Unravelling the skillset of point-of-care ultrasound: a systematic review

The Ultrasound Journal

卷:15

Review

Beerend P. Hierck¹  Martijn P. Bauer²  Tessa A. Mulder²  Tycho J. Olgers³  Tim van de Velde⁴  Eveline Dokter⁵  Bas Boekestijn⁵ 

[1] Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands;Center for Innovation of Medical Education, Leiden University Medical Center, Leiden, The Netherlands;Department of Clinical Sciences-Anatomy and Physiology, Veterinary Medicine Faculty, Utrecht University, Utrecht, The Netherlands;

[2] Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands;

[3] Department of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands;

[4] Department of Neuropsychology, Leiden University, Leiden, The Netherlands;

[5] Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands;

关键词: Point-of-care-ultrasound;    Training;    Visuospatial;    Psychomotor;    Knowledge;    Competence;    Skill;    Ability;   

DOI  :  10.1186/s13089-023-00319-4

 received in 2022-06-07, accepted in 2023-04-03,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe increasing number of physicians that are trained in point-of-care ultrasound (POCUS) warrants critical evaluation and improvement of current training methods. Performing POCUS is a complex task and it is unknown which (neuro)cognitive mechanisms are most important in competence development of this skill. This systematic review was conducted to identify determinants of POCUS competence development that can be used to optimize POCUS training.MethodsPubMed, Web of Science, Cochrane Library, Emcare, PsycINFO and ERIC databases were searched for studies measuring ultrasound (US) skills and aptitude. The papers were divided into three categories: “Relevant knowledge”, “Psychomotor ability” and ‘Visuospatial ability’. The ‘Relevant knowledge’ category was further subdivided in ‘image interpretation’, ‘technical aspects’ and ‘general cognitive abilities’. Visuospatial ability was subdivided in visuospatial subcategories based on the Cattell-Horn-Carroll (CHC) Model of Intelligence v2.2, which includes visuospatial manipulation and visuospatial perception. Post-hoc, a meta-analysis was performed to calculate pooled correlations.Results26 papers were selected for inclusion in the review. 15 reported on relevant knowledge with a pooled coefficient of determination of 0.26. Four papers reported on psychomotor abilities, one reported a significant relationship with POCUS competence. 13 papers reported on visuospatial abilities, the pooled coefficient of determination was 0.16.ConclusionThere was a lot of heterogeneity in methods to assess possible determinants of POCUS competence and POCUS competence acquisition. This makes it difficult to draw strong conclusions on which determinants should be part of a framework to improve POCUS education. However, we identified two determinants of POCUS competence development: relevant knowledge and visuospatial ability. The content of relevant knowledge could not be retrieved in more depth. For visuospatial ability we used the CHC model as theoretical framework to analyze this skill. We could not point out psychomotor ability as a determinant of POCUS competence.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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