Education and Training Competences in Thoracic Ultrasound
Training Thoracic Ultrasound Skills: a Multicentre, Blinded, Randomized Controlled Trial of Simulation-based Training Versus Training on Healthy Figurants
1 other identifier
interventional
60
1 country
1
Brief Summary
The use of thoracic ultrasound has expanded widely within the las couple of years, and several studies have proved a high diagnostic accuracy for many of the most common causes of respiratory failure and dyspnoea. The ultrasound scan is a bed-side, and dynamic examination, which demands sufficient theoretical and practical knowledge and competence by the operator, but so far, no studies have explored the effect of simulation-based training for gaining adequate competence compared to traditional hands-on training on healthy figurants. The aim of this study is to examine whether TUS training on a simulator is superior to training on healthy figurants. Secondly, to examine whether the choice of hands-on training has an effect on the number of examinations performed by the trainees from baseline to 4 months follow-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 20, 2018
CompletedStudy Start
First participant enrolled
October 31, 2018
CompletedFirst Posted
Study publicly available on registry
November 2, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2019
CompletedMarch 25, 2019
March 1, 2019
11 months
September 20, 2018
March 21, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Difference in LUS-OSAUS score
Difference in assessment score (Lung Ultrasound Objective Structured Assessment of Ultrasound Skills score) between the three groups (total score). The scale comprises 17 items with a score from 1-5 in each. Minimum 17, maximum 85, meaning that a score of 85 point is the best possible ultrasound examination.
3 months (on the day of practical assessment, maximum 3 months after inclusion)
Secondary Outcomes (2)
Time used for hands-on training
3 months (on the day of practical assessment, maximum 3 months after inclusion)
Number of performed examinations
4 months after day of practical assessment
Study Arms (3)
Healthy Figurant
EXPERIMENTALHands-on training on healthy figurants for gaining competence in TUS
Simulator
EXPERIMENTALHands-on training on US Mentor simulator for gaining competence in TUS
Controls
NO INTERVENTIONControls with no hands-on training
Interventions
US Mentor simulator, lung module, provided by 3D Healthcare Systems
Medical students or volunteers without any pathology in thorax
Eligibility Criteria
You may qualify if:
- Physicians with no previous experience in thoracic ultrasound
You may not qualify if:
- Physicians with relation to the trial or study
- Physicians with previous experience in thoracic ultrasound
- Physicians who do not provide written consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Regional Center for Technical Simulation
Odense C, 5000, Denmark
Related Publications (21)
Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012 Apr;38(4):577-91. doi: 10.1007/s00134-012-2513-4. Epub 2012 Mar 6.
PMID: 22392031BACKGROUNDAl Deeb M, Barbic S, Featherstone R, Dankoff J, Barbic D. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014 Aug;21(8):843-52. doi: 10.1111/acem.12435.
PMID: 25176151BACKGROUNDMinimum training requirements for the practice of Medical Ultrasound in Europe. Ultraschall Med. 2010 Aug;31(4):426-7. doi: 10.1055/s-0030-1263214. Epub 2010 Aug 19. No abstract available.
PMID: 20725892BACKGROUNDLichtenstein D. Lung ultrasound in the critically ill. Curr Opin Crit Care. 2014 Jun;20(3):315-22. doi: 10.1097/MCC.0000000000000096.
PMID: 24758984BACKGROUNDSkaarup SH, Laursen CB, Bjerrum AS, Hilberg O. Objective and Structured Assessment of Lung Ultrasound Competence. A Multispecialty Delphi Consensus and Construct Validity Study. Ann Am Thorac Soc. 2017 Apr;14(4):555-560. doi: 10.1513/AnnalsATS.201611-894OC.
PMID: 28145770BACKGROUNDOveland NP, Lossius HM, Aagaard R, Connolly J, Sloth E, Knudsen L. Animal laboratory training improves lung ultrasound proficiency and speed. J Emerg Med. 2013 Sep;45(3):e71-8. doi: 10.1016/j.jemermed.2013.03.029. Epub 2013 May 15.
PMID: 23684474BACKGROUNDGreenstein YY, Littauer R, Narasimhan M, Mayo PH, Koenig SJ. Effectiveness of a Critical Care Ultrasonography Course. Chest. 2017 Jan;151(1):34-40. doi: 10.1016/j.chest.2016.08.1465. Epub 2016 Sep 16.
PMID: 27645689BACKGROUNDHeiberg J, Hansen LS, Wemmelund K, Sorensen AH, Ilkjaer C, Cloete E, Nolte D, Roodt F, Dyer R, Swanevelder J, Sloth E. Point-of-Care Clinical Ultrasound for Medical Students. Ultrasound Int Open. 2015 Nov;1(2):E58-66. doi: 10.1055/s-0035-1565173. Epub 2015 Nov 6.
