ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Educational impact of hand motion analysis in the evaluation of FAST examination skills.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Computer-Based Competency Assessment in Point-Of-Care Ultrasound: A Systematic Review.AEM education and training · 2025Article
- Change in economy of ultrasound probe motion among general medicine trainees.The ultrasound journal · 2024Article
- Characterizing the biomechanical differences between novice and expert point-of-care ultrasound practitioners using a low-cost gyroscope and accelerometer integrated sensor: A pilot study.AEM education and training · 2022Article
- Differences in Gaze Fixation Location and Duration Between Resident and Fellowship Sonographers Interpreting a Focused Assessment With Sonography in Trauma.AEM education and training · 2021Article
- Validation and Reliability of a Novel Vagus Nerve Neurodynamic Test and Its Effects on Heart Rate in Healthy Subjects: Little Differences Between Sexes.Frontiers in neuroscience · 2021Article
- Differentiating Operator Skill during Routine Fetal Ultrasound Scanning using Probe Motion Tracking.Medical ultrasound, and preterm, perinatal and paediatric image analysis · 2020Article
- Reply to: Wanted: Automated objective proficiency assessment metrics for the FAST exam (and other POCUS studies).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Wanted: automated objective proficiency assessment metrics for the FAST exam (and other POCUS studies).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Robotics in Cleft Surgery: Origins, Current Status and Future Directions.Robotic surgery (Auckland) · 2019Review
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12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeIncreasing pressure pushes towards the objective competence assessment of clinical operators. Hand motion analysis (HMA) was introduced to measure surgical and clinical procedures; its recent application to FAST examinations leaves unsolved issues. This study aimed at determining optimal HMA parameters to discriminate between operators' skill levels, and which FAST tasks are experience-dependent.
methodsTen experienced (EG) and 13 beginner (BG) sonographers performed a FAST examination on one female and one male model. A motion capture system returned the duration, working volume, number of movements (absolute and time normalized), and hand path length (absolute and time normalized) of each view.
resultsBG took more time in completing specific views, with a higher working volume (p = 0.003) and longer hands path (p < 0.001). The number of movements was lower in the EG (p < 0.001) and differed between views (p = 0.014). No significant Group/Model differences were found for the normalized number of movements. The LUQ view required a higher number of movements (p < 0.001).
conclusionsHMA identified kinematic parameters discriminating between proficiency level and critical subtasks in the FAST examination. These findings could be the base for a focused HMA-based evaluation of performances following a proctored training period. There is room to incorporate HMA into simulation metrics and evidence-based credentialing standards for clinical ultrasound applications.
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