Evidence map›Paper›PMID 39695599›Full record

Observational studyBMC medical education2024

How to enhance the novices' learning in ultrasound-guided procedures utilizing handmade phantoms?

Sih-Shiang Huang, Chih-Hsien Lin, Shao-Yung Lin, Chien-Tai Huang, Wan-Ching Lien

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04792203 (The Evaluation of the Ultrasound-guided Clinical Procedure Simulation Curriculum), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04792203 active not recruitingnot on this map

The Evaluation of the Ultrasound-guided Clinical Procedure Simulation Curriculum

TypeobservationalSponsorNational Taiwan University HospitalRan2021 to 2026Enrolled100ConditionsUltrasound Performance
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Sih-Shiang Huang *Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Chih-Hsien Lin *Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Shao-Yung Lin *Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Chien-Tai Huang *Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Wan-Ching LienDepartment of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, No.7, Chung-Shan South Road, Taipei, 100, Taiwan. wanchinglien@ntu.edu.tw.

Funding

Ministry of Science and Technology, Taiwan Most 110-2511-H-002 -009 -MY2
6 · The paper itself

Abstract

introductionThis prospective study aims to evaluate the learning effect of US-guided thoracocentesis and pericardiocentesis in novices through simulation training using handmade phantoms.

methodsThe novices included undergraduate-year (UGY) students and first postgraduate-year (PGY-1) residents. Handmade phantoms were utilized for training and immediate assessment. Novices were re-evaluated using high-fidelity phantoms three months after training, while experienced PGY-3 emergency medicine residents were recruited and evaluated with high-fidelity phantoms simultaneously. Data on their performance, puncture time, and number of attempts were collected.

resultsThirty-six novices (18 PGY-1 and 18 UGYs) and 12 PGY-3 emergency medicine residents were recruited. Alongside clinical observation, novices demonstrated improved skill retention and performance at the 3-month assessment compared to the immediate assessment [5 (4-5) vs. 3.5 (3-4), p = 0.0005] in thoracocentesis, achieving a comparable level of proficiency with the PGY-3 emergency medicine residents [5 (4-5) vs. 5 (5), p = 0.105]. Without clinical observation, novices exhibited a decline in skill proficiency in pericardiocentesis at the 3-month assessment [3 (3-4) vs. 4 (4-4.5), p = 0.015]. The puncture time was comparable between novices and PGY-3 emergency medicine residents for both thoracocentesis and pericardiocentesis. However, novices required a greater number of puncture attempts for pericardiocentesis.

conclusionsNovices showed superior performance in thoracocentesis but experienced skill decay in pericardiocentesis at the 3-month assessment following training with handmade phantoms. This decline may be attributed to the very low frequency of pericardiocentesis cases encountered by novices after training, as well as the higher-stakes nature of the procedure. Further investigation is needed to evaluate the long-term effects of training, skill retention, and transfer of skills to actual patient care. Additionally, research should focus on determining optimal retraining intervals for pericardiocentesis and evaluating the use of standardized pericardiocentesis videos as an alternative to clinical observation.

trial registrationRegistered at ClinicalTrials.gov (NCT04792203) on March 7, 2021.

Indexed as

Clinical CompetenceEmergency MedicineInternship and ResidencyPhantoms, ImagingUltrasonography, InterventionalAdultEducation, Medical, UndergraduateFemaleHumansMalePericardiocentesisProspective StudiesSimulation TrainingThoracentesisPericardiocentesisPhantomProcedureThoracocentesisUltrasound

Identifiers

PMID39695599
PMCPMC11654126

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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.