Evidence map›Paper›PMID 34966971›Full record

Observational studyCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Competence of anesthesiology residents following a longitudinal point-of-care ultrasound curriculum.

Michelle Clunie, Jennifer O'Brien, Paul Olszynski, Jagmeet Bajwa, Rob Perverseff

Abstract readObservational Study
In one paragraph

Observational study in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
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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

5 authors.

Michelle ClunieDepartment of Anesthesiology, Perioperative Medicine and Pain Management, Royal University Hospital, Room G525, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada. mjclunie@gmail.com.ORCID http://orcid.org/0000-0003-4546-2818
Jennifer O'BrienDepartment of Anesthesiology, Perioperative Medicine and Pain Management, Saskatoon, SK, Canada.
Paul OlszynskiDepartment of Emergency Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Jagmeet BajwaDepartment of Anesthesiology, Perioperative Medicine and Pain Management, Saskatoon, SK, Canada.
Rob PerverseffDepartment of Anesthesiology, Perioperative Medicine and Pain Management, Saskatoon, SK, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePoint-of-care ultrasound (POCUS) facilitates diagnostic, procedural, and resuscitative applications in anesthesiology. Structured POCUS curricula improve learner satisfaction, test scores, and clinical management, but the learning curve towards competency and retention of skills over time remain unknown.

methodsWe conducted a prospective observational study to determine when anesthesiology trainees enrolled in a POCUS curriculum achieve competency in POCUS skills. We also investigated the learning curve of trainees' competency using a POCUS-specific competency-based medical education assessment. The structured, longitudinal POCUS curriculum included online lectures, journal articles, live model scanning sessions, video review of cases, and a portfolio of supervised scans. Point-of-care ultrasound scanning sessions on standardized patients were conducted in the simulation lab for 2.5 hr a week and each resident completed eight sessions (20 hr) per academic year. At each scanning session, timed image acquisition scores were collected and POCUS skills entrustment scale evaluations were conducted. The primary outcome was the number of supervised scans and sessions required to achieve a mean entrustment score of 4 ("may use independently"). Secondary outcomes included image acquisition scores and retention of skills after six months.

resultsThe mean (standard deviation) number of supervised scans required for trainees (n = 29) to reach a mean entrustment score of ≥ 4 was 36 (10) scans over nine sessions for rescue echo. A mean entrustment score of ≥ 4 was observed for lung ultrasound after a mean (SD) of 8 (3) scans over two sessions.

conclusionsOur study shows that anesthesiology residents can achieve competence in rescue echo and lung ultrasound through participation in a structured, longitudinal POCUS curriculum, and outlines the learning curve for progression towards competency.

Indexed as

AnesthesiologyInternship and ResidencyClinical CompetenceCurriculumHumansPoint-of-Care SystemsUltrasonographyanesthesiology residentscompetencelongitudinal curriculumPOCUS

Identifiers

PMID34966971
PMCPMC8715842

What OpenQuestion holds

Textmetadata
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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.