Evidence map›Paper›PMID 33521488›Full record

ArticleAEM education and training2021

Differences in Gaze Fixation Location and Duration Between Resident and Fellowship Sonographers Interpreting a Focused Assessment With Sonography in Trauma.

Colin R Bell, Adam Szulewski, Melanie Walker, Conor McKaigney, Graeme Ross, Louise Rang, Joseph Newbigging, John Kendall

Open access · hybridAbstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 9 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 4 institutions in 2 countries.

Colin R BellDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.ORCID https://orcid.org/0000-0002-6416-8537
Adam SzulewskiDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.ORCID https://orcid.org/0000-0002-3076-6221
Melanie WalkerDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.ORCID https://orcid.org/0000-0002-9312-0874
Conor McKaigneyDepartment of Emergency Medicine South Health, Alberta Health Services and Cumming School of Medicine at the University of Calgary Calgary Alberta Canada.
Graeme RossDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.
Louise RangDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.
Joseph NewbiggingDepartment of Emergency Medicine Kingston Health Sciences Centre Kingston Ontario.
John KendallDepartment of Emergency Medicine Denver Health Medical Center and University of Colorado Medical School Denver CO.ORCID https://orcid.org/0000-0003-4922-3486
Queen's University · CAAlberta Health Services · CADenver Health Medical Center · USKingston Health Sciences Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe quantified the gaze fixation duration of resident and fellowship sonographers interpreting a prerecorded focused assessment with sonography in trauma (FAST). We hypothesized that all sonographers would fixate on each relevant anatomic relationship but that the duration of fixation would differ.

methodsWe conducted a cross-sectional study collecting and analyzing the gaze fixations of a convenience sample of current resident and fellowship sonographers. All sonographers viewed a standardized FAST video, and their gaze fixations were recorded using a Tobii X3-120 eye-tracking bar. Gaze fixations over nine anatomic regions of interest (ROIs) were identified. These were assessed for normality and analyzed using the Wilcoxon rank sum test at an alpha of 0.05 and Bonferroni correction p value of <0.0034. The chi-square test and Pearson's correlation were performed to assess statistical association.

resultsThe gaze fixation recordings of 24 resident and eight fellowship sonographers were suitable for analysis. Fourteen of the 24 resident sonographers viewed all ROIs in the FAST, whereas all eight fellowship sonographers viewed each of the nine relevant ROIs. Five ROIs were identified over which at least one resident sonographer did not have a gaze fixation. No statistically significant difference was identified between groups. Resident sonographers gaze fixated over the left upper quadrant (LUQ) splenorenal interface for a median (interquartile range) of 10.64 (9.73-11.60) seconds. The fellowship group viewed the same ROI for 8.43 (6.64-8.95) seconds (p < 0.003). All participants viewed this ROI. No other ROIs had a statistical difference.

conclusionFive ROIs were identified that were not visually interrogated by all resident sonographers. Only 14 of 24 resident sonographers visually interrogated every area in the FAST, whereas all fellowship sonographers interrogated every ROI. A statistically significant difference was found in gaze fixation duration between resident and fellowship sonographers in one ROI. Further study is required for gaze fixation assessment to become a tool for the interpretation component of point-of-care ultrasound.

Identifiers

PMID33521488
PMCPMC7821074
OpenAlexW3005683770

What OpenQuestion holds

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LicenceCC BY
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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.