A Curriculum for Ultrasound-Enhanced Physical Examination Rounds

Abstract

OPEN ACCESSDecember 2, 2013A Curriculum for Ultrasound-Enhanced Physical Examination Rounds David Frost, MD, FRCP(C), Maral Nadjafi, Rodrigo Cavalcanti David Frost, MD, FRCP(C) University of Toronto Google Scholar More articles by this author , Maral Nadjafi Toronto Western Hospital Google Scholar More articles by this author , Rodrigo Cavalcanti University Health Network Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9625 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: This is a curriculum for teaching evidence-based bedside physical examination rounds augmented by bedside point-of-care ultrasound. This resource includes all of the information necessary to present the curriculum, including relevant evidence for physical maneuvers and detailed instructions on how to demonstrate findings by examination and with ultrasound. Methods: The main resource file is a manual to guide clinician teachers with step-by-step instructions and detailed explanations to allow them to conduct bedside sessions whereby physical examination teaching is combined with ultrasound. We have selected eight clinical scenarios particularly given to this combined approach. Topics covered include splenomegaly, ascites, pleural effusion, mitral regurgitation, tricuspid regurgitation, pulmonary hypertension, left-ventricular systolic dysfunction, volume assessment, and examination of the neck vessels. Results: We have evaluated trainee perception of this curriculum's usefulness after a year of implementation. Residents felt that it enhanced physical examination teaching, made them more comfortable with bedside ultrasound, and made them more comfortable performing bedside procedures. We are in the process of objectively assessing competence in performing point of care ultrasound in our trainees. Discussion: This resource represents, to our knowledge, the first comprehensive curriculum that combines evidence-based physical diagnosis teaching with point-of-care ultrasound. We have specifically chosen clinical scenarios that are well suited to this hybrid methodology. Educational Objectives To perform a focused, evidence-based physical examination directed at a specific clinical question.To introduce basic uses of ultrasound technology at the bedside.To incorporate ultrasound teaching into bedside physical examination teaching to support and confirm the physical findings.To stimulate interest in bedside physical examination teaching by incorporating technology. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor Guide.pdf Ultrasound Curriculum.pdf To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationFrost D, Nadjafi M, Cavalcanti R. A Curriculum for Ultrasound-Enhanced Physical Examination Rounds. MedEdPORTAL. 2013;9:9625. https://doi.org/10.15766/mep_2374-8265.9625 Copyright & Permissions© 2013 Frost et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsClinical CompetencePhysical ExaminationUltrasoundBedside TeachingPoint of CareClinical SkillsHybrid InstructionUltrasonography Disclosures None to report. Funding/Support None to report. Prior Presentations Nadjafi M, Cavalcanti RB, Frost DW. Gel Rounds: Incorporation of bedside ultrasound into clinical teaching rounds. Presented at: International Conference on Residency Education; October 2012; Ottawa, Canada. Nadjafi M, Cavalcanti RB, Frost DW. Incorporating Ultrasound Use for Teaching Physical Examination Skills. Presented at: Association for Medical Education in Europe Conference; August 2012; Lyon, France. Loading ...