Safety, quality & education

Assessment of cardiopulmonary point-of-care ultrasound objective structured clinical examinations in graduating anesthesiology residents across multiple residency programs

J Clin AnesthPublished Observational cohort study

Authors' conclusion

Our study demonstrates that a cardiopulmonary POCUS OSCE can be successfully implemented across multiple anesthesia training programs. While most residents were able to perform basic ultrasound views and identify structures, advanced interpretive skills and maneuvers performed lower.

Study context

Population
Graduating anesthesia residents in their last nine months of training, university-affiliated hospitals
Participants
150 residents
Outcome
Cardiopulmonary point-of-care ultrasound (POCUS) objective structured clinical examination (OSCE) scores by view
Methodological detailsmultiple residency programs
  • Multiple residency programs

Main finding

As reported in the abstract

A4C view score, mean ± SD
0.7 ± 0.3
Parasternal short axis (PSAX) view score, mean ± SD
0.8 ± 0.3
Parasternal long axis (PLAX) view score, mean ± SD
0.8 ± 0.4
Pneumothorax (PTX) exam score, mean ± SD
0.9 ± 0.3
Pleural effusion (PLE) exam score, mean ± SD
0.6 ± 0.4

Observational data: associations, not effects.

Further findings

Pre- and post-OSCE survey (5-point Likert scale)

Results positive, almost all questions scoring >4

Original publication

Assessment of cardiopulmonary point-of-care ultrasound objective structured clinical examinations in graduating anesthesiology residents across multiple residency programs. J Clin Anesth. Published 19 September 2023. doi:10.1016/j.jclinane.2023.111260

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