Evidence map›Paper›PMID 34124520›Full record

ArticleAEM education and training2021

Longitudinal accuracy analysis of ultrasound performed during a four-year emergency medicine residency.

Jessica Schleifer, Rachel M Haney, Hamid Shokoohi, Calvin K Huang, Daniel Ratanski, Heidi Kimberly, Andrew S Liteplo

Abstract read
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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
–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

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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.

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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

7 authors.

Jessica SchleiferDepartment of Anesthesia and Intensive Care Medicine University Hospital Bonn Germany.
Rachel M HaneyDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-6145-6111
Hamid ShokoohiDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Calvin K HuangDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Daniel RatanskiDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Heidi KimberlyDepartment of Emergency Medicine Newton Wellesley Hospital Harvard Medical School Newton Massachusetts USA.
Andrew S LiteploDepartment of Emergency Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-3439-6651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to analyze patterns of point-of-care ultrasound (POCUS) performance over 4 years of emergency medicine (EM) residency. Specifically, we aimed to study how accuracy and adherence to standards of scanning changed by postgraduate year (PGY).

methodsThis was a retrospective observational study of resident-performed POCUS at an academic emergency department over 6 years. We reviewed records of POCUS scans performed by PGY-1 to -4 residents that had been collected for quality assurance purposes. Data that were collected about EM residents' performance included the total number and type of scans per year, rate of technically limited scans (TLS), and accuracy on interpreting ultrasound images. Resident performances in each year (PGY-1 to -4) were independently evaluated and reported.

resultsDuring a 6-year period, 137 different EM residents performed 50,815 ultrasound scans. The median number of scans was 177 for PGY-1, 124 for PGY-2, 118 for PGY-3, and 76 for residents in PGY-4. The accuracy of scan interpretations were high across all PGY levels (>97%), but slight degradation was observed as residents progressed through residency. The TLS rate increased from 4.7% among PGY-1s to 13.6% as PGY-4s.

conclusionsIn this large cohort of POCUS studies by EM residents, POCUS accuracy rates decreased and rates of TLS significantly increased as residents progressed through residency.

Identifiers

PMID34124520
PMCPMC8171790

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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.