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

doi:10.1186/s12947-022-00296-z

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

Journal article

Open access

Peer reviewed

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 and Benjamin W Berg

Cardiovascular ultrasound, Vol.20(1), 26

10/12/2022

DOI: 10.1186/s12947-022-00296-z

PMCID: PMC9554392

PMID: 36224597

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Abstract

No 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. This 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). Fifty-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). The 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.

Clinical Competence

Curriculum

Echocardiography

Humans

Point-of-Care Systems

Prospective Studies

Students, Medical

Details

Title: Subtitle: Medical student medium-term skill retention following cardiac point-of-care ultrasound training based on the American Society of Echocardiography curriculum framework
Creators: Satoshi Jujo - University of Hawaiʻi at Mānoa
Brandan I Sakka - University of Hawaiʻi at Mānoa
Jannet J Lee-Jayaram - University of Hawaiʻi at Mānoa
Akihisa Kataoka - Teikyo University
Masaki Izumo - St. Marianna University School of Medicine
Kenya Kusunose - Tokushima University Hospital
Atsushi Nakahira - University of Hawaiʻi at Mānoa
Sayaka Oikawa - University of Hawaiʻi at Mānoa
Yuki Kataoka - Kyoto Min-iren Asukai Hospital
Benjamin W Berg - University of Hawaiʻi at Mānoa
Resource Type: Journal article
Publication Details: Cardiovascular ultrasound, Vol.20(1), 26
DOI: 10.1186/s12947-022-00296-z
PMID: 36224597
PMCID: PMC9554392
NLM abbreviation: Cardiovasc Ultrasound
ISSN: 1476-7120
eISSN: 1476-7120
Language: English
Date published: 10/12/2022
Academic Unit: Anesthesia
Record Identifier: 9985150302502771

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