Competency-based Assessment in Musculoskeletal Ultrasound

NCT05256355 | Completed

• 1 other identifier: 2022-002
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Early diagnosis and rapid treatment initiation are of most importance to prevent joint damage in patients with arthritis. Musculoskeletal ultrasound (MSUS) is becoming an integrated part of rheumatology routine care and is more sensitive than clinical examination for detecting synovitis even in the early stage of disease. However, MSUS is highly operator dependent and competences are needed to ensure correct image interpretation. Traditionally competences are evaluated on how many examinations the trainees have performed, but the gold standard has now shifted towards competency-based education where objective assessment tools are the key element. A previous study has developed a scale for assessment of ultrasound competence, The Objective Structured Assessment of Ultrasound skills (OSAUS). Although expert consensus supports evidence of content validity of the assessment instrument, it is not known if the OSAUS scale can discriminate differences in performance scores between different levels of MSUS experience in rheumatology in a reliable way.

Conditions

Musculoskeletal Diseases

Keywords

Training; Ultrasound; Medical education

Outcome Measures

Primary Outcomes (1)

• Performance score

  Competence score assessed by blinded raters using a generic skills assessment scale (OSAUS).

  Up to 12 months

Study Arms (3)

MSUS novices

OTHER

Measurement of competence

Other: musculoskeletal ultrasound

MSUS intermediates

OTHER

Measurement of competence

Other: musculoskeletal ultrasound

MSUS experts

OTHER

Measurement of competence

Other: musculoskeletal ultrasound

Interventions

musculoskeletal ultrasound OTHER

The participants will perform four MSUS examinations which are all videorecorded. All videos will be rated by two blinded raters using the OSAUS assessment tool.

MSUS experts; MSUS intermediates; MSUS novices

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Physicians working at the rheumatology departments in Denmark:
• Novices: No or little experience with MSUS (less than 100 examinations).
• Intermediates: Participated and completed at least one formal ultrasound course and more than 100 examinations (less than 1000 MSUS examinations).
• Physicians with a long experience in MSUS doing the procedure almost daily and providing teaching and/or research within this field (more than 1000 examinations).

You may not qualify if:

• No informed consent
• Novices/Intermediates: extensive experience in MSUS

Sponsors & Collaborators

• Rigshospitalet, Denmark: lead

Study Sites (1)

Stine Carstensen

Glostrup Municipality, 2600, Denmark

Location

Related Publications (5)

• Tolsgaard MG, Todsen T, Sorensen JL, Ringsted C, Lorentzen T, Ottesen B, Tabor A. International multispecialty consensus on how to evaluate ultrasound competence: a Delphi consensus survey. PLoS One. 2013;8(2):e57687. doi: 10.1371/journal.pone.0057687. Epub 2013 Feb 28.

  PMID: 23469051 RESULT

• 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.

  PMID: 15593176 RESULT

• 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.

  PMID: 32205568 RESULT

• Nayahangan LJ, Dietrich CF, Nielsen MB. Simulation-based training in ultrasound - where are we now? Ultraschall Med. 2021 Jun;42(3):240-244. doi: 10.1055/a-1352-5944. Epub 2021 Jun 15. No abstract available.

  PMID: 34130348 RESULT

• Carstensen SMD, Just SA, Pfeiffer-Jensen M, Ostergaard M, Konge L, Terslev L. Solid validity evidence for two tools assessing competences in musculoskeletal ultrasound: a validity study. Rheumatology (Oxford). 2024 Mar 1;63(3):765-771. doi: 10.1093/rheumatology/kead286.

  PMID: 37307078 DERIVED

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Officials

• Stine Maya Carstensen, MD

  Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Copenhagen University Hospital - Rigshospitalet Glostrup, Copenhagen, Denmark

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD fellow, Principal investigator

Study Record Dates

• First Submitted: February 11, 2022
• First Posted: February 25, 2022
• Study Start: May 1, 2022
• Primary Completion: June 1, 2022
• Study Completion: June 30, 2022
• Last Updated: October 27, 2022

Record last verified: 2022-10

Locations

DK (1)