Intensive point-of-care ultrasound training with long-term follow-up in a cohort of Rwandan physicians.
Publication/Presentation Date
12-1-2016
Abstract
OBJECTIVE: We delivered a point-of-care ultrasound training programme in a resource-limited setting in Rwanda, and sought to determine participants' knowledge and skill retention. We also measured trainees' assessment of the usefulness of ultrasound in clinical practice.
METHODS: This was a prospective cohort study of 17 Rwandan physicians participating in a point-of-care ultrasound training programme. The follow-up period was 1 year. Participants completed a 10-day ultrasound course, with follow-up training delivered over the subsequent 12 months. Trainee knowledge acquisition and skill retention were assessed via observed structured clinical examinations (OSCEs) administered at six points during the study, and an image-based assessment completed at three points.
RESULTS: Trainees reported minimal structured ultrasound education and little confidence using point-of-care ultrasound before the training. Mean scores on the image-based assessment increased from 36.9% (95% CI 32-41.8%) before the initial 10-day training to 74.3% afterwards (95% CI 69.4-79.2; P < 0.001). The mean score on the initial OSCE after the introductory course was 81.7% (95% CI 78-85.4%). The mean OSCE performance at each subsequent evaluation was at least 75%, and the mean OSCE score at the 58-week follow up was 84.9% (95% CI 80.9-88.9%).
CONCLUSIONS: Physicians providing acute care in a resource-limited setting demonstrated sustained improvement in their ultrasound knowledge and skill 1 year after completing a clinical ultrasound training programme. They also reported improvements in their ability to provide patient care and in job satisfaction.
Volume
21
Issue
12
First Page
1531
Last Page
1538
ISSN
1365-3156
Published In/Presented At
Henwood, P. C., Mackenzie, D. C., Rempell, J. S., Douglass, E., Dukundane, D., Liteplo, A. S., Leo, M. M., Murray, A. F., Vaillancourt, S., Dean, A. J., Lewiss, R. E., Rulisa, S., Krebs, E., Raja Rao, A. K., Rudakemwa, E., Rusanganwa, V., Kyanmanywa, P., & Noble, V. E. (2016). Intensive point-of-care ultrasound training with long-term follow-up in a cohort of Rwandan physicians. Tropical medicine & international health : TM & IH, 21(12), 1531–1538. https://doi.org/10.1111/tmi.12780
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27758005
Department(s)
Administration and Leadership
Document Type
Article