+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Skill and knowledge retention after training in cardiopulmonary ultrasound in Ghana: an impact assessment of bedside ultrasound training in a resource-limited setting



Skill and knowledge retention after training in cardiopulmonary ultrasound in Ghana: an impact assessment of bedside ultrasound training in a resource-limited setting



Emergency Medicine Journal 35(11): 704-707



Brief training courses in bedside ultrasound are commonly done by visiting faculty in low-income and middle-income countries, and positive short-term effects have been reported. Long-term outcomes are poorly understood. We held a training course on a cardiopulmonary ultrasound (CPUS) protocol over two separate 10-day periods in 2016. In 2017, 9-11 months after the initial training, we assessed skill and knowledge retention as well as perceived impact on local practice. A written test using six clinical vignettes and an observed structured clinical examination were used to assess theoretical knowledge and practical skills. Additionally, in-person interviews and a written survey were completed with the physicians who had participated in the initial training. All 20 participants passed the written and clinical examination. The median follow-up test score was 10 out of 12, compared with a median score of 12 on a test completed immediately after the initial training. Physicians identified the ability to narrow their differential diagnosis and to initiate critical interventions earlier than without ultrasound as a key benefit of the CPUS training. They rated the cardiac, abdominal and inferior vena cava components of the CPUS protocol as most relevant to their everyday practice. Long-term ultrasound knowledge and skill retention was high after a brief and intensive training intervention at an academic tertiary hospital in Ghana. Clinicians reported improvements in patient care and local practice patterns.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 065918882

Download citation: RISBibTeXText

PMID: 30154142

DOI: 10.1136/emermed-2018-207716


Related references

Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural Rwanda. International Journal of Emergency Medicine 1(3): 193-196, 2008

Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting. Critical Ultrasound Journal 8(1): 7, 2016

Physicians' and nurses' retention of knowledge and skill after training in cardiopulmonary resuscitation. Canadian Medical Association Journal 128(5): 550-551, 1983

Nurses' knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. Journal of Advanced Nursing 51(3): 288-297, 2005

Bedside ultrasound as a simple non-invasive method of assessing intracranial pressure in a limited resource setting. African Journal of Emergency Medicine 6(3): E1-E4, 2016

"Booster" training: evaluation of instructor-led bedside cardiopulmonary resuscitation skill training and automated corrective feedback to improve cardiopulmonary resuscitation compliance of Pediatric Basic Life Support providers during simulated cardiac arrest. Pediatric Critical Care Medicine 12(3): E116-E121, 2011

Limited Training in Bedside Ultrasound Can Accurately Predict Endotracheal Tube Placement. Chest Journal 144(4): 547a-547b, 2013

Cardiopulmonary ultrasound for critically ill adults improves diagnostic accuracy in a resource-limited setting: the AFRICA trial. Tropical Medicine and International Health 22(12): 1599-1608, 2017

Implementation and assessment of a curriculum for bedside ultrasound training. Journal of Ultrasound in Medicine 34(5): 823-828, 2015

Teaching and evaluating ultrasound skill attainment: competency-based resident ultrasound training for AIUM accreditation. Obstetrics and Gynecology Clinics of North America 33(2): 305-23, Ix, 2006

Impact of the introduction of ultrasound services in a limited resource setting: rural Rwanda 2008. Bmc International Health and Human Rights 9: 4, 2009

The Impact of Systematic Point-of-Care Ultrasound on Management of Patients in a Resource-Limited Setting. American Journal of Tropical Medicine and Hygiene 96(2): 488-492, 2017

Knowledge and skill retention of in-service versus preservice nursing professionals following an informal training program in pediatric cardiopulmonary resuscitation: a repeated-measures quasiexperimental study. Biomed Research International 2013: 403415-403415, 2014

AED training and its impact on skill acquisition, retention and performance--a systematic review of alternative training methods. Resuscitation 82(6): 657-664, 2011

Systematic training in focused cardiopulmonary ultrasound affects decision-making in the prehospital setting - two case reports. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 22: 29, 2014