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

NCT02152072 | Withdrawn

• 1 other identifier: 609459-1
• Study Type: observational
• Target: N/A
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Medical Students,Lung Ultrasound,Simulation Training

Outcome Measures

Primary Outcomes (1)

• Assess the pre and post-performance of medical students in using lung ultrasound (LUS) for patients with shortness of breath.

  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.

  8 weeks

Secondary Outcomes (1)

• Measure diagnostic agreement between trainees and experienced physicians in LUS following simulation-based medical education..

  8 weeks

Study Arms (1)

medical students

Other: Using Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination

Interventions

Using Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination OTHER

medical students

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Medical Students

You may qualify if:

• Third year medical students who signed the consent

You may not qualify if:

• a medical student who is not a third year and/or didn't signed the consent

Sponsors & Collaborators

• Tulane University Health Sciences Center: lead

Study Officials

• Fayez Kheir, MD,MSc

  Tulane University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Medicine,Department of Pulmonary and Critical Care

Study Record Dates

• First Submitted: May 22, 2014
• First Posted: June 2, 2014
• Study Start: July 1, 2014
• Primary Completion: September 1, 2014
• Study Completion: September 1, 2014
• Last Updated: April 27, 2018

Record last verified: 2018-04