Evidence map›Paper›PMID 36859177›Full record

ArticleBMC emergency medicine2023

Self-reported skills and self-confidence in point-of-care ultrasound: a cross-sectional nationwide survey amongst Finnish emergency physicians.

Ossi Hannula, Ville Hällberg, Anna Meuronen, Olli Suominen, Suvi Rautiainen, Ari Palomäki, Harri Hyppölä, Ritva Vanninen, Kalle Mattila

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Point-of-care ultrasound competency of doctors working in Cape Town emergency departments.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  4. Article
  5. Review
  6. Article
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  8. Article
  9. Article
  10. Article
  11. Point-of-care ultrasound Usage and accuracy within a Canadian urology division.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    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

9 authors at 6 institutions in 1 country.

Ossi HannulaSchool of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. ossi.hannula@fimnet.fi.ORCID 0000-0001-5391-279X
Ville HällbergEmergency Department, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
Anna MeuronenEmergency Department, Helsinki University Hospital, Porvoo, Finland.
Olli SuominenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Suvi RautiainenSchool of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Ari PalomäkiEmergency Department, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
Harri HyppöläEmergency Department, South Savo Central Hospital, Mikkeli, Finland.
Ritva VanninenSchool of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Kalle MattilaEmergency Department, Turku University Hospital, Turku, Finland.
University of Eastern Finland · FITampere University · FIHelsinki University Hospital · FIKanta-Hämeen Keskussairaala · FIMoisio Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of point-of-care ultrasound (POCUS) is increasing. Numerous investigators have evaluated the learning curves in POCUS, but there are no published studies on how emergency physicians perceive their own competence level with this skill.

methodsA nationwide survey amongst Finnish emergency physicians was conducted. The respondents reported their use of POCUS and how it has affected their clinical decision-making. The number of POCUS examinations performed was compared to the self-assessed skill level with different applications. Cut-off values were determined for the number of examinations required to acquire a good self-assessed skill level in each POCUS application. The correlation between self-confidence and the self-estimated skill level was analyzed. Several different statistical methods were used, such as Student's t-test, Pearson's correlation test, Loess method and ROC curve analysis.

resultsA total of 134 out of 253 Finnish emergency medicine specialists and residents (52%) responded to the survey. The most commonly used POCUS applications were POCUS-assisted procedures, pleural effusion and pneumothorax, inferior vena cava and lower extremity deep venous thrombosis. The initial rate of perceived skill acquisition was very steep with the curve flattening with greater skill and more experience. The number of examinations performed to reach a self-assessed good competence varied from seven to 75 with different applications. The lowest cut-off point for self-assessed good competence was obtained for rapid ultrasound for the shock and hypotension-protocol and the highest for focused cardiac examinations. There was an excellent correlation between self-confidence and the self-assessed skill level.

conclusionsThe Finnish emergency practitioners' self-assessed development of POCUS skills parallels the previously published learning curves of POCUS. The correlation of self-confidence and the self-assessed skill level was found to be excellent. These findings add information on the development of perceived POCUS skills amongst emergency physicians and could complement a formal performance assessment.

Indexed as

PhysiciansPoint-of-Care SystemsCross-Sectional StudiesFinlandHumansSelf ReportContinuous medical educationPOCUSPost-graduate medical educationSelf-confidenceSkills trainingUltrasound

Identifiers

PMID36859177
PMCPMC9979460
OpenAlexW4322725931

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.