Sustained effect of simulation-based ultrasound training on clinical performance: a randomized trial
Identifieur interne : 000519 ( Main/Exploration ); précédent : 000518; suivant : 000520Sustained effect of simulation-based ultrasound training on clinical performance: a randomized trial
Auteurs : M G Tolsgaard [Danemark] ; C. Ringsted [Danemark] ; E. Dreisler [Danemark] ; L N N Rgaard [Danemark] ; J H Petersen [Danemark] ; M E Madsen [Danemark] ; N L C. Freiesleben [Danemark] ; J L S Rensen [Danemark] ; A. Tabor [Danemark]Source :
- Ultrasound in Obstetrics & Gynecology [ 0960-7692 ] ; 2015.
Abstract
To study the effect of initial simulation-based transvaginal sonography (TVS) training compared with clinical training only, on the clinical performance of residents in obstetrics and gynecology (Ob-Gyn), assessed 2 months into their residency.
In a randomized study, new Ob-Gyn residents (
During the 2 months of clinical training, participants in the intervention and control groups completed an average ± SD of 58 ± 41 and 63 ± 47 scans, respectively (
Simulation-based ultrasound training leads to substantial improvement in clinical performance that is sustained after 2 months of clinical training. © 2015 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology.
Url:
DOI: 10.1002/uog.14780
PubMed: 25580809
PubMed Central: 4600230
Affiliations:
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Tabor</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25580809</idno><idno type="pmc">4600230</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600230</idno><idno type="RBID">PMC:4600230</idno><idno type="doi">10.1002/uog.14780</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000392</idno><idno type="wicri:Area/Pmc/Curation">000392</idno><idno type="wicri:Area/Pmc/Checkpoint">000304</idno><idno type="wicri:Area/Ncbi/Merge">003611</idno><idno type="wicri:Area/Ncbi/Curation">003611</idno><idno type="wicri:Area/Ncbi/Checkpoint">003611</idno><idno type="wicri:doubleKey">0960-7692:2015:Tolsgaard M:sustained:effect:of</idno><idno type="wicri:Area/Main/Merge">000519</idno><idno type="wicri:Area/Main/Curation">000519</idno><idno type="wicri:Area/Main/Exploration">000519</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sustained effect of simulation-based ultrasound training on clinical performance: a randomized trial</title><author><name sortKey="Tolsgaard, M G" sort="Tolsgaard, M G" uniqKey="Tolsgaard M" first="M G" last="Tolsgaard">M G Tolsgaard</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Centre for Clinical Education, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Ringsted, C" sort="Ringsted, C" uniqKey="Ringsted C" first="C" last="Ringsted">C. Ringsted</name><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Faculty of Health, Aarhus University</institution><addr-line>Aarhus, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Aarhus</wicri:regionArea></affiliation></author><author><name sortKey="Dreisler, E" sort="Dreisler, E" uniqKey="Dreisler E" first="E" last="Dreisler">E. Dreisler</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="N Rgaard, L N" sort="N Rgaard, L N" uniqKey="N Rgaard L" first="L N" last="N Rgaard">L N N Rgaard</name><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Department of Obstetrics and Gynecology, Nordsjælland Hospital Hillerød, University of Copenhagen</institution><addr-line>Hillerød, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Hillerød</wicri:regionArea></affiliation></author><author><name sortKey="Petersen, J H" sort="Petersen, J H" uniqKey="Petersen J" first="J H" last="Petersen">J H Petersen</name><affiliation wicri:level="1"><nlm:aff id="au5"><institution>Department of Biostatistics, University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Madsen, M E" sort="Madsen, M E" uniqKey="Madsen M" first="M E" last="Madsen">M E Madsen</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Centre for Clinical Education, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Freiesleben, N L C" sort="Freiesleben, N L C" uniqKey="Freiesleben N" first="N L C" last="Freiesleben">N L C. Freiesleben</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au6"><institution>Department of Obstetrics and Gynecology, Næstved Hospital, University of Copenhagen</institution><addr-line>Næstved, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Næstved</wicri:regionArea></affiliation></author><author><name sortKey="S Rensen, J L" sort="S Rensen, J L" uniqKey="S Rensen J" first="J L" last="S Rensen">J L S Rensen</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Tabor, A" sort="Tabor, A" uniqKey="Tabor A" first="A" last="Tabor">A. Tabor</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Capital Region and University of Copenhagen</institution><addr-line>Copenhagen, Denmark</addr-line></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen</wicri:regionArea></affiliation></author></analytic><series><title level="j">Ultrasound in Obstetrics & Gynecology</title><idno type="ISSN">0960-7692</idno><idno type="eISSN">1469-0705</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To study the effect of initial simulation-based transvaginal sonography (TVS) training compared with clinical training only, on the clinical performance of residents in obstetrics and gynecology (Ob-Gyn), assessed 2 months into their residency.