We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Ensuring competency in focused cardiac ultrasound: a systematic review of training programs.
- Authors
Gibson, Lauren E.; White-Dzuro, Gabrielle A.; Lindsay, Patrick J.; Berg, Sheri M.; Bittner, Edward A.; Chang, Marvin G.
- Abstract
Background: Focused cardiac ultrasound (FoCUS) is a valuable skill for rapid assessment of cardiac function and volume status. Despite recent widespread adoption among physicians, there is limited data on the optimal training methods for teaching FoCUS and metrics for determining competency. We conducted a systematic review to gain insight on the optimal training strategies, including type and duration, that would allow physicians to achieve basic competency in FoCUS. Methods: Embase, PubMed, and Cochrane Library databases were searched from inception to June 2020. Included studies described standardized training programs for at least 5 medical students or physicians on adult FoCUS, followed by an assessment of competency relative to an expert. Data were extracted, and bias was assessed for each study. Results: Data were extracted from 23 studies on 292 learners. Existing FoCUS training programs remain varied in duration and type of training. Learners achieved near perfect agreement (κ > 0.8) with expert echocardiographers on detecting left ventricular systolic dysfunction and pericardial effusion with 6 h each of didactics and hands-on training. Substantial agreement (κ > 0.6) on could be achieved in half this time. Conclusion: A short training program will allow most learners to achieve competency in detecting left ventricular systolic dysfunction and pericardial effusion by FoCUS. Additional training is necessary to ensure skill retention, improve efficiency in image acquisition, and detect other pathologies.
- Subjects
MEDICAL students; PERICARDIAL effusion; CARDIAC patients; HEART function tests; DATABASE searching
- Publication
Journal of Intensive Care, 2020, Vol 8, Issue 1, p1
- ISSN
2052-0492
- Publication type
Article
- DOI
10.1186/s40560-020-00503-x