Graduate Medical Education Can Be an Impetus for Behavior Changes in Physicians in Practice: Point-Of-Care Ultrasound Faculty Development Intervention in Anesthesiology.
Journal
The Journal of continuing education in the health professions
ISSN: 1554-558X
Titre abrégé: J Contin Educ Health Prof
Pays: United States
ID NLM: 8805847
Informations de publication
Date de publication:
01 04 2022
01 04 2022
Historique:
pubmed:
19
2
2022
medline:
26
5
2022
entrez:
18
2
2022
Statut:
ppublish
Résumé
While there is growing evidence to suggest that point-of-care ultrasound (POCUS) may aid in clinical decision-making in the perioperative setting and there are new requirements that anesthesiology residents must be trained in POCUS, few practicing anesthesiologists use POCUS in their practice. The goal of this investigation is to determine whether a multifaceted faculty development program helps a group of faculty members incorporate POCUS into their practice. This intervention had five parts: (1) online prework, (2) 2-day workshop, (3) follow-up hands-on sessions, (4) regular communication, and (5) equipment acquisition. This is a pretest/posttest, single group, observational study where the main outcome measure is the number of POCUS examinations documented and the number of providers who performed at least one examination. In addition, presurveys and postsurveys were administered to determine whether there was a change in confidence and self-reported use of POCUS. The number of examinations completed and the number of providers completing examinations by month both seemed to increase over time between May 2017 and October 2018. Between August 2017 and October 2018, the number of examinations completed per month increased by a rate of approximately one examination per month (starting with one examination in May 2017) and the number of providers completing examinations increased by a rate of approximately 0.61 providers per month (staring with one provider in May 2017). This study shows that an intervention that targets interested faculty can increase the use of POCUS in practice and residents' perceptions of teaching.
Identifiants
pubmed: 35180744
doi: 10.1097/CEH.0000000000000422
pii: 00005141-202204220-00005
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
90-96Informations de copyright
Copyright © 2022 The Alliance for Continuing Education in the Health Professions, the Association for Hospital Medical Education, and the Society for Academic Continuing Medical Education.
Déclaration de conflit d'intérêts
Disclosures: The authors declare no conflict of interest.
Références
Coker BJ, Zimmerman JM. Why anesthesiologists must incorporate focused cardiac ultrasound into daily practice. Anesth Analgesia. 2017;124:761–765.
Cowie B. Focused transthoracic echocardiography predicts perioperative cardiovascular morbidity. J Cardiothorac Vasc Anesth. 2012;26:989–993.
Barber RL, Fletcher SN. A review of echocardiography in anaesthetic and peri‐operative practice. Part 1: impact and utility. Anaesthesia. 2014;69:764–776.
Guarracino F, Bertini P. Perioperative haemodynamic management: is echocardiography the right tool? Curr Opin Crit Care. 2014;20:431–437.
Royse CF, Canty DJ, Faris J, et al. Core review: physician-performed ultrasound: the time has come for routine use in acute care medicine. Anesth Analgesia. 2012;115:1007–1028.
Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Anesthesiology. Available at: https://acgme.org/Portals/0/PFAssets/ProgramRequirements/040_Anesthesiology_2020.pdf?ver=2020-06-18-132902-423 . Accessed March 31, 2021.
American Board of Anesthesiology. ABA APPLIED EXAM Objective Structured Clinical Examination (OSCE) Content Outline. Available at: https://www.theaba.org/pdfs/OSCE_Content_Outline.pdf . Accessed April 1, 2021.
Conlin F, Roy Connelly N, Raghunathan K, et al. Focused transthoracic cardiac ultrasound: a survey of training practices. J Cardiothorac Vasc Anesth. 2016;30:102–106.
Budhram G, Elia T, Rathlev N. Implementation of a successful incentive-based ultrasound credentialing program for emergency physicians. West J Emerg Med. 2013;14:602–608.
Bøtker MT, Vang ML, Grøfte T, et al. Implementing point-of-care ultrasonography of the heart and lungs in an anesthesia department. Acta Anaesthesiologica Scand. 2017;61:156–165.
Deshpande R, Montealegre-Gallegos M, Matyal R, et al. Training the anesthesiologist in point-of-care ultrasound. Int Anesthesiology Clin. 2016;54:71–93.
Mahmood F, Matyal R, Skubas N, et al. Perioperative ultrasound training in anesthesiology: a call to action. Anesth Analgesia. 2016;122:1794–1804.
Blans M, Pijl M, van de Water J, et al. The implementation of POCUS and POCUS training for residents: the Rijnstate approach. Neth J Med. 2020;78:116–124.
Ramsingh D, Alexander B, Le K, et al. Comparison of the didactic lecture with the simulation/model approach for the teaching of a novel perioperative ultrasound curriculum to anesthesiology residents. J Clin Anesth. 2014;26:443–454.
Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015;35:131–138.
Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol. 2000;25:54–67.
Portela MC, Pronovost PJ, Woodcock T, et al. Republished: how to study improvement interventions: a brief overview of possible study types. Postgrad Med J. 2015;91:343–354.
Accreditation Council of Graduate Medical Education. Anesthesiology Milestones 2.0. Available at: https://www.acgme.org/Portals/0/PDFs/Milestones/AnesthesiologyMilestones2.0.pdf?ver=2020-12-02-124758-927 . Accessed April 1, 2021.
Mizubuti GB, Allard RV, Tanzola RC, et al. Pro: focused cardiac ultrasound should Be an integral component of anesthesiology residency training. J Cardiothorac Vasc Anesth. 2015;29:1081–1085.
Asch DA, Nicholson S, Srinivas S, et al. Evaluating obstetrical residency programs using patient outcomes. JAMA. 2009;302:1277–1283.
Bryan RL, Kreuter MW, Brownson RC. Integrating adult learning principles into training for public health practice. Health Promot Pract. 2009;10:557–563.
Wittenberg M. Will ultrasound scanners replace the stethoscope? Br Med J. 2014;348:g3463.
Alfirevic A. Con: perioperative transthoracic echocardiography should not Be an integral part of the anesthesiology residency core curriculum. J Cardiothorac Vasc Anesth. 2015;29:1086–1088.