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Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training

The use of bedside ultrasound over the past few decades has created a new wave of options for visualizing pathological processes allowing for faster and better detection of disease. We aimed to evaluate the reliability of focused cardiac ultrasound (FCU) performed by first-year internal medicine res...

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Autores principales: Upadhrasta, Sireesha, Raafat, Mohamed Hussien, Conti, Ricardo A.S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830195/
https://www.ncbi.nlm.nih.gov/pubmed/31723379
http://dx.doi.org/10.1080/20009666.2019.1659666
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author Upadhrasta, Sireesha
Raafat, Mohamed Hussien
Conti, Ricardo A.S.
author_facet Upadhrasta, Sireesha
Raafat, Mohamed Hussien
Conti, Ricardo A.S.
author_sort Upadhrasta, Sireesha
collection PubMed
description The use of bedside ultrasound over the past few decades has created a new wave of options for visualizing pathological processes allowing for faster and better detection of disease. We aimed to evaluate the reliability of focused cardiac ultrasound (FCU) performed by first-year internal medicine residents at a community hospital after a short period of training. They received a two-hour lecture and initially performed a supervised FCU followed by ten unsupervised/independent FCUs each. The four parameters that were assessed were left systolic ventricular function, right systolic ventricular function, presence of pericardial effusion, and presence of IVC dilation. Interpretation and analysis of ultrasound images were then carried out by both the residents and an attending physician with expertise in FCU analysis and interpretation. Cohen’s Kappa values were obtained comparing the results found by the interns versus the attending. Our findings indicate that more training is required for reliable analysis of FCU by first-year medical residents. Our results also emphasize the need to carefully evaluate the medical residents’ FCU skills after the training.
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spelling pubmed-68301952019-11-13 Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training Upadhrasta, Sireesha Raafat, Mohamed Hussien Conti, Ricardo A.S. J Community Hosp Intern Med Perspect Research Article The use of bedside ultrasound over the past few decades has created a new wave of options for visualizing pathological processes allowing for faster and better detection of disease. We aimed to evaluate the reliability of focused cardiac ultrasound (FCU) performed by first-year internal medicine residents at a community hospital after a short period of training. They received a two-hour lecture and initially performed a supervised FCU followed by ten unsupervised/independent FCUs each. The four parameters that were assessed were left systolic ventricular function, right systolic ventricular function, presence of pericardial effusion, and presence of IVC dilation. Interpretation and analysis of ultrasound images were then carried out by both the residents and an attending physician with expertise in FCU analysis and interpretation. Cohen’s Kappa values were obtained comparing the results found by the interns versus the attending. Our findings indicate that more training is required for reliable analysis of FCU by first-year medical residents. Our results also emphasize the need to carefully evaluate the medical residents’ FCU skills after the training. Taylor & Francis 2019-11-01 /pmc/articles/PMC6830195/ /pubmed/31723379 http://dx.doi.org/10.1080/20009666.2019.1659666 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Upadhrasta, Sireesha
Raafat, Mohamed Hussien
Conti, Ricardo A.S.
Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title_full Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title_fullStr Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title_full_unstemmed Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title_short Reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
title_sort reliability of focused cardiac ultrasound performed by first-year internal medicine residents at a community hospital after a short training
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830195/
https://www.ncbi.nlm.nih.gov/pubmed/31723379
http://dx.doi.org/10.1080/20009666.2019.1659666
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