Evidence map›Paper›PMID 34521479›Full record

ArticlePilot and feasibility studies2021

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study.

Satoshi Jujo, Jannet J Lee-Jayaram, Brandan I Sakka, Atsushi Nakahira, Akihisa Kataoka, Masaki Izumo, Kenya Kusunose, Natsinee Athinartrattanapong, Sayaka Oikawa, Benjamin W Berg

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT04083924 nacompletednot on this map

Preclinical Medical Student Handheld Echocardiography Training American Society of Echocardiography Curriculum

TypeinterventionalSponsorUniversity of HawaiiRan2019 to 2020Enrolled58ConditionsEchocardiography, Medical Student, Transthoracic Echocardiography, EducationArmsBasic cardiac ultrasound training with Butterfly iQ handheld ultrasound
NCT07339007 enrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Observational Study to Validate a Family Physician Echocardiography Training Programme

Typeobservational_patient_registrySponsorSocietat Catalana de Medicina Familiar i Comunitària, Assoc. (CAMFiC)Ran2023 to 2027Enrolled500ConditionsHeart Failure, Valvular Heart Diseases, Atrial Fibrillation (AF), Arterial HypertensionArmsCohort of GPs: Training program, Cohort of patients
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

10 authors at 4 institutions in 3 countries.

Satoshi JujoSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA. neo.j.j@live.jp.ORCID http://orcid.org/0000-0003-1933-0782
Jannet J Lee-JayaramSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
Brandan I SakkaSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
Atsushi NakahiraSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
Akihisa KataokaDivision of Cardiology, Department of Internal Medicine, Teikyo University, Tokyo, Japan.
Masaki IzumoDivision of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.
Kenya KusunoseDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
Natsinee AthinartrattanapongSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
Sayaka OikawaSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
Benjamin W BergSimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, MEB 212, Honolulu, HI, 96813, USA.
University of Hawaiʻi at Mānoa · USSt. Marianna University School of Medicine · JPTeikyo University · JPTokushima University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac point-of-care ultrasound (POCUS) training has been integrated into medical school curricula. However, there is no standardized cardiac POCUS training method for medical students. To address this issue, the American Society of Echocardiography (ASE) proposed a framework for medical student cardiac POCUS training. The objective of this pilot study was to develop a medical student cardiac POCUS curriculum with test scoring systems and test the curriculum feasibility for a future definitive study.

methodsBased on the ASE-recommended framework, we developed a cardiac POCUS curriculum consisting of a pre-training online module and hands-on training with a hand-held ultrasound (Butterfly iQ, Butterfly Network Inc., Guilford, CT, USA). The curriculum learning effects were assessed with a 10-point maximum skill test and a 40-point maximum knowledge test at pre-, immediate post-, and 8-week post-training. To determine the curriculum feasibility, we planned to recruit 6 pre-clinical medical students. We semi-quantitatively evaluated the curriculum feasibility in terms of recruitment rate, follow-up rate 8 weeks after training, instructional design of the curriculum, the effect size (ES) of the test score improvements, and participant satisfaction. To gather validity evidence of the skill test, interrater and test-retest reliability of 3 blinded raters were assessed.

resultsSix pre-clinical medical students participated in the curriculum. The recruitment rate was 100% (6/6 students) and the follow-up rate 8 weeks after training was 100% (6/6). ESs of skill and knowledge test score differences between pre- and immediate post-, and between pre- and 8-week post-training were large. The students reported high satisfaction with the curriculum. Both interrater and test-retest reliability of the skill test were excellent.

conclusionsThis pilot study confirmed the curriculum design as feasible with instructional design modifications including the hands-on training group size, content of the cardiac POCUS lecture, hands-on teaching instructions, and hand-held ultrasound usage. Based on the pilot study findings, we plan to conduct the definitive study with the primary outcome of long-term skill retention 8 weeks after initial training. The definitive study has been registered in ClinicalTrials.gov (Identifier: NCT04083924).

Indexed as

Curriculum developmentEchocardiographyHandheld ultrasoundMedical educationMedical studentPOCUSPoint-of-care ultrasound

Identifiers

PMID34521479
PMCPMC8438804
OpenAlexW3176346878

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.