Competency-based Assessment of Ultrasound-guided Joint Injection Skills

Not Applicable

Completed

• Conditions: Musculoskeletal Diseases
• Interventions: Other: Ultrasound guided joint injection

• Registration Number: NCT05303974
• Lead Sponsor: Rigshospitalet, Denmark

Brief Summary

Ultrasound-guided joint injections and aspirations are frequently used in the treatment of rheumatological diseases. Studies have shown that intra-articular glucocorticoid injections (IAGCs) in the early treatment of rheumatoid arthritis is essential and leads to improved disease control and earlier achievement of remission. Unfortunately, many rheumatologists feel insecure performing IAGC due to poor and unstructured training opportunities, which can result in suboptimal treatment and potentially poorer patient outcome.

Nowadays, the gold standard training method has shifted towards competency-based education were objective assessment tools are necessary. A previous study has developed a scale for assessment of invasive ultrasound procedures, the Interventional Ultrasound Skills Evaluation (IUSE) tool. Although expert consensus supports evidence of content validity of the assessment tool, it is not known if the tool can discriminate differences in performance scores between the different levels of experience.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-22
• Study First Submitted QC: 2022-03-22
• Study First Posted: 2022-03-31
• Study Start: 2022-05-29
• Primary Completion: 2022-06-04
• Study Completion: 2022-06-30
• Status Verified: 2022-10
• Last Update Submitted: 2022-10-25
• Last Update Posted: 2022-10-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Physicians attending the yearly international conference EULAR (Denmark 2022)

  1. Novices: No or little experience with ultrasound guided joint injections.
  2. Intermediates: Participated and completed at least one formal musculoskeletal ultrasound course and performed more than 100 ultrasound guided joint injections.
  3. Experts: Physicians with a long experience with musculoskeletal ultrasound and ultrasound guided joint injections doing the procedure almost daily and providing teaching and/or research within this field.

Exclusion Criteria

• No informed consent
• Novices/Intermediates: extensive experience with musculoskeletal ultrasound and/or ultrasound guided joint injections.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intermediates	Ultrasound guided joint injection	Measurement of competence
Novices	Ultrasound guided joint injection	Measurement of competence
Experts	Ultrasound guided joint injection	Measurement of competence

Primary Outcome Measures

Name	Time	Method
Performance score	Up to 12 months	Performance score assessed by blinded raters using the modified IUSE assessment tool

Trial Locations

Locations (1)

COPECARE (Copenhagen Center for Arthritis Research); 🇩🇰 Glostrup, Denmark