Lung ultrasound training and evaluation for proficiency among physicians in a low-resource setting
dc.contributor.author | House, Darlene R. | |
dc.contributor.author | Amatya, Yogendra | |
dc.contributor.author | Nti, Benjamin | |
dc.contributor.author | Russell, Frances M. | |
dc.contributor.department | Emergency Medicine, School of Medicine | en_US |
dc.date.accessioned | 2023-01-20T11:09:32Z | |
dc.date.available | 2023-01-20T11:09:32Z | |
dc.date.issued | 2021-06-30 | |
dc.description.abstract | Background: Lung ultrasound (LUS) is helpful for the evaluation of patients with dyspnea in the emergency department (ED). However, it remains unclear how much training and how many LUS examinations are needed for ED physicians to obtain proficiency. The objective of this study was to determine the threshold number of LUS physicians need to perform to achieve proficiency for interpreting LUS on ED patients with dyspnea. Methods: A prospective study was performed at Patan Hospital in Nepal, evaluating proficiency of physicians novice to LUS. After eight hours of didactics and hands-on training, physicians independently performed and interpreted ultrasounds on patients presenting to the ED with dyspnea. An expert sonographer blinded to patient data and LUS interpretation reviewed images and provided an expert interpretation. Interobserver agreement was performed between the study physician and expert physician interpretation. Cumulative sum analysis was used to determine the number of scans required to attain an acceptable level of training. Results: Nineteen physicians were included in the study, submitting 330 LUS examinations with 3288 lung zones. Eighteen physicians (95%) reached proficiency. Physicians reached proficiency for interpreting LUS accurately when compared to an expert after 4.4 (SD 2.2) LUS studies for individual zone interpretation and 4.8 (SD 2.3) studies for overall interpretation, respectively. Conclusions: Following 1 day of training, the majority of physicians novice to LUS achieved proficiency with interpretation of lung ultrasound after less than five ultrasound examinations performed independently. | en_US |
dc.eprint.version | Final published version | en_US |
dc.identifier.citation | House DR, Amatya Y, Nti B, Russell FM. Lung ultrasound training and evaluation for proficiency among physicians in a low-resource setting. Ultrasound J. 2021;13(1):34. Published 2021 Jun 30. doi:10.1186/s13089-021-00236-4 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/30970 | |
dc.language.iso | en_US | en_US |
dc.publisher | Springer | en_US |
dc.relation.isversionof | 10.1186/s13089-021-00236-4 | en_US |
dc.relation.journal | The Ultrasound Journal | en_US |
dc.rights | Attribution 4.0 International | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.source | PMC | en_US |
dc.subject | Point-of-care ultrasound | en_US |
dc.subject | Lung ultrasound | en_US |
dc.subject | Proficiency | en_US |
dc.subject | Education | en_US |
dc.title | Lung ultrasound training and evaluation for proficiency among physicians in a low-resource setting | en_US |
dc.type | Article | en_US |