Point-of-Care Ultrasound (PoCUS) Teleeducation Curriculum for Hospital-at-home Care

NCT07182162 | Not Yet Recruiting

• 1 other identifier: 202501195RINB
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Since July 2024, the National Health Insurance Administration (NHIA) has been implementing a pilot Hospital-at-Home (HAH) Acute Care Program to curb hospital admissions. Point-of-Care Ultrasound (PoCUS) is considered the most promising imaging tool for this model. Replicating the hospital's familiar environment-its staffing patterns, diagnostic workflows, and medication protocols-in a patient's home or nursing facility is almost impossible, posing a major challenge to care teams. Medical-simulation training offers a solution, yet current PoCUS courses remain organ-based and lack scenario-based simulations that prepare physicians for HAH practice. This two-year study will create a PoCUS curriculum and outcome-assessment tools tailored to HAH, adapting previously validated Entrustable Professional Activities (EPA) instruments to three HAH scenarios: pneumonia, urinary tract infection, and soft-tissue infection. Year 1 will develop scenario-based simulation courses and matching EPA tools, and train peer instructors who receive full PoCUS instruction for the three scenarios. Year 2 will randomly assign learners to compare two teaching models-peer training with remote supervision and scenario simulation versus traditional PoCUS training-evaluated with an Objective Structured Clinical Examination (OSCE) scored by EPA forms across multiple domains. The project aims to establish normative standards for PoCUS training and assessment in HAH, confirm the feasibility of peer training with remote supervision, and provide a platform to train HAH medical teams nationwide, including those in rural areas.

Conditions

Educational Problems

Keywords

ultrasound; peer teaching; remote supervision; simulation

Outcome Measures

Primary Outcomes (1)

• OSCE total and subscale scores on EPA-based PoCUS

  The effectiveness of the curriculum will be evaluated approximately one month after completing the PoCUS course for both the experimental and control groups, using OSCE assessments incorporating EPA constructs. The OSCE will be evaluated independently by two reviewers(on site and remote), with the final score calculated as the average of their individual assessments. Students' performance will be analyzed based on their total OSCE scores as well as their scores for each construct of the EPA.

  1 month

Secondary Outcomes (3)

• Technology Acceptance Model (TAM) questionnaire total and subscale scores

  1 month

• Post-OSCE survey score

  1 month

• Inter-rater reliability of EPA-based OSCE ratings

  1 month

Study Arms (2)

Remote supervision + Simulation

EXPERIMENTAL

This group will experience didactics plus near-peer hands-on with remote supervision and scenario simulation (lecture + on-site near-peer instructor hands-on + simulation). The PoCUS teacher will not be physically present but will supervise remotely via video conferencing to monitor and communicate in real-time.

Other: Remote supervision + simulation

Control

NO INTERVENTION

This group will follow the conventional teaching model, didactics plus on-site faculty-supervised hands-on (lecture + on-site teacher supervised hands-on).

Interventions

Remote supervision + simulation OTHER

teacher use remote supervision to assist peer training Hospital-at-Home scenario simulation

Remote supervision + Simulation

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ■ PGY, internal medicine, and family medicine residents at National Taiwan University Hospital.

You may not qualify if:

• ■Unwillingness to participate in the study.

Sponsors & Collaborators

• National Taiwan University Hospital: lead
• National Science and Technology Council: collaborator

Study Sites (1)

National Taiwan University Hospital

Taipei, 100, Taiwan

Location

Central Study Contacts

National Taiwan University Hospital Research Ethics Committee

CONTACT

+886-2-23123456; ntuhrec@ntuh.gov.tw

Nin-Chieh Hsu, MD, PhD

CONTACT

+886-972653088; chesthsu@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Attending physician, National Taiwan University Hospital

Study Record Dates

• First Submitted: September 11, 2025
• First Posted: September 19, 2025
• Study Start: April 1, 2026
• Primary Completion (Estimated): October 30, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: December 17, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: After publication of the study
• Access Criteria: Upon request to the principal investigator with relevant IRB consent

Locations

TW (1)