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This study is a prospective cohort study implementing a point-of-care ultrasound (POCUS) simulation case-based workshop in emergency (EM) physicians at different training levels as an educational and competency-based assessment tool. The investigators incorporate elements of Miller's pyramid (second and third levels of "knows how" and "shows how") and the latter part of Kern's six step model framework for curriculum development (intervention implementation and student assessment, program evaluation, and feedback). The investigators will compare pre-/post-workshop knowledge and post-OSCE (Objective Structured Clinical Exam) technical skills scores. The investigators will also collect demographic data on baseline POCUS scans completed, training level, interest in ultrasound fellowship, monthly performed clinical POCUS scans, etc. The standardized simulation cases for EM POCUS training can then be generalized for use at any program globally to improve clinical training and patient care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Emergency (EM) Physicians | Experimental | EM physicians will participate in a standardized simulation encounter during simulation days, resident conference, or faculty development sessions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound simulation training case-based workshop during resident sim days | Behavioral | Using the CAE Vimedix ultrasound simulator or standardized patient, a patient stem will be read or video shown to an individual participant. The participant will have 10 minutes to discuss the scenario and scan the simulator/patient. Participants will verbalize their findings and receive additional information, including diagnostic tests or point-of-care ultrasound (POCUS) videos, as they proceed through the case. They will be scored using a standardized rubric. For Objective Structured Clinical Exam (OSCE) testing, two independent raters, both with ultrasound fellowship training, one known to the participants and one unknown to the participants, will observe and rate the participant on a simulated POCUS case using the already published OSCE tool. The rater will read a brief standardized stem, and the participant will have 10 minutes to complete the station. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in knowledge exam score | Assessing the impact of the POCUS (point-of-care ultrasound) simulation workshop to improve training for clinical diagnostic thought processes. | Baseline to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound Competency Assessment Tool (UCAT) score | Assessing the impact of the POCUS (point-of-care ultrasound) simulation workshop to improve training for clinical diagnostic thought processes. | 12 months |
| Number of POCUS (point-of-care ultrasound) exams performed per participant |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rebecca G Theophanous, MD, MHSc | Contact | 919-681-6091 | rebecca.theophanous@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Rebecca G Theophanous, MD, MHSc | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Health System | Recruiting | Durham | North Carolina | 27703 | United States |
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|
Collected via electronic health records. |
| 12 months |
| Change in quality assurance score | Baseline to 12 months |