Impact of accreditation training for residents on sonographic quality in gynecologic emergencies - Popowski, Thomas; Huchon, Cyrille; Fathallah, Khadija; Falissard, Bruno; Dumont, Alexandre; Fauconnier, Arnaud (Journal of Ultrasound in Medicine, 2015)
Objectives-To assess the impact of an educational intervention based on an original accreditation training program on the quality of emergency sonography performed by obstetrics and gynecology (Ob/Gyn) residents. Methods-We conducted a prospective before-after study on residents who performed bedside standardized sonographic examinations as first-line investigations in patients seen at our gynecologic emergency department. In both periods, the residents followed a 1-hour class taught by a board-certified Ob/Gyn sonography expert (opinion leader) and received a written standardized imaging protocol. An accreditation training process was implemented for the new residents at the beginning of the second period: 5 complete sonographic examinations were required for each resident, and facilitated feedback from the opinion leader was performed using a dedicated sonographic quality score. During both periods, all consecutive sonograms were collected and stored. The primary outcome was the sonographic quality score. A mixed model for repeated measures was used to compare scores in both periods from 20 consecutive sonographic examinations performed by 5 residents who were different in each period. Results-The mixed model analysis showed an increase in quality scores in the post-accreditation training compared to the pre-accreditation training period (estimated coefficient +/- SD, 4.13 +/- 0.51; t = 8.16). The sonographic examination order also had a significant effect in both periods (estimated coefficient +/- SD, 0.11 +/- 0.03; t = 3.99). Conclusions-An accreditation training process including facilitated feedback from a local opinion leader improved the quality of sonographic examinations performed by Ob/Gyn residents in women presenting to a gynecologic emergency department.
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Keywords: journalArticle; gynecologic emergency; residency training; sonography; ultrasound education