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{
    "pk": 14154,
    "title": "Integration of Lung Point-of-care Ultrasound into Clinical Decision Making for Medical Students in Simulated Cases",
    "subtitle": null,
    "abstract": "Background: \nPoint-of-care ultrasound (POCUS) has an emerging presence in medical student education; however, there is limited evidence that this translates into appropriate clinical care. We aimed to evaluate the ability of medical students to integrate newly obtained POCUS knowledge into simulated clinical cases.\nMethods:\n We conducted an observational study of medical students participating in a mandatory rotation during their clinical years. Students in small groups underwent formalized lung POCUS lectures and hands-on training. Students participated in simulated “dyspnea” cases focused on either congestive heart failure (CHF) or chronic obstructive pulmonary disease (COPD). They were observed for critical actions including elements related to medical decision-making and ultrasound use and interpretation. Ultrasound-specific written knowledge was gauged with a short assessment after the first lecture and at week 4.\nResults:\n A total of 62 students participated and were observed during simulations. All groups correctly identified and treated CHF in the simulated case. Most groups (7 out of 9) attempted to use ultrasound in the CHF case; five groups correctly recognized B-lines; and four groups correctly interpreted B-lines as pulmonary edema. No groups used ultrasound in the COPD case.\nConclusion:\n Most students attempted to use ultrasound during simulated CHF cases after a brief didactic intervention; however, many students struggled with clinical application. Interestingly, no students recognized the need to apply ultrasound for diagnosis and management of COPD. Future studies are needed to better understand how to optimize teaching for medical students to improve translation into POCUS skills and improved clinical practice.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "point-of-care ultrasound, medical student, simulation"
        }
    ],
    "section": "Education Special Issue - Original Research (Limit 3500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9qx6t8q1",
    "frozenauthors": [
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Lum",
            "name_suffix": "",
            "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "",
            "last_name": "Sheehy",
            "name_suffix": "",
            "institution": "Tucson Medical Center, Department of Emergency Medicine, Tucson, Arizona",
            "department": "None"
        },
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "Lai",
            "name_suffix": "",
            "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Tillman",
            "name_suffix": "",
            "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Sara",
            "middle_name": "",
            "last_name": "Damewood",
            "name_suffix": "",
            "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "",
            "last_name": "Schmidt