Evaluation of an emergency medicine point‐of‐care ultrasound curriculum adapted for a resource‐limited setting in Guyana
Dublin Core
Title
Evaluation of an emergency medicine point‐of‐care ultrasound curriculum adapted for a resource‐limited setting in Guyana
Subject
Ultrasound, Point-of-care ultrasound, Curriculum, Adapted curriculum, Global health, Competency
assessment
assessment
Description
Background This is a cohort pilot study of senior emergency medicine residents and residency-trained emergency
medicine registrars practicing in an urban tertiary academic hospital in Guyana in South America. The primary aim
was to assess the effectiveness of the current adapted residency ultrasound training curriculum and guide future
ultrasound-specific continuing medical education. Ultrasound image acquisition, interpretation, and integration
of ultrasound findings into clinical medical decision-making competency were assessed in a multimodal fashion:
a written assessment and a practical assessment.
Methods This was a cross-sectional cohort pilot study of senior emergency medicine residents and registrars (resi-
dency graduates) practicing in Guyana, a low-middle-income country. Ultrasound image acquisition and interpreta-
tion competency were assessed in a multimodal fashion: a written assessment and a practical assessment. The results
will be reported as simple percentages. Participants will be deemed competent if the combined score is greater
than 80% on the assessment.
Results All senior residents and graduates of the residency program were competent in the core point-of-care
ultrasound applications. The senior residents averaged 89% proficiency, and the residency graduates subdivided
based on years since graduation averaged 87–100% proficiency. The more experienced providers performed bet-
ter on the practical portion of the evaluation. Evaluating the composite analysis of all the participants revealed
the Extended Focused Assessment with Sonography in Trauma (EFAST) exam (96%) and cardiac exam (93%) were
done with the most proficiency.
Conclusion The assessment results of this pilot study suggest that the current residency ultrasound training curricu-
lum adapted to the resources available is associated with sustained competency after graduation. There was minor
attrition of knowledge amongst the senior physicians, but all senior residents and all participating residency gradu-
ates were competent in the core ultrasound applications.
medicine registrars practicing in an urban tertiary academic hospital in Guyana in South America. The primary aim
was to assess the effectiveness of the current adapted residency ultrasound training curriculum and guide future
ultrasound-specific continuing medical education. Ultrasound image acquisition, interpretation, and integration
of ultrasound findings into clinical medical decision-making competency were assessed in a multimodal fashion:
a written assessment and a practical assessment.
Methods This was a cross-sectional cohort pilot study of senior emergency medicine residents and registrars (resi-
dency graduates) practicing in Guyana, a low-middle-income country. Ultrasound image acquisition and interpreta-
tion competency were assessed in a multimodal fashion: a written assessment and a practical assessment. The results
will be reported as simple percentages. Participants will be deemed competent if the combined score is greater
than 80% on the assessment.
Results All senior residents and graduates of the residency program were competent in the core point-of-care
ultrasound applications. The senior residents averaged 89% proficiency, and the residency graduates subdivided
based on years since graduation averaged 87–100% proficiency. The more experienced providers performed bet-
ter on the practical portion of the evaluation. Evaluating the composite analysis of all the participants revealed
the Extended Focused Assessment with Sonography in Trauma (EFAST) exam (96%) and cardiac exam (93%) were
done with the most proficiency.
Conclusion The assessment results of this pilot study suggest that the current residency ultrasound training curricu-
lum adapted to the resources available is associated with sustained competency after graduation. There was minor
attrition of knowledge amongst the senior physicians, but all senior residents and all participating residency gradu-
ates were competent in the core ultrasound applications.
Creator
Rayal Jhagru1
, Rajiv Singh1 and Jordan Rupp2*
, Rajiv Singh1 and Jordan Rupp2*
Source
https://doi.org/10.1186/s12245-023-00531-y
Date
2023
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Rayal Jhagru1
, Rajiv Singh1 and Jordan Rupp2*, “Evaluation of an emergency medicine point‐of‐care ultrasound curriculum adapted for a resource‐limited setting in Guyana,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12189.