The Effect of Theoretical Knowledge on Resident's Practical Performance in Musculoskeletal Ultrasound

The Effect of Theoretical Knowledge on Resident's Practical Performance in Musculoskeletal Ultrasound- A Randomized Trial

Musculoskeletal ultrasound( MSUS) is highly operator-dependent and proper training is needed to ensure appropriate use and minimize risk of incorrect image interpretation.To acquire skills in MSUS, it is mandatory to assure training in both the cognitive ability to recognize normal and pathological findings within the images and the psychomotor component of the examination. This study will examine the effect of a novel developed e-learning platform "The Ultrasound LearNing plAtform (ULNA)", on pre- and post-course musculoskeletal ultrasound performance of rheumatology residents. Moreover, to examine the resident's satisfaction with the e-learning platform ULNA.

Study Overview

• Status: Completed
• Conditions: Musculoskeletal Diseases
• Intervention / Treatment: Device: E-learning; Device: Conventional preparation

• Study Type: Interventional
• Enrollment (Actual): 28
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Denmark
  • Glostrup, Denmark, 2600
    • COPECARE (Copenhagen Center for Arthritis Research)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria: Residents working in Denmark. Participants are required to have a medical license and provide informed consent before inclusion

Exclusion Criteria:

1. No informed consent
2. Existing The Danish Society for Rheumatology (DRS) level 1 or higher.
3. Participation in prior studies involving musculoskeletal ultrasound training

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: E-learning preparation; Will receive e-learning prior to a hands-on course in musculoskeletal ultrasound	Device: E-learning; Development of theoretical knowledge using a E-learning platform before attending a hands-on course in musculoskeletal ultrasound
Active Comparator: Conventional preparation; Will receive standard information (time, place etc) prior to a hands-on course in musculoskeletal ultrasound	Device: Conventional preparation; Attending a hands-on course in musculoskeletal ultrasound with no preparation before course start

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Difference in The Objective Structures Assessment of Ultrasound skills (OSAUS) score in percent between pre- and post-course assessment for the intervention group and the control group.	Scale (5-25 points). 25 is the maximum score, i.e. the best score	1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
Difference in time used to complete the MSUS examination between the groups.	1 year

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparing the times used on the online platform and the performance score		1 year
Participant experience using the Intrinsic Motivation Inventory (IMI) scale	Scale (1-7) 1 = not at all true, 7=very true	1 year

Collaborators and Investigators

• Sponsor: Rigshospitalet, Denmark
• Investigators: Principal Investigator: Stine Maya Carstensen, MD, Copenhagen Center for Arthritis Research (COPECARE)

Publications and helpful links

General Publications

• Widener BB, Cannella A, Martirossian L, Kissin EY. Modern Landscapes and Strategies for Learning Ultrasound in Rheumatology. Rheum Dis Clin North Am. 2020 Feb;46(1):61-71. doi: 10.1016/j.rdc.2019.09.002.
• Carstensen SMD, Terslev L, Jensen MP, Ostergaard M. Future use of musculoskeletal ultrasonography and magnetic resonance imaging in rheumatoid arthritis. Curr Opin Rheumatol. 2020 May;32(3):264-272. doi: 10.1097/BOR.0000000000000709.
• Brown AK, Roberts TE, O'connor PJ, Wakefield RJ, Karim Z, Emery P. The development of an evidence-based educational framework to facilitate the training of competent rheumatologist ultrasonographers. Rheumatology (Oxford). 2007 Mar;46(3):391-7. doi: 10.1093/rheumatology/kel415. Epub 2007 Jan 30.
• Brown AK, O'Connor PJ, Wakefield RJ, Roberts TE, Karim Z, Emery P. Practice, training, and assessment among experts performing musculoskeletal ultrasonography: toward the development of an international consensus of educational standards for ultrasonography for rheumatologists. Arthritis Rheum. 2004 Dec 15;51(6):1018-22. doi: 10.1002/art.20844.
• Kang TL, Berona K, Elkhunovich MA, Medero-Colon R, Seif D, Chilstrom ML, Mailhot T. Web-based teaching in point-of-care ultrasound: an alternative to the classroom? Adv Med Educ Pract. 2015 Mar 13;6:171-5. doi: 10.2147/AMEP.S72159. eCollection 2015.
• Filippucci E, Meenagh G, Ciapetti A, Iagnocco A, Taggart A, Grassi W. E-learning in ultrasonography: a web-based approach. Ann Rheum Dis. 2007 Jul;66(7):962-5. doi: 10.1136/ard.2006.064568. Epub 2007 Feb 28.

Study record dates

Study Major Dates

• Study Start (Actual): October 6, 2021
• Primary Completion (Actual): May 20, 2022
• Study Completion (Actual): May 20, 2022

Study Registration Dates

• First Submitted: July 1, 2021
• First Submitted That Met QC Criteria: July 1, 2021
• First Posted (Actual): July 13, 2021

Study Record Updates

• Last Update Posted (Actual): October 27, 2022
• Last Update Submitted That Met QC Criteria: October 25, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Keywords: Ultrasound; Training; E-learning
• Additional Relevant MeSH Terms: Musculoskeletal Diseases
• Other Study ID Numbers: 2021-001

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No