MEDICAL DOCTORS' PROCEDURAL SKILL PERFORMANCE AND ATTITUDE TOWARD ULTRASOUND-GUIDED PERICARDIOCENTESIS MODEL
Keywords:
Procedural skill training, ultrasound-guided pericardiocentesis, undergraduate medical educationAbstract
Background: Pericardiocentesis is regarded as a procedure that has the potential for saving lives. This procedure is indicated in patients with the diagnosis of cardiac tamponade and hemodynamic shock and should be done urgently to such cases. There would be severe complications if this procedure is not performed properly and skillfully. In this study, a newly developed ultrasound-guided pericardiocentesis model was used for training procedural skill with the aim to allow undergraduate medical students experience the procedure with the cheap and easily built model.
Aims: The objectives of the study were to develop ultrasound-guided pericardiocentesis model, to determine its usefulness for training the procedural skill, and to evaluate the medical doctors' attitude toward training with the model.
Methods: This pilot study was conducted to try out the model with medical doctors. The practical workshop plan for the trying out the model was developed. Video recording during the procedure, the questionnaire, and the semi-structured interview were conducted after the participants performed the procedure to assess their perception regarding with the efficacy and usefulness of the model.
Results: According to results, the participants could recognize the free fluid, pericardium, and heart of the model in ultrasound screen (4.2 ± 0.45, 4.6 ± 0.55, and 4.4 ± 0.55 respectively). The model was suitable for training ultrasound-guided pericardiocentesis (4.4 ± 0.55). The model was perceived to be good and useful for training ultrasound-guided pericardiocentesis. The participants also wanted to use the model for teaching the procedural skill to medical students before performing with the real patients.
Conclusions: The model was considered to be useful and appropriate for training the procedural skill. Therefore, the model could be used as the effective training tool for training ultrasound-guided pericardiocentesis.
Downloads
References
Ristic AD, Imazio M, Adler Y, Anastasakis A, Badano LP, Brucato A, et al. Triage strategy for urgent management of cardiac tamponade: A position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2014;35(34):2279–84.
Zerth H, Harwood R, Tommaso L, Girzadas D V. An inexpensive, easily constructed, reusable task trainer for simulating ultrasound-guided pericardiocentesis. J Emerg Med [Internet]. 2012;43(6):1066–9. Available from: http://dx.doi.org/10.1016/j.jemermed.2011.05.066
Ringsted C, Schroeder T V., Henriksen J, Ramsing B, Lyngdorf P, Jí¸nsson V, et al. Medical students' experience in practical skills is far from stakeholders' expectations. Med Teach [Internet]. 2001;23(4):412–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12098390
Van Der Vlugt TM, Harter PM. Teaching procedural skills to medical students: One institution's experience with an emergency procedures course. Ann Emerg Med. 2002;40(1):41–9.
Makeeva V, Gullett JP, Dowla S, Olson K, Resuehr D. Evaluation of Homemade Ballistic Gelatin Phantoms as a Low- Cost Alternative to Commercial-Grade Phantoms in Medical Education. Med Sci Educ [Internet]. 2016; Available from:
http://link.springer.com/10.1007/s40670-016-0258-3
Atkinson P, Bowra J, Lambert M, Lamprecht H, Noble V, Jarman B. International Federation for Emergency Medicine
point of care ultrasound curriculum. CJEM [Internet]. 2015;17(2):161–70. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/26052968
Baltarowich OH, Di Salvo DN, Scoutt LM, Brown DL, Cox CW, DiPietro MA, et al. National ultrasound curriculum for
medical students. Ultrasound Q. 2014;30(1):13–9.
Cresswell JW, Plano Clark VL. Designing and conducting mixed method research. 2nd ed. Thousand Oaks, CA: Sage;
Campo Dell'orto M, Hempel D, Starzetz A, Seibel A, Hannemann U, Walcher F, et al. Assessment of a low-cost
ultrasound pericardiocentesis model. Emerg Med Int [Internet]. 2013;2013. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24288616
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Each author(s) agree to transfer all copyrights and assign YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND, the Publisher of Proceedings of the International Conference on Applied Science and Health, for the full term of exclusive copyright and any extensions or renewals of that terms thereof throughout the world, including but not limited to publish, disseminate, transmit, store, translate, distribute, sell, republish and use the Contribution and material contained therein in print and electronic form of the journal and in other derivative works, in all languages and any form of media of expression available now or in the future and to license or permit others to do so.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Proceedings of the International Conference on Applied Science and Health is an open access following Creative Commons License Deed – Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). Users are allowed to copy and redistribute the material in any medium or format as well as remix, transform, and build upon the material with one condition--appropriate credit is given to the journal.