Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea
Background Differentiating cardiovascular causes of dyspnea in resource‐limited healthcare settings can be challenging. The use of easy‐to‐train, point‐of‐care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge. Research Question Can novices attain competency in F...
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| Veröffentlicht in: | Journal of clinical ultrasound 2024-05, Vol.52 (4), p.426-434 |
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| container_title | Journal of clinical ultrasound |
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| creator | Muriuki, Daniel Kagima, Jacqueline Mugera, Anne Joekes, Elizabeth Kwasa, Thomas Joshi, Mark David |
| description | Background
Differentiating cardiovascular causes of dyspnea in resource‐limited healthcare settings can be challenging. The use of easy‐to‐train, point‐of‐care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.
Research Question
Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource‐limited settings (CURLS) protocol?
Methods
A quasi‐experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya. Forty‐five graduate medical pre‐interns, novices in cardiac ultrasound, received simulated didactic and hands‐on FoCUS skills training using the CURLS protocol and 2018 European Association of Cardiovascular Imaging (EACVI) FoCUS training and competence assessment recommendations. Competency was assessed in image interpretation, image acquisition, and image quality.
Results
Aggregate image interpretation competency was attained by n = 38 (84%) of trainees with a median score of 80%. The proportion of trainees attaining category‐specific image interpretation competency was as follows: pericardial effusion n = 44 (98%), left atrial enlargement n = 40 (89%), cardiomyopathy n = 38 (84%), left ventricular hypertrophy n = 37 (82%), and right ventricular enlargement n = 29 (64%). Image acquisition skills competency was attained by n = 36 (80%) of trainees. Three‐quarters of trainee‐obtained images were of good quality.
Conclusion
Majority of the trainees attained competency. Training constraints limit the generalizability of our findings.
We trained 45 novice medical officer pre‐interns in cardiovascular dyspnea evaluation using cardiac ultrasound for resource‐limited settings protocol and assessed competency. Outcomes: 84% attained competency in image interpretation, 80% in image acquisition, and 69% obtained good quality images. Focused cardiac ultrasound trainings are potentially effective in resource‐limited settings, but training constrains limit results generalizability. |
| doi_str_mv | 10.1002/jcu.23654 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2932021604</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2932021604</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3134-5354b53d928d5531778da3cd7aa51f86f1c0e4e80a21d7944e7bec8839799cf13</originalsourceid><addsrcrecordid>eNp10b1OHDEQwHErShQukCIvEFlKQ4oFf-7adNEJSCKkNFBbPnuW-LRrL_Yt0XU8As_Ik2A4SBEp1TQ__W3NIPSJkiNKCDteu_mI8VaKN2hBie4aQnT7Fi3qoA3rJN1DH0pZE0JaKeV7tMeVIK1WaoFuz5KbC3jsbPbBOjwPm2xLmqM_wcs0TrCB6LbYjile4ynDw919iBvIsfwOEx7BB2cHnPo-OMgFh4hr5jqmEqp_jTpb3yhVYb8tUwR7gN71dijw8WXuo6uz08vl9-bi1_mP5beLxnHKRSO5FCvJvWbKS8lp1ylvufOdtZL2qu2pIyBAEcuo77QQ0K3AKcV1p7XrKd9Hh7vulNPNDGVjxlAcDIONkOZimOaMMNoSUemXf-g6zTnW3xlOJGWSSfGkvu6Uy6mUDL2Zchht3hpKzNMxTD2GeT5GtZ9fivOqLuqvfN1-Bcc78CcMsP1_yfxcXu2Sjzc9lQo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3051252544</pqid></control><display><type>article</type><title>Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Muriuki, Daniel ; Kagima, Jacqueline ; Mugera, Anne ; Joekes, Elizabeth ; Kwasa, Thomas ; Joshi, Mark David</creator><creatorcontrib>Muriuki, Daniel ; Kagima, Jacqueline ; Mugera, Anne ; Joekes, Elizabeth ; Kwasa, Thomas ; Joshi, Mark David</creatorcontrib><description>Background
Differentiating cardiovascular causes of dyspnea in resource‐limited healthcare settings can be challenging. The use of easy‐to‐train, point‐of‐care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.
Research Question
Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource‐limited settings (CURLS) protocol?
Methods
A quasi‐experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya. Forty‐five graduate medical pre‐interns, novices in cardiac ultrasound, received simulated didactic and hands‐on FoCUS skills training using the CURLS protocol and 2018 European Association of Cardiovascular Imaging (EACVI) FoCUS training and competence assessment recommendations. Competency was assessed in image interpretation, image acquisition, and image quality.
