Evidence map›Paper›PMID 36224597›Full record

ArticleCardiovascular ultrasound2022

Medical student medium-term skill retention following cardiac point-of-care ultrasound training based on the American Society of Echocardiography curriculum framework.

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

Abstract read
In one paragraph

Article in Cardiovascular ultrasound, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Point-of-Care Ultrasound in Undergraduate Medical Education: A National Survey.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    Article
  5. Article
  6. Article
  7. Cardiac Ultrasound Training for Medical Students Utilizing Drawing and Ward-Based Instruction.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
  8. Article
  9. Review
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.

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
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.
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.
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, Kawasaki, Kanagawa, Japan.
Kenya KusunoseDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
Atsushi NakahiraSimTiki 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.
Yuki KataokaDepartment of Internal Medicine, Kyoto Min-Iren Asukai Hospital, Kyoto, Japan.
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.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo studies have demonstrated medium- or long-term skill retention of cardiac point-of-care ultrasound (POCUS) curriculum for medical student. Based on the American Society of Echocardiography (ASE) curriculum framework, we developed a blended-learning cardiac POCUS curriculum with competency evaluation. The objective of this study was to investigate the curriculum impact on image acquisition skill retention 8 weeks after initial training.

methodsThis study was a prospective, pre-post education intervention study for first- and second-year medical students, with blinded outcome assessment. The curriculum included a pre-training ASE online module and healthy volunteer hands-on training to obtain 5 views: parasternal long-axis (PLAX), parasternal short-axis (PSAX), apical 4-chamber (A4C), subcostal 4-chamber (S4C), and subcostal inferior vena cava (SIVC) views. Students took 5-view image acquisition skill tests at pre-, immediate post-, and 8-week post-training, using a healthy volunteer. Three blinded assessors rated the image quality using a validated 10-point maximum scoring system. Students used a hand-held ultrasound probe (Butterfly iQ).

resultsFifty-four students completed hands-on training, and pre- and immediate post-training skill tests. Twenty-seven students completed 8-week post-training skill tests. Skill test score improvement between pre- and 8-week post-training was 2.11 points (95% CI, 1.22-3.00; effect size, 1.13).

conclusionThe cardiac POCUS curriculum demonstrated medium-term skill retention. The curriculum was sufficient for S4C and SIVC skill retention, but inadequate for PLAX, PSAX, and A4C. Therefore, instructional design modifications or re-training for PLAX, PSAX, and A4C are needed to make the curriculum more effective for clinically relevant skill retention.

Indexed as

EchocardiographyStudents, MedicalClinical CompetenceCurriculumHumansPoint-of-Care SystemsProspective StudiesHandheld ultrasoundMedical educationMedical studentPoint-of-care ultrasoundSkill retention

Identifiers

PMID36224597
PMCPMC9554392

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.