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A multiple-perspective approach for the assessment and learning of ultrasound skills

Ultrasound has become a core skill in many specialties. We evaluated the learning and assessment of ultrasound skills in Obstetrics-Gynaecology in a series of eight studies. In the clinical setting, we found that trainees as well as experienced clinicians struggle with technical aspects of performan...

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Autor principal: Tolsgaard, Martin Grønnebæk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002291/
https://www.ncbi.nlm.nih.gov/pubmed/29663275
http://dx.doi.org/10.1007/s40037-018-0419-8
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author Tolsgaard, Martin Grønnebæk
author_facet Tolsgaard, Martin Grønnebæk
author_sort Tolsgaard, Martin Grønnebæk
collection PubMed
description Ultrasound has become a core skill in many specialties. We evaluated the learning and assessment of ultrasound skills in Obstetrics-Gynaecology in a series of eight studies. In the clinical setting, we found that trainees as well as experienced clinicians struggle with technical aspects of performance such as image optimization. We examined how to improve these aspects of performance in the simulated setting by determining mastery learning levels and exploring learning curves for novices. We then examined how to improve the efficiency of training as well as transfer of learning through the use of dyad practice as compared with single practice. We found that the use of simulation-based training focusing on technical aspects of performance in addition to clinical training led to sustained improvements in performance after two months of clinical training in all aspects of performance. In addition, we found an interaction effect between initial simulation-based training and subsequent clinical training on trainees’ need for supervision. These findings suggest that simulation-based training can work as preparation for future learning rather than merely as added learning. Finally, we found that the use of simulation-based initial training led to a large decrease in patients’ discomfort, improvements in their perceived safety and confidence in their ultrasound operator. However, simulation-based training comes at a cost and in the final study we developed a model for conducting cost-effectiveness studies and provided data from an example study on how to link training costs with quality of care.
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spelling pubmed-60022912018-06-28 A multiple-perspective approach for the assessment and learning of ultrasound skills Tolsgaard, Martin Grønnebæk Perspect Med Educ PhD Report Ultrasound has become a core skill in many specialties. We evaluated the learning and assessment of ultrasound skills in Obstetrics-Gynaecology in a series of eight studies. In the clinical setting, we found that trainees as well as experienced clinicians struggle with technical aspects of performance such as image optimization. We examined how to improve these aspects of performance in the simulated setting by determining mastery learning levels and exploring learning curves for novices. We then examined how to improve the efficiency of training as well as transfer of learning through the use of dyad practice as compared with single practice. We found that the use of simulation-based training focusing on technical aspects of performance in addition to clinical training led to sustained improvements in performance after two months of clinical training in all aspects of performance. In addition, we found an interaction effect between initial simulation-based training and subsequent clinical training on trainees’ need for supervision. These findings suggest that simulation-based training can work as preparation for future learning rather than merely as added learning. Finally, we found that the use of simulation-based initial training led to a large decrease in patients’ discomfort, improvements in their perceived safety and confidence in their ultrasound operator. However, simulation-based training comes at a cost and in the final study we developed a model for conducting cost-effectiveness studies and provided data from an example study on how to link training costs with quality of care. Bohn Stafleu van Loghum 2018-04-16 2018-06 /pmc/articles/PMC6002291/ /pubmed/29663275 http://dx.doi.org/10.1007/s40037-018-0419-8 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle PhD Report
Tolsgaard, Martin Grønnebæk
A multiple-perspective approach for the assessment and learning of ultrasound skills
title A multiple-perspective approach for the assessment and learning of ultrasound skills
title_full A multiple-perspective approach for the assessment and learning of ultrasound skills
title_fullStr A multiple-perspective approach for the assessment and learning of ultrasound skills
title_full_unstemmed A multiple-perspective approach for the assessment and learning of ultrasound skills
title_short A multiple-perspective approach for the assessment and learning of ultrasound skills
title_sort a multiple-perspective approach for the assessment and learning of ultrasound skills
topic PhD Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002291/
https://www.ncbi.nlm.nih.gov/pubmed/29663275
http://dx.doi.org/10.1007/s40037-018-0419-8
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