The ultrasound competency assessment tool for four-view cardiac POCUS
| dc.contributor.author | Bell, Colin | |
| dc.contributor.author | Wagner, Natalie | |
| dc.contributor.author | Hall, Andrew | |
| dc.contributor.author | Newbigging, Joseph | |
| dc.contributor.author | Rang, Louise | |
| dc.contributor.author | McKaigney, Conor | |
| dc.date.accessioned | 2021-10-03T00:03:18Z | |
| dc.date.available | 2021-10-03T00:03:18Z | |
| dc.date.issued | 2021-09-27 | |
| dc.date.updated | 2021-10-03T00:03:18Z | |
| dc.description.abstract | Abstract Background Point-of-care ultrasound (POCUS) has been recognized as an essential skill across medicine. However, a lack of reliable and streamlined POCUS assessment tools with demonstrated validity remains a significant barrier to widespread clinical integration. The ultrasound competency assessment tool (UCAT) was derived to be a simple, entrustment-based competency assessment tool applicable to multiple POCUS applications. When used to assess a FAST, the UCAT demonstrated high internal consistency and moderate-to-excellent inter-rater reliability. The objective of this study was to validate the UCAT for assessment of a four-view transthoracic cardiac POCUS. Results Twenty-two trainees performed a four-view transthoracic cardiac POCUS in a simulated environment while being assessed by two observers. When used to assess a four-view cardiac POCUS the UCAT retained its high internal consistency ( $$\alpha =0.90)$$ α = 0.90 ) and moderate-to-excellent inter-rater reliability (ICCs = 0.61–0.91; p’s ≤ 0.01) across all domains. The regression analysis suggestion that level of training, previous number of focused cardiac ultrasound, previous number of total scans, self-rated entrustment, and intent to pursue certification statistically significantly predicted UCAT entrustment scores [F (5,16) = 4.06, p = 0.01; R2 = 0.56]. Conclusion This study confirms the UCAT is a valid assessment tool for four-view transthoracic cardiac POCUS. The findings from this work and previous studies on the UCAT demonstrate the utility and flexibility of the UCAT tool across multiple POCUS applications and present a promising way forward for POCUS competency assessment. | |
| dc.identifier.citation | The Ultrasound Journal. 2021 Sep 27;13(1):42 | |
| dc.identifier.doi | https://doi.org/10.1186/s13089-021-00237-3 | |
| dc.identifier.uri | http://hdl.handle.net/1880/114012 | |
| dc.identifier.uri | https://doi.org/10.11575/PRISM/44112 | |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s) | |
| dc.title | The ultrasound competency assessment tool for four-view cardiac POCUS | |
| dc.type | Journal Article |