Results
Aggregate image interpretation competency was attained by n = 38 (84%) of trainees with a median score of 80%. The proportion of trainees attaining category‐specific image interpretation competency was as follows: pericardial effusion n = 44 (98%), left atrial enlargement n = 40 (89%), cardiomyopathy n = 38 (84%), left ventricular hypertrophy n = 37 (82%), and right ventricular enlargement n = 29 (64%). Image acquisition skills competency was attained by n = 36 (80%) of trainees. Three‐quarters of trainee‐obtained images were of good quality.
Conclusion
Majority of the trainees attained competency. Training constraints limit the generalizability of our findings.
We trained 45 novice medical officer pre‐interns in cardiovascular dyspnea evaluation using cardiac ultrasound for resource‐limited settings protocol and assessed competency. Outcomes: 84% attained competency in image interpretation, 80% in image acquisition, and 69% obtained good quality images. Focused cardiac ultrasound trainings are potentially effective in resource‐limited settings, but training constrains limit results generalizability.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.23654</identifier><identifier>PMID: 38406988</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Africa ; Cardiomyopathy ; CURLS protocol ; Dyspnea ; Effusion ; Enlargement ; focused cardiac ultrasound ; Heart ; heart failure ; Hypertrophy ; Image acquisition ; Image quality ; Medical imaging ; resource‐limited settings ; Respiration ; Skills ; Training ; Ultrasonic imaging ; Ultrasound ; Ventricle</subject><ispartof>Journal of clinical ultrasound, 2024-05, Vol.52 (4), p.426-434</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3134-5354b53d928d5531778da3cd7aa51f86f1c0e4e80a21d7944e7bec8839799cf13</cites><orcidid>0009-0000-2661-3815</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.23654$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.23654$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38406988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Muriuki, Daniel</creatorcontrib><creatorcontrib>Kagima, Jacqueline</creatorcontrib><creatorcontrib>Mugera, Anne</creatorcontrib><creatorcontrib>Joekes, Elizabeth</creatorcontrib><creatorcontrib>Kwasa, Thomas</creatorcontrib><creatorcontrib>Joshi, Mark David</creatorcontrib><title>Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Background
Differentiating cardiovascular causes of dyspnea in resource‐limited healthcare settings can be challenging. The use of easy‐to‐train, point‐of‐care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.
Research Question
Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource‐limited settings (CURLS) protocol?
Methods
A quasi‐experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya. Forty‐five graduate medical pre‐interns, novices in cardiac ultrasound, received simulated didactic and hands‐on FoCUS skills training using the CURLS protocol and 2018 European Association of Cardiovascular Imaging (EACVI) FoCUS training and competence assessment recommendations. Competency was assessed in image interpretation, image acquisition, and image quality.
Results
Aggregate image interpretation competency was attained by n = 38 (84%) of trainees with a median score of 80%. The proportion of trainees attaining category‐specific image interpretation competency was as follows: pericardial effusion n = 44 (98%), left atrial enlargement n = 40 (89%), cardiomyopathy n = 38 (84%), left ventricular hypertrophy n = 37 (82%), and right ventricular enlargement n = 29 (64%). Image acquisition skills competency was attained by n = 36 (80%) of trainees. Three‐quarters of trainee‐obtained images were of good quality.
Conclusion
Majority of the trainees attained competency. Training constraints limit the generalizability of our findings.
We trained 45 novice medical officer pre‐interns in cardiovascular dyspnea evaluation using cardiac ultrasound for resource‐limited settings protocol and assessed competency. Outcomes: 84% attained competency in image interpretation, 80% in image acquisition, and 69% obtained good quality images. Focused cardiac ultrasound trainings are potentially effective in resource‐limited settings, but training constrains limit results generalizability.