A Musculoskeletal Ultrasound Course for Orthopedic Surgery Residents

NCT04204369 | Completed

• 1 other identifier: H2017:227 (HS20921)
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

A group of orthopedic surgery residents underwent a structured online and practical musculoskeletal ultrasound course. Their proficiency on a written and practical exam, as well as frequency and comfort when using was recorded prior to the course, immediately after, and 6 months after the course.

Conditions

Tendon Disorder

Keywords

point of care ultrasound; musculoskeletal ultrasound; sonography; resident education; orthopaedic surgery; online curriculum

Outcome Measures

Primary Outcomes (2)

• Change in Musculoskeletal ultrasound knowledge after the course

  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.

  Before the course (within a month), immediately after the course (same day)

• Change in Musculoskeletal ultrasound knowledge at 6 months

  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.

  Before the course (within a month), 6 months after the course

Secondary Outcomes (3)

• Practical shoulder ultrasound exam

  Immediately after the course (same day), 6 months after the course

• Ultrasound comfort in clinical setting

  Before the course (within a month), 6 months after the course

• Ultrasound use in clinical setting

  Before the course (within a month), 6 months after the course

Other Outcomes (1)

• Socio-demographic questionnaire

  Before the course (within a month)

Study Arms (1)

Teaching arm

EXPERIMENTAL

This group received the teaching intervention and was evaluated before and after the intervention. Improvement was compared to their performance prior to the intervention.

Other: Ultrasound education curriculum

Interventions

Ultrasound education curriculum OTHER

Participants were enrolled in a musculoskeletal ultrasound course including 2 components: * An online course (1-2 hours) to be done before the practical session. The videos were made available one (1) month prior to the practical course. This component reviewed the basics of ultrasonography, as well as the normal and abnormal appearance of relevant musculoskeletal structures (bone, tendon, ligaments, muscles, bursas, and nerves), and the ultrasound anatomy of high yield regions of the musculoskeletal system (shoulder, elbow, knee, ankle) * A practical session (4-6 hours) done during one of the usual academic days of the orthopedic residency program. This session covered the use of the ultrasound; the examination of the shoulder, elbow, knee, and ankle; ultrasound-guided musculoskeletal injections and aspirations; and ultrasound-guided distal radius fracture reductions. Ample practice time was given to the residents using means such as phantom models, cadavers, and real patients.

Teaching arm

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Be an orthopedic surgery resident
• Training at the University of Manitoba
• Post-graduate year (PGY) one to five

You may not qualify if:

• 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)

Sponsors & Collaborators

• Université de Sherbrooke: lead

Study Sites (1)

University of Manitoba

Winnipeg, Manitoba, R3A1R9, Canada

Location

MeSH Terms

Conditions

Tendinopathy

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Tendon Injuries; Wounds and Injuries

Study Officials

• Samuel Larrivee, MD-MSc

  University of Manitoba

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: One group receiving intervention. Assessement prior to intervention, immediately after, and at 6 months.

Study Record Dates

• First Submitted: December 15, 2019
• First Posted: December 19, 2019
• Study Start: November 6, 2017
• Primary Completion: July 6, 2018
• Study Completion: July 6, 2018
• Last Updated: December 19, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)