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Using Simulation-Based Training to Incorporate Lung Ultrasound Into Physical Examination

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02152072
Recruitment Status : Withdrawn (No Participant Enrolled)
First Posted : June 2, 2014
Last Update Posted : April 27, 2018
Information provided by (Responsible Party):
Fayez Kheir,MD,MSc, Tulane University Health Sciences Center

Brief Summary:

Dyspnea is a common symptom encountered frequently by medical practitioners. The differential diagnosis for a patient with such a symptom is broad and time consuming, while immediate management for distressed patients is what is desired. Lung ultrasound (LUS) is a relatively new technique that will help physicians more accurately diagnose and manage patients who present with dyspnea.

Focused medical ultrasonography education is becoming integrated into many physician residency training programs. Recent studies indicate a possible relationship between focused ultrasonography training in medical school curricula and improved physical examination accuracy. Thus, a short-term training program in LUS during medical school will have a major impact on physicians to be comfortable in using this skill when dealing with distressed patients in their prospective residency training. It will reduce educational burdens for physician residency programs and improve overall physician competency.

Simulation-based medical education (SBME) is ideally suited for offering effective training in a zero-risk environment. It enables trainees to gain knowledge and confidence in dealing with stressful clinical scenarios without exposing patients to any additional risk. SBME has also been shown to be a reliable tool for assessing learners' procedural skills and for teaching topics such as teamwork and communication.

The investigators hypothesize that simulation-based training of medical students will enable them to more effectively evaluate patients with shortness of breath using LUS.

Condition or disease Intervention/treatment
Medical Students,Lung Ultrasound,Simulation Training Other: Using Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination

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Study Type : Observational
Actual Enrollment : 0 participants
Observational Model: Cohort
Time Perspective: Prospective
Study Start Date : July 2014
Estimated Primary Completion Date : September 2014
Actual Study Completion Date : September 2014

Resource links provided by the National Library of Medicine

Group/Cohort Intervention/treatment
medical students Other: Using Simulation-Based Training to Incorporate Lung Ultrasound into Physical Examination

Primary Outcome Measures :
  1. Assess the pre and post-performance of medical students in using lung ultrasound (LUS) for patients with shortness of breath. [ Time Frame: 8 weeks ]

    We designed the Thoracic Ultrasound Knowledge and Skills-Assessment Test (TUKSAT) which consists of questions about correctly identifying different organs using ultrasound (US) as well image acquisition skills as an objective measurement for students.

    Study participants will receive simulation-based LUS training through a course provided by a physician experienced in LUS as two sessions at the first week of their medical clerkship. TUKSAT as a pre-evaluation measure will be given.

    During the next 7 weeks, participants will be asked to see videos of LUS images where they will be asked to interpret the findings. A post-evaluation TUKSAT will then be given.

Secondary Outcome Measures :
  1. Measure diagnostic agreement between trainees and experienced physicians in LUS following simulation-based medical education.. [ Time Frame: 8 weeks ]
    Following their simulation-based training, participants will have videos of LUS images where they will be asked to interpret the findings. Diagnostic agreement will be compared between trainees' LUS finding and experienced physicians.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Medical Students

Inclusion Criteria:

  • Third year medical students who signed the consent

Exclusion Criteria:

  • a medical student who is not a third year and/or didn't signed the consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02152072

Sponsors and Collaborators
Tulane University Health Sciences Center
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Principal Investigator: Fayez Kheir, MD,MSc Tulane University
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Responsible Party: Fayez Kheir,MD,MSc, Assistant Professor of Medicine,Department of Pulmonary and Critical Care, Tulane University Health Sciences Center Identifier: NCT02152072    
Other Study ID Numbers: 609459-1
First Posted: June 2, 2014    Key Record Dates
Last Update Posted: April 27, 2018
Last Verified: April 2018