC.0000000000000492
Pearce MS, Salotti JA, Little MP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380:499–505.
doi: 10.1016/S0140-6736(12)60815-0
American Academy Of Pediatrics CoPEM, Society For Academic Emergency Medicine AoEU, American College Of Emergency Physicians PEMC, World Interactive Network Focused On Critical U, Medicine AAOPCoPE. Point-of-care ultrasonography by pediatric emergency medicine physicians. Pediatrics. 2015;135:e1097–104.
doi: 10.1542/peds.2015-0342
Marin JR, Abo AM, Arroyo AC, et al. Pediatric emergency medicine point-of-care ultrasound: summary of the evidence. Crit Ultrasound J. 2016;8:16.
doi: 10.1186/s13089-016-0049-5
Alzayedi AS, Azizalrahman AA, AlMadi HA, et al. Use and education of point-of-care ultrasound in pediatric emergency medicine in Saudi Arabia. J Ultrasound Med. 2017;36:2219–25.
doi: 10.1002/jum.14254
Bretholz A, Doan Q, Cheng A, et al. A presurvey and postsurvey of a web- and simulation-based course of ultrasound-guided nerve blocks for pediatric emergency medicine. Pediatr Emerg Care. 2012;28:506–9.
doi: 10.1097/PEC.0b013e3182586f42
Ceresnak SR, Axelrod DM, Sacks LD, et al. Advances in pediatric cardiology boot camp: boot camp training promotes fellowship readiness and enables retention of knowledge. Pediatr Cardiol. 2017;38:631–40.
doi: 10.1007/s00246-016-1560-y
Conlon TW, Himebauch AS, Fitzgerald JC, et al. Implementation of a pediatric critical care focused bedside ultrasound training program in a large academic PICU. Pediatr Crit Care Med. 2015;16:219–26.
doi: 10.1097/PCC.0000000000000340
Gaspar HA, Morhy SS, Lianza AC, et al. Focused cardiac ultrasound: a training course for pediatric intensivists and emergency physicians. BMC Med Educ. 2014;14:25.
doi: 10.1186/1472-6920-14-25
Good R, Orsborn J, Stidham T. Point-of-care ultrasound education for pediatric residents in the pediatric intensive care unit. MedEdPORTAL. 2018;14:10683.
doi: 10.15766/mep_2374-8265.10683
Marin JR, Alpern ER, Panebianco NL, et al. Assessment of a training curriculum for emergency ultrasound for pediatric soft tissue infections. Acad Emerg Med. 2011;18:174–82.
doi: 10.1111/j.1553-2712.2010.00990.x
Maskatia SA, Altman CA, Morris SA, et al. The echocardiography “boot camp”: a novel approach in pediatric cardiovascular imaging education. J Am Soc Echocardiogr. 2013;26:1187–92.
doi: 10.1016/j.echo.2013.06.001
Sepulveda-Ortiz V, Warkentine F, Starr-Seal R, et al. The effectiveness of a longitudinal ultrasound curriculum for general pediatricians working in a Puerto Rican emergency department: a pilot study. Ultrasound J. 2020;12:20.
doi: 10.1186/s13089-020-00169-4
Nishiya K, Sekiguchi S, Yoshimura H, et al. Good clinical teachers in pediatrics: the perspective of pediatricians in Japan. Pediatr Int. 2020;62:549–55.
doi: 10.1111/ped.14125
Vieira RL, Hsu D, Nagler J, et al. Pediatric emergency medicine fellow training in ultrasound: consensus educational guidelines. Acad Emerg Med. 2013;20:300–6.
doi: 10.1111/acem.12087
Pediatric Emergency and Critical Ultrasound Course (PECUS), https://www.winfocus.org/course/pediatric-emergency-critical-ultrasound-course-pecus/ .
Nomura O, Wiseman J, Sunohara M, et al. Japanese medical learners’ achievement emotions: accounting for culture in translating Western medical educational theories and instruments into an asian context. Adv Health Sci Educ Theory Pract. 2021;26:1255–76.
doi: 10.1007/s10459-021-10048-9
Yamada T, Minami T, Soni NJ, et al. Skills acquisition for novice learners after a point-of-care ultrasound course: does clinical rank matter? BMC Med Educ. 2018;18:202.
doi: 10.1186/s12909-018-1310-3
Bandura A. Guide for constructing self-efficacy scales. In: Self-efficacy beliefs of adolescents 5. 2006;307–37.
Gorelick MH, Alpern ER, Alessandrini EA. A system for grouping presenting complaints: the pediatric emergency reason for visit clusters. Acad Emerg Med. 2005;12:723–31.
doi: 10.1197/j.aem.2005.03.530
Allan CK, Tannous P, DeWitt E, et al. A pediatric cardiology fellowship boot camp improves trainee confidence. Cardiol Young. 2016;26:1514–21.
doi: 10.1017/S1047951116002614
Wu WT, Chang KV, Han DS, et al. Musculoskeletal ultrasound workshops in postgraduate physician training: a pre- and post-workshop survey of 156 participants. BMC Med Educ. 2019;19:362.
doi: 10.1186/s12909-019-1769-6
Kirkpatrick D, Kirkpatrick J. Evaluating training programs: the four levels. Berrett-Koehler Publishers; 2006.
Heydari MR, Taghva F, Amini M, et al. Using Kirkpatrick’s model to measure the effect of a new teaching and learning methods workshop for health care staff. BMC Res Notes. 2019;12:388.
doi: 10.1186/s13104-019-4421-y
Shefrin AE, Warkentine F, Constantine E, et al. Consensus core point-of-care ultrasound applications for pediatric emergency medicine training. AEM Educ Train. 2019;3:251–8.
doi: 10.1002/aet2.10332
Nomura O, Irie J, Park Y, et al. Evaluating effectiveness of youtube videos for teaching medical students CPR: solution to optimizing clinician educator workload during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18:7113.
doi: 10.3390/ijerph18137113
Platz E, Goldflam K, Mennicke M, et al. Comparison of Web-versus classroom-based basic ultrasonographic and EFAST training in 2 European hospitals. Ann Emerg Med. 2010;56:660–7.
doi: 10.1016/j.annemergmed.2010.04.019
Canty D, Barth J, Yang Y, et al. Comparison of learning outcomes for teaching focused cardiac ultrasound to physicians: a supervised human model course versus an eLearning guided self- directed simulator course. J Crit Care. 2019;49:38–44.
doi: 10.1016/j.jcrc.2018.10.006
Das D, Kapoor M, Brown C, et al. Comparison of hands-on versus online learning in teaching ultrasound skills for Achilles tendon rupture: a pilot study. Cureus. 2020;12:e9021.
pubmed: 32775101
pmcid: 7405972
Nomura O, Onishi H, Park YS, et al. Predictors of performance on the pediatric board certification examination. BMC Med Educ. 2021;21:122.
doi: 10.1186/s12909-021-02515-z