Innovations with tele-ultrasound in education sonography: the use of tele-ultrasound to train novice scanners
Anne E Drake, Jonathan Hy, Gordon A MacDougall, Brendan Holmes, Lauren Icken, Jon W Schrock, Robert A Jones, Anne E Drake, Jonathan Hy, Gordon A MacDougall, Brendan Holmes, Lauren Icken, Jon W Schrock, Robert A Jones
Abstract
Objectives: Point-of-care ultrasound (POCUS) has become increasingly integrated into medical education given the growing role of evaluative and procedural techniques in practice today. Tele-ultrasound is a new and promising venture that aims to expand medical knowledge and education to previously unreached or underserved areas. This study aimed to determine the non-inferiority of teaching ultrasound remotely using tele-ultrasound via the Philips Lumify (Philips Medical Systems, Bothell, WA) system, which utilizes video conferencing technology and real-time imaging that can be viewed by the operator and educator simultaneously.
Methods: Three commonly used ultrasound exams were taught and evaluated in 56 ultrasound-naive medical participants: Focused Assessment with Sonography in Trauma (FAST), Lower Extremity Deep Venous Thrombosis (LEDVT) screening, and ultrasound-guided vascular access. The participants were randomized into either in-person traditional learning or tele-ultrasound learning with the Philips Lumify (Philips Medical Systems, Bothell, WA) units. The primary outcome of interest was the ability to perform certain tasks for each exam RESULTS: Competency on each exam was tested across all exams and no inferiority was found between in-person and remote learning (p < 0.05).
Conclusions: Our findings support the use of tele-ultrasound in beginner ultrasound education.
Keywords: Medical education; Remote learning; Tele-ultrasound; Ultrasound.
Conflict of interest statement
The authors declare that they have no competing interests.
Figures
References
- Webb EM, Cotton JB, Kane K, et al. Teaching point of care ultrasound skills in medical school: keeping radiology in the driver's seat. Acad Radiol. 2014;21(7):893–901. doi: 10.1016/j.acra.2014.03.001.
- Arya R, Morrison T, Zumwalt A, et al. Making education effective and fun: stations-based approach to teaching radiology and anatomy to third-year medical students. Acad Radiol. 2013;20(10):1311–1318. doi: 10.1016/j.acra.2013.07.012.
- Blackstock U, Munson J, Szyld D. Bedside ultrasound curriculum for medical students: report of a blended learning curriculum implementation and validation. J Clin Ultrasound. 2015;43(3):139–144. doi: 10.1002/jcu.22224.
- Ivanusic J, Cowie B, Barrington M. Undergraduate student perceptions of the use of ultrasonography in the study of "living anatomy". Anat Sci Educ. 2010;3(6):318–322. doi: 10.1002/ase.180.
- Kessler C, Bhandarkar S. Ultrasound training for medical students and internal medicine residents—a needs assessment. J Clin Ultrasound. 2010;38(8):401–408. doi: 10.1002/jcu.20719.
- Paddock MT, Bailitz J, Horowitz R, et al. Disaster response team FAST skills training with a portable ultrasound simulator compared to traditional training: pilot study. West J Emerg Med. 2015;16(2):325–330. doi: 10.5811/westjem.2015.1.23720.
- Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749–757. doi: 10.1056/NEJMra0909487.
- American Institute of Ultrasound in M, American College of Emergency P AIUM practice guideline for the performance of the focused assessment with sonography for trauma (FAST) examination. J Ultrasound Med. 2014;33(11):2047–2056. doi: 10.7863/ultra.33.11.2047.
- Gottlieb RH, Widjaja J, Tian L, et al. Calf sonography for detecting deep venous thrombosis in symptomatic patients: experience and review of the literature. J Clin Ultrasound. 1999;27(8):415–420. doi: 10.1002/(SICI)1097-0096(199910)27:8<415::AID-JCU1>;2-6.
- Horner D, Hogg K, Body R, et al. Single whole-leg compression ultrasound for exclusion of deep vein thrombosis in symptomatic ambulatory patients: a prospective observational cohort study. Br J Haematol. 2014;164(3):422–430. doi: 10.1111/bjh.12642.
- Johnson SA, Stevens SM, Woller SC, et al. Risk of deep vein thrombosis following a single negative whole-leg compression ultrasound: a systematic review and meta-analysis. JAMA. 2010;303(5):438–445. doi: 10.1001/jama.2010.43.
- Schwarz T, Schmidt B, Schellong SM. Interobserver agreement of complete compression ultrasound for clinically suspected deep vein thrombosis. Clin Appl Thromb Hemost. 2002;8(1):45–49. doi: 10.1177/107602960200800106.
- Joing S, Strote S, Caroon L, et al. Videos in clinical medicine. Ultrasound-guided peripheral i.v. placement. N Engl J Med. 2012;366(25):e38. doi: 10.1056/NEJMvcm1005951.
- Bahner DP, Hughes D, Royall NA. I-AIM: a novel model for teaching and performing focused sonography. J Ultrasound Med. 2012;31(2):295–300. doi: 10.7863/jum.2012.31.2.295.
- Rabie NZ, Sandlin AT, Barber KA, et al. Teleultrasound: how accurate are we? J Ultrasound Med. 2017;36(11):2329–2335. doi: 10.1002/jum.14304.
- Poland S, Frey J, Khobrani A, et al. Telepresent focused assessment with sonography for trauma examination training versus traditional training for medical students. J Ultrasound Med. 2018;37:1985–1992. doi: 10.1002/jum.14551.
- Brisson AM, Steinmetz P, Oleskevich S, et al. A comparison of telemedicine teaching to in-person teaching for the acquisition of an ultrasound skill—a pilot project. J Telemed Telecare. 2015;21(4):235–239. doi: 10.1177/1357633X15575446.
- Henwood PC, Mackenzie DC, Liteplo AS, et al. Point-of-care ultrasound use, accuracy, and impact on clinical decision making in Rwanda Hospitals. J Ultrasound Med. 2017;36(6):1189–1194. doi: 10.7863/ultra.16.05073.
- Goldberg BB. International arena of ultrasound education. J Ultrasound Med. 2003;22(6):549–551. doi: 10.7863/jum.2003.22.6.549.
- Training in diagnostic ultrasound: essentials, principles and standards. Report of a WHO Study Group. World Health Organ Tech Rep Ser. 1998;875:i-46; back cover.
Source: PubMed