PMID: 27689155BACKGROUNDMadsen ME, Konge L, Norgaard LN, Tabor A, Ringsted C, Klemmensen AK, Ottesen B, Tolsgaard MG. Assessment of performance measures and learning curves for use of a virtual-reality ultrasound simulator in transvaginal ultrasound examination. Ultrasound Obstet Gynecol. 2014 Dec;44(6):693-9. doi: 10.1002/uog.13400. Epub 2014 Nov 9.
PMID: 24789453BACKGROUNDJensen K, Bjerrum F, Hansen HJ, Petersen RH, Pedersen JH, Konge L. A new possibility in thoracoscopic virtual reality simulation training: development and testing of a novel virtual reality simulator for video-assisted thoracoscopic surgery lobectomy. Interact Cardiovasc Thorac Surg. 2015 Oct;21(4):420-6. doi: 10.1093/icvts/ivv183. Epub 2015 Jul 10.
PMID: 26162895BACKGROUNDPedersen P, Palm H, Ringsted C, Konge L. Virtual-reality simulation to assess performance in hip fracture surgery. Acta Orthop. 2014 Aug;85(4):403-7. doi: 10.3109/17453674.2014.917502. Epub 2014 Apr 30.
PMID: 24786902BACKGROUNDHavelock T, Teoh R, Laws D, Gleeson F; BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010 Aug;65 Suppl 2:ii61-76. doi: 10.1136/thx.2010.137026. No abstract available.
PMID: 20696688BACKGROUNDReznek M, Harter P, Krummel T. Virtual reality and simulation: training the future emergency physician. Acad Emerg Med. 2002 Jan;9(1):78-87. doi: 10.1111/j.1553-2712.2002.tb01172.x.
PMID: 11772675BACKGROUNDMcGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010 Jan;44(1):50-63. doi: 10.1111/j.1365-2923.2009.03547.x.
PMID: 20078756BACKGROUNDSanchez-de-Toledo J, Renter-Valdovinos L, Esteves M, Fonseca C, Villaverde I, Rosal M. Teaching Chest Ultrasound in an Experimental Porcine Model. Pediatr Emerg Care. 2016 Nov;32(11):768-772. doi: 10.1097/PEC.0000000000000432.
PMID: 25875997BACKGROUNDAdhikari S, Zeger W, Wadman M, Walker R, Lomneth C. Assessment of a human cadaver model for training emergency medicine residents in the ultrasound diagnosis of pneumothorax. Biomed Res Int. 2014;2014:724050. doi: 10.1155/2014/724050. Epub 2014 Mar 25.
PMID: 24790999BACKGROUNDLee KH, Ahn JH, Jung RB, Hong CK, Shin TY, Kim YS, Ha YR. Evaluation of a novel simulation method of teaching B-lines: hand ultrasound with a wet foam dressing material. Clin Exp Emerg Med. 2015 Jun 30;2(2):89-94. doi: 10.15441/ceem.15.020. eCollection 2015 Jun.
PMID: 27752578BACKGROUNDBreitkreutz R, Dutine M, Scheiermann P, Hempel D, Kujumdshiev S, Ackermann H, Seeger FH, Seibel A, Walcher F, Hirche TO. Thorax, trachea, and lung ultrasonography in emergency and critical care medicine: assessment of an objective structured training concept. Emerg Med Int. 2013;2013:312758. doi: 10.1155/2013/312758. Epub 2013 Nov 27.
PMID: 24369503BACKGROUNDDinh VA, Giri PC, Rathinavel I, Nguyen E, Hecht D, Dorotta I, Nguyen HB, Chrissian AA. Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study. Crit Care Res Pract. 2015;2015:675041. doi: 10.1155/2015/675041. Epub 2015 Aug 5.
PMID: 26346694BACKGROUNDMaul H, Scharf A, Baier P, Wustemann M, Gunter HH, Gebauer G, Sohn C. Ultrasound simulators: experience with the SonoTrainer and comparative review of other training systems. Ultrasound Obstet Gynecol. 2004 Oct;24(5):581-5. doi: 10.1002/uog.1119.
PMID: 15386609BACKGROUNDMendiratta-Lala M, Williams T, de Quadros N, Bonnett J, Mendiratta V. The use of a simulation center to improve resident proficiency in performing ultrasound-guided procedures. Acad Radiol. 2010 Apr;17(4):535-40. doi: 10.1016/j.acra.2009.11.010. Epub 2010 Jan 25.
PMID: 20097583BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pia Iben B Pietersen, MD
Odense University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, phd-student
Study Record Dates
First Submitted
September 20, 2018
First Posted
November 2, 2018
Study Start
October 31, 2018
Primary Completion
October 1, 2019
Study Completion
November 1, 2019
Last Updated
March 25, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share