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Using Simulation-Based Training to Incorporate Lung Ultrasound Into Physical Examination

Withdrawn
Conditions
Medical Students,Lung Ultrasound,Simulation Training
Interventions
Other: Using Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination
Registration Number
NCT02152072
Lead Sponsor
Tulane University Health Sciences Center
Brief Summary

Dyspnea is a common symptom encountered frequently by medical practitioners. The differential diagnosis for a patient with such a symptom is broad and time consuming, while immediate management for distressed patients is what is desired. Lung ultrasound (LUS) is a relatively new technique that will help physicians more accurately diagnose and manage patients who present with dyspnea.

Focused medical ultrasonography education is becoming integrated into many physician residency training programs. Recent studies indicate a possible relationship between focused ultrasonography training in medical school curricula and improved physical examination accuracy. Thus, a short-term training program in LUS during medical school will have a major impact on physicians to be comfortable in using this skill when dealing with distressed patients in their prospective residency training. It will reduce educational burdens for physician residency programs and improve overall physician competency.

Simulation-based medical education (SBME) is ideally suited for offering effective training in a zero-risk environment. It enables trainees to gain knowledge and confidence in dealing with stressful clinical scenarios without exposing patients to any additional risk. SBME has also been shown to be a reliable tool for assessing learners' procedural skills and for teaching topics such as teamwork and communication.

The investigators hypothesize that simulation-based training of medical students will enable them to more effectively evaluate patients with shortness of breath using LUS.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Third year medical students who signed the consent
Exclusion Criteria
  • a medical student who is not a third year and/or didn't signed the consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
medical studentsUsing Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination-
Primary Outcome Measures
NameTimeMethod
Assess the pre and post-performance of medical students in using lung ultrasound (LUS) for patients with shortness of breath.8 weeks

We designed the Thoracic Ultrasound Knowledge and Skills-Assessment Test (TUKSAT) which consists of questions about correctly identifying different organs using ultrasound (US) as well image acquisition skills as an objective measurement for students.

Study participants will receive simulation-based LUS training through a course provided by a physician experienced in LUS as two sessions at the first week of their medical clerkship. TUKSAT as a pre-evaluation measure will be given.

During the next 7 weeks, participants will be asked to see videos of LUS images where they will be asked to interpret the findings. A post-evaluation TUKSAT will then be given.

Secondary Outcome Measures
NameTimeMethod
Measure diagnostic agreement between trainees and experienced physicians in LUS following simulation-based medical education..8 weeks

Following their simulation-based training, participants will have videos of LUS images where they will be asked to interpret the findings. Diagnostic agreement will be compared between trainees' LUS finding and experienced physicians.

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