Evidence map›Paper›PMID 30591050›Full record

ArticleBMC medical education2018

Building a bigger tent in point-of-care ultrasound education: a mixed-methods evaluation of interprofessional, near-peer teaching of internal medicine residents by sonography students.

Christopher J Smith, Tabatha Matthias, Elizabeth Beam, Kathryn Wampler, Lea Pounds, Devin Nickol, Kristy Carlson, Kimberly Michael

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Christopher J SmithDepartment of Internal Medicine, University of Nebraska Medical Center, Section of Hospital Medicine, 986430 Nebraska Medical Center, Omaha, NE, 68198-6430, USA. csmithj@unmc.edu.ORCID http://orcid.org/0000-0001-6417-0824
Tabatha MatthiasDepartment of Internal Medicine, University of Nebraska Medical Center, Section of Hospital Medicine, 986430 Nebraska Medical Center, Omaha, NE, 68198-6430, USA.
Elizabeth BeamUniversity of Nebraska Medical Center, Interprofessional Academy of Educators, 987115 Nebraska Medical Center, Omaha, NE, 68198-7115, USA.
Kathryn WamplerDepartment of Medical Imaging & Therapeutic Sciences, Diagnostic Medical Sonography Program, University of Nebraska Medical Center, 984545 Nebraska Medical Center, Omaha, NE, 68198-4545, USA.
Lea PoundsDepartment of Health Promotion, University of Nebraska Medical Center, 984395 Nebraska Medical Center, Omaha, NE, 68198-4320, USA.
Devin NickolDepartment of Internal Medicine, Division of General Internal Medicine, University of Nebraska Medical Center, 986430 Nebraska Medical Center, Omaha, NE, 68198-6430, USA.
Kristy CarlsonDepartment of Internal Medicine, Section of Hospital Medicine, 986430 Nebraska Medical Center, Omaha, NE, 68198-6430, USA.
Kimberly MichaelDepartment of Medical Imaging & Therapeutic Sciences, Diagnostic Medical Sonography Program, University of Nebraska Medical Center, 984545 Nebraska Medical Center, Omaha, NE, 68198-4545, USA.
University of Nebraska Medical Center · USNebraska Medical Center · US

Funding

University of Nebraska Medical Center Interprofessional Academy of Educators NA
6 · The paper itself

Abstract

backgroundPoint-of-care-ultrasound (POCUS) training is expanding in undergraduate and graduate medical education, but lack of trained faculty is a major barrier. Two strategies that may help mitigate this obstacle are interprofessional education (IPE) and near-peer teaching. The objective of this study was to evaluate a POCUS course in which diagnostic medical sonography (DMS) students served as near-peer teachers for internal medicine residents (IMR) learning to perform abdominal sonography.

methodsPrior to the IPE workshop, DMS students participated in a train-the-trainer session to practice teaching and communication skills via case-based simulation. DMS students then coached first-year IMR to perform POCUS examinations of the kidney, bladder, and gallbladder on live models. A mixed-methods evaluation of the interprofessional workshop included an objective structured clinical exam (OSCE), course evaluation, and qualitative analysis of focus group interviews.

resultsTwenty-four of 24 (100%) IMR completed the OSCE, averaging 97.7/107 points (91.3%) (SD 5.2). Course evaluations from IMR and DMS students were globally positive. Twenty three of 24 residents (96%) and 6/6 DMS students (100%) participated in focus group interviews. Qualitative analysis identified themes related to the learning environment, scanning technique, and suggestions for improvement. IMR felt the interprofessional training fostered a positive learning environment and that the experience complimented traditional faculty-led workshops. Both groups noted the importance of establishing mutual understanding of expectations and suggested future workshops have more dedicated time for DMS student demonstration of scanning technique.

conclusionAn interprofessional, near-peer workshop was an effective strategy for teaching POCUS to IMR. This approach may allow broader adoption of POCUS in medical education, especially when faculty expertise is limited.

Indexed as

Point-of-Care SystemsTeachingUltrasonographyAbdomenEducation, MedicalHumansInternal MedicinePeer GroupStudents, MedicalInterprofessional educationPeer-teachingPoint-of-care ultrasound

Identifiers

PMID30591050
PMCPMC6307233
OpenAlexW2906731006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.