Abstract
Fluid overload (FO) contributes significantly to the development of cardiovascular disease among patients with end-stage kidney disease (ESKD) on hemodialysis (HD), yet remains underappreciated due to limitations of the physical exam [1]. Lung ultrasound (US) is an established tool for quantification of FO [2]. Previous validation of quantitative lung US among nephrology attendings using a remote web-based lung ultrasound training has been demonstrated [3]. Interest in ultrasound education among nephrology fellows is high [4]. Clinician-performed ultrasound curricula for nephrology fellows have been described previously, however fellows’ competency in quantitative lung US has not been described [5]. In the present study we aimed to assess the current level of knowledge among nephrology fellows as well as the efficacy of a brief training course in quantitative lung US.
Highlights
Fluid overload (FO) contributes significantly to the development of cardiovascular disease among patients with end-stage kidney disease (ESKD) on hemodialysis (HD), yet remains underappreciated due to limitations of the physical exam [1]
On the 5-point Likert scale confidence in psychomotor skills domain increased from a pre-test mean of 2.1 to a post-test mean of 4.3
Confidence in the knobology skills domain increased from a pre-test mean of 1.8 to post-test a mean of 4.1
Summary
Fluid overload (FO) contributes significantly to the development of cardiovascular disease among patients with end-stage kidney disease (ESKD) on hemodialysis (HD), yet remains underappreciated due to limitations of the physical exam [1]. Lung ultrasound (US) is an established tool for quantification of FO [2]. Previous validation of quantitative lung US among nephrology attendings using a remote web-based lung ultrasound training has been demonstrated [3]. Interest in ultrasound education among nephrology fellows is high [4]. Clinicianperformed ultrasound curricula for nephrology fellows have been described previously, fellows’ competency in quantitative lung US has not been described [5].
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