Evidence map›Paper›PMID 30901403›Full record

ArticleMilitary medicine2019

Formative Assessment of Performance in Diagnostic Ultrasound Using Simulation and Quantitative and Objective Metrics.

Florence H Sheehan, Shannon McConnaughey, Rosario Freeman, R Eugene Zierler

Abstract read
In one paragraph

Article in Military medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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

4 authors.

Florence H SheehanDepartment of Medicine, Division of Cardiology, University of Washington, Campus Box 356422, Seattle, WA.
Shannon McConnaugheyDepartment of Medicine, Division of Cardiology, University of Washington, Campus Box 356422, Seattle, WA.
Rosario FreemanDepartment of Medicine, Division of Cardiology, University of Washington, Campus Box 356422, Seattle, WA.
R Eugene ZierlerDepartment of Surgery, Division of Vascular Surgery, University of Washington, Campus Box 356410, Seattle, WA.

Funding

A DOPPLER SIMULATOR FOR VASCULAR ULTRASOUND TRAININGR42EB018124 · NIBIB · SHEEHAN MEDICAL, LLC · PI ANDERSON, MARK, LEOTTA, DANIEL F · 2015 to 2016
$1.1M
Simulation based Training in Acquiring Images of Diagnostic Quality at the Bedside to Improve Patient SafetyR18HS024219 · AHRQ · UNIVERSITY OF WASHINGTON · PI SHEEHAN, FLORENCE · 2015 to 2017
$750k
A Doppler Simulator for Vascular Ultrasound TrainingR41EB018124 · NIBIB · SHEEHAN MEDICAL, LLC · PI LEOTTA, DANIEL F, SHEEHAN, FLORENCE · 2014 to 2014
$198k
AHRQ HHS R18 HS024219NIBIB NIH HHS R41 EB018124NIBIB NIH HHS R42 EB018124
6 · The paper itself

Abstract

backgroundWe developed simulator-based tools for assessing provider competence in transthoracic echocardiography (TTE) and vascular duplex scanning.

methodsPsychomotor (technical) skill in TTE image acquisition was calculated from the deviation angle of an acquired image from the anatomically correct view. We applied this metric for formative assessment to give feedback to learners and evaluate curricula.Psychomotor skill in vascular ultrasound was measured in terms of dexterity and image plane location; cognitive skill was assessed from measurements of blood flow velocity, parameter settings, and diagnosis. The validity of the vascular simulator was assessed from the accuracy with which experts can measure peak systolic blood flow velocity (PSV).

resultsIn the TTE simulator, the skill metric enabled immediate feedback, formative assessment of curriculum efficacy, and comparison of curriculum outcomes. The vascular duplex ultrasound simulator also provided feedback, and experts' measurements of PSV deviated from actual PSV in the model by <10%.

conclusionsSkill in acquiring diagnostic ultrasound images of organs and vessels can be measured using simulation in an objective, quantitative, and standardized manner. Current applications are provision of feedback to learners to enable training without direct faculty oversight and formative assessment of curricula. Simulator-based metrics could also be applied for summative assessment.

Indexed as

Clinical CompetenceCurriculumEchocardiographyEducational MeasurementEducation, Medical, ContinuingHumansReproducibility of ResultsSimulation TrainingUltrasonographydiagnostic ultrasoundduplex scanningechocardiographyfeedbackformative assessmentmedical educationsimulation

Identifiers

PMID30901403
PMCPMC6433213

What OpenQuestion holds

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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.