</description><subject>Africa</subject><subject>Cardiomyopathy</subject><subject>CURLS protocol</subject><subject>Dyspnea</subject><subject>Effusion</subject><subject>Enlargement</subject><subject>focused cardiac ultrasound</subject><subject>Heart</subject><subject>heart failure</subject><subject>Hypertrophy</subject><subject>Image acquisition</subject><subject>Image quality</subject><subject>Medical imaging</subject><subject>resource‐limited settings</subject><subject>Respiration</subject><subject>Skills</subject><subject>Training</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Ventricle</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp10b1OHDEQwHErShQukCIvEFlKQ4oFf-7adNEJSCKkNFBbPnuW-LRrL_Yt0XU8As_Ik2A4SBEp1TQ__W3NIPSJkiNKCDteu_mI8VaKN2hBie4aQnT7Fi3qoA3rJN1DH0pZE0JaKeV7tMeVIK1WaoFuz5KbC3jsbPbBOjwPm2xLmqM_wcs0TrCB6LbYjile4ynDw919iBvIsfwOEx7BB2cHnPo-OMgFh4hr5jqmEqp_jTpb3yhVYb8tUwR7gN71dijw8WXuo6uz08vl9-bi1_mP5beLxnHKRSO5FCvJvWbKS8lp1ylvufOdtZL2qu2pIyBAEcuo77QQ0K3AKcV1p7XrKd9Hh7vulNPNDGVjxlAcDIONkOZimOaMMNoSUemXf-g6zTnW3xlOJGWSSfGkvu6Uy6mUDL2Zchht3hpKzNMxTD2GeT5GtZ9fivOqLuqvfN1-Bcc78CcMsP1_yfxcXu2Sjzc9lQo</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Muriuki, Daniel</creator><creator>Kagima, Jacqueline</creator><creator>Mugera, Anne</creator><creator>Joekes, Elizabeth</creator><creator>Kwasa, Thomas</creator><creator>Joshi, Mark David</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0000-2661-3815</orcidid></search><sort><creationdate>202405</creationdate><title>Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea</title><author>Muriuki, Daniel ; Kagima, Jacqueline ; Mugera, Anne ; Joekes, Elizabeth ; Kwasa, Thomas ; Joshi, Mark David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3134-5354b53d928d5531778da3cd7aa51f86f1c0e4e80a21d7944e7bec8839799cf13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Africa</topic><topic>Cardiomyopathy</topic><topic>CURLS protocol</topic><topic>Dyspnea</topic><topic>Effusion</topic><topic>Enlargement</topic><topic>focused cardiac ultrasound</topic><topic>Heart</topic><topic>heart failure</topic><topic>Hypertrophy</topic><topic>Image acquisition</topic><topic>Image quality</topic><topic>Medical imaging</topic><topic>resource‐limited settings</topic><topic>Respiration</topic><topic>Skills</topic><topic>Training</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muriuki, Daniel</creatorcontrib><creatorcontrib>Kagima, Jacqueline</creatorcontrib><creatorcontrib>Mugera, Anne</creatorcontrib><creatorcontrib>Joekes, Elizabeth</creatorcontrib><creatorcontrib>Kwasa, Thomas</creatorcontrib><creatorcontrib>Joshi, Mark David</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Muriuki, Daniel</au><au>Kagima, Jacqueline</au><au>Mugera, Anne</au><au>Joekes, Elizabeth</au><au>Kwasa, Thomas</au><au>Joshi, Mark David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2024-05</date><risdate>2024</risdate><volume>52</volume><issue>4</issue><spage>426</spage><epage>434</epage><pages>426-434</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Background
Differentiating cardiovascular causes of dyspnea in resource‐limited healthcare settings can be challenging. The use of easy‐to‐train, point‐of‐care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.
Research Question
Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource‐limited settings (CURLS) protocol?
Methods
A quasi‐experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya. Forty‐five graduate medical pre‐interns, novices in cardiac ultrasound, received simulated didactic and hands‐on FoCUS skills training using the CURLS protocol and 2018 European Association of Cardiovascular Imaging (EACVI) FoCUS training and competence assessment recommendations. Competency was assessed in image interpretation, image acquisition, and image quality.
Results
Aggregate image interpretation competency was attained by n = 38 (84%) of trainees with a median score of 80%. The proportion of trainees attaining category‐specific image interpretation competency was as follows: pericardial effusion n = 44 (98%), left atrial enlargement n = 40 (89%), cardiomyopathy n = 38 (84%), left ventricular hypertrophy n = 37 (82%), and right ventricular enlargement n = 29 (64%). Image acquisition skills competency was attained by n = 36 (80%) of trainees. Three‐quarters of trainee‐obtained images were of good quality.
Conclusion
Majority of the trainees attained competency. Training constraints limit the generalizability of our findings.
We trained 45 novice medical officer pre‐interns in cardiovascular dyspnea evaluation using cardiac ultrasound for resource‐limited settings protocol and assessed competency. Outcomes: 84% attained competency in image interpretation, 80% in image acquisition, and 69% obtained good quality images. Focused cardiac ultrasound trainings are potentially effective in resource‐limited settings, but training constrains limit results generalizability.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38406988</pmid><doi>10.1002/jcu.23654</doi><tpages>9</tpages><orcidid>https://orcid.org/0009-0000-2661-3815</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Africa Cardiomyopathy CURLS protocol Dyspnea Effusion Enlargement focused cardiac ultrasound Heart heart failure Hypertrophy Image acquisition Image quality Medical imaging resource‐limited settings Respiration Skills Training Ultrasonic imaging Ultrasound Ventricle |
| title | Focused cardiac ultrasound: Competency among pre‐internship medical officers in diagnosing cardiac causes of dyspnea |
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