</p></sec><sec><title>Methods</title><p>In a randomized study, new Ob-Gyn residents (<italic>n</italic> = 33) with no prior ultrasound experience were recruited from three teaching hospitals. Participants were allocated to either simulation-based training followed by clinical training (intervention group; <italic>n</italic> = 18) or clinical training only (control group; <italic>n</italic> = 15). The simulation-based training was performed using a virtual-reality TVS simulator until an expert performance level was attained, and was followed by training on a pelvic mannequin. After 2 months of clinical training, one TVS examination was recorded for assessment of each resident's clinical performance (<italic>n</italic> = 26). Two ultrasound experts blinded to group allocation rated the scans using the Objective Structured Assessment of Ultrasound Skills (OSAUS) scale.</p></sec><sec><title>Results</title><p>During the 2 months of clinical training, participants in the intervention and control groups completed an average ± SD of 58 ± 41 and 63 ± 47 scans, respectively (<italic>P</italic> = 0.67). In the subsequent clinical performance test, the intervention group achieved higher OSAUS scores than did the control group (mean score, 59.1% <italic>vs</italic> 37.6%, respectively; <italic>P</italic> < 0.001). A greater proportion of the intervention group passed a pre-established pass/fail level than did controls (85.7% <italic>vs</italic> 8.3%, respectively; <italic>P</italic> < 0.001).</p></sec><sec><title>Conclusion</title><p>Simulation-based ultrasound training leads to substantial improvement in clinical performance that is sustained after 2 months of clinical training. © 2015 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moore, Cl" uniqKey="Moore C">CL Moore</name></author><author><name sortKey="Copel, Ja" uniqKey="Copel J">JA Copel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jang, Tb" uniqKey="Jang T">TB Jang</name></author><author><name sortKey="Ruggeri, W" uniqKey="Ruggeri W">W Ruggeri</name></author><author><name sortKey="Dyne, P" uniqKey="Dyne P">P Dyne</name></author><author><name sortKey="Kaji, Ah" uniqKey="Kaji A">AH Kaji</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jang, Tb" uniqKey="Jang T">TB Jang</name></author><author><name sortKey="Jack Casey, R" uniqKey="Jack Casey R">R Jack Casey</name></author><author><name sortKey="Dyne, 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Petrusa</name></author><author><name sortKey="Lee Gordon, D" uniqKey="Lee Gordon D">D Lee Gordon</name></author><author><name sortKey="Scalese, Rj" uniqKey="Scalese R">RJ Scalese</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cook, Da" uniqKey="Cook D">DA Cook</name></author><author><name sortKey="West, Cp" uniqKey="West C">CP West</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhat, S" uniqKey="Bhat S">S Bhat</name></author><author><name sortKey="Herbert, A" uniqKey="Herbert A">A Herbert</name></author><author><name sortKey="Baker, P" uniqKey="Baker P">P Baker</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li></country></list><tree><country name="Danemark"><noRegion><name sortKey="Tolsgaard, M G" sort="Tolsgaard, M G" uniqKey="Tolsgaard M" first="M G" last="Tolsgaard">M G Tolsgaard</name></noRegion><name sortKey="Dreisler, E" sort="Dreisler, E" uniqKey="Dreisler E" first="E" last="Dreisler">E. Dreisler</name><name sortKey="Freiesleben, N L C" sort="Freiesleben, N L C" uniqKey="Freiesleben N" first="N L C" last="Freiesleben">N L C. Freiesleben</name><name sortKey="Freiesleben, N L C" sort="Freiesleben, N L C" uniqKey="Freiesleben N" first="N L C" last="Freiesleben">N L C. Freiesleben</name><name sortKey="Madsen, M E" sort="Madsen, M E" uniqKey="Madsen M" first="M E" last="Madsen">M E Madsen</name><name sortKey="Madsen, M E" sort="Madsen, M E" uniqKey="Madsen M" first="M E" last="Madsen">M E Madsen</name><name sortKey="N Rgaard, L N" sort="N Rgaard, L N" uniqKey="N Rgaard L" first="L N" last="N Rgaard">L N N Rgaard</name><name sortKey="Petersen, J H" sort="Petersen, J H" uniqKey="Petersen J" first="J H" last="Petersen">J H Petersen</name><name sortKey="Ringsted, C" sort="Ringsted, C" uniqKey="Ringsted C" first="C" last="Ringsted">C. Ringsted</name><name sortKey="S Rensen, J L" sort="S Rensen, J L" uniqKey="S Rensen J" first="J L" last="S Rensen">J L S Rensen</name><name sortKey="Tabor, A" sort="Tabor, A" uniqKey="Tabor A" first="A" last="Tabor">A. Tabor</name><name sortKey="Tolsgaard, M G" sort="Tolsgaard, M G" uniqKey="Tolsgaard M" first="M G" last="Tolsgaard">M G Tolsgaard</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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