- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04204369
A Musculoskeletal Ultrasound Course for Orthopedic Surgery Residents
Usefulness of a Musculoskeletal Ultrasound Course in an Orthopedic Surgery Residency Training Program
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Musculoskeletal ultrasound (MSK-US) can have many uses for orthopedic surgeons, such as assisting in clinical diagnosis for muscle, tendon and ligament injuries, providing direct guidance for joint injections, or assessing the adequacy of a reduction in the emergency department. However, proficiency in sonography is not a requirement for certification in orthopedic surgery in Canada, and orthopedic trainees are rarely exposed to the subject. This project aims assess the usefulness in clinical education of a newly implemented MSK-US course in an orthopedic surgery program.
An MSK-US course for orthopedic surgery residents has been developed. An online survey covering the level of training of the resident, their prior experience with ultrasound (number of times used by month) and their comfort level with different parts of the examination (numeric analog scale - NAS), was filled by the participants prior to the course. A pre-course written and practical test was also given to the residents. Following the course, the participants were reassessed with the same tests and surveys on the same day as the course, and at 6 months post. Change in frequency of use, comfort level and test scores were assessed using a Kruskal-Wallis ANOVA and post-hoc Wilcoxon tests.
It was expected that residents' frequency of use, comfort level and tests scores would improve following the implementation of the course. The results were expected to be maintained at the 6 months endpoint.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Manitoba
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Winnipeg, Manitoba, Canada, R3A1R9
- University of Manitoba
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- ADULT
- OLDER_ADULT
- CHILD
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Be an orthopedic surgery resident
- Training at the University of Manitoba
- Post-graduate year (PGY) one to five
Exclusion Criteria:
- Residents having less than six months of training left before graduation
- Residents on extended leave (for example: completing graduate studies abroad, parental leave, and sabbatical)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Teaching arm
This group received the teaching intervention and was evaluated before and after the intervention.
Improvement was compared to their performance prior to the intervention.
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Participants were enrolled in a musculoskeletal ultrasound course including 2 components:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Musculoskeletal ultrasound knowledge after the course
Time Frame: Before the course (within a month), immediately after the course (same day)
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A 13 questions written examination was given to the residents using an online platform at each endpoint.
The exam covered the basics of ultrasound physics; how to use the machine; the normal and pathologic appearance of tendons, ligaments, and muscles; and ultrasound appearance of the musculoskeletal anatomy described in the course.
The score was reported on a scale from 0 to 100, with 100 being the best score.
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Before the course (within a month), immediately after the course (same day)
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Change in Musculoskeletal ultrasound knowledge at 6 months
Time Frame: Before the course (within a month), 6 months after the course
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A 13 questions written examination was given to the residents using an online platform at each endpoint.
The exam covered the basics of ultrasound physics; how to use the machine; the normal and pathologic appearance of tendons, ligaments, and muscles; and ultrasound appearance of the musculoskeletal anatomy described in the course.
The score was reported on a scale from 0 to 100, with 100 being the best score.
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Before the course (within a month), 6 months after the course
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Practical shoulder ultrasound exam
Time Frame: Immediately after the course (same day), 6 months after the course
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Each participant underwent a practical examination assessing ultrasound proficiency at each endpoint. The residents were assessed by one of the author of the study on their ability to perform a shoulder ultrasound exam as well as the different tasks related to the MSK-US. For each task, the assessor rated the participant on a scale of 0 to 2, where :
The final score was then be calculated and reported in percentage (with 100 being a perfect score) for the analysis. |
Immediately after the course (same day), 6 months after the course
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Ultrasound comfort in clinical setting
Time Frame: Before the course (within a month), 6 months after the course
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A questionnaire covering different aspect of ultrasound use by the residents was given using the online platform at each endpoint. The questionnaire inquired about the comfort level when using MSK-US for different examinations and procedure (Numeric Analog Scale from 0 to 10, with 0 being very uncomfortable and 10 being very comfortable). Each numeric analog scale was reported independently and not compound score was created:
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Before the course (within a month), 6 months after the course
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Ultrasound use in clinical setting
Time Frame: Before the course (within a month), 6 months after the course
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The questionnaire inquired about the number of time ultrasound was used in the last 6 months for different examinations and procedures. This was reported as an absolute number for each aspect of ultrasound use:
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Before the course (within a month), 6 months after the course
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Socio-demographic questionnaire
Time Frame: Before the course (within a month)
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This questionnaire was presented to participants once at the moment of their inclusion in the study.
It covered the residents' level of training (post-graduate year), age, sex, the amount of prior exposure to ultrasound (in approximate hours), and the different settings in which the residents have been exposed to MSK-US.
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Before the course (within a month)
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Samuel Larrivee, MD-MSc, University of Manitoba
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- H2017:227 (HS20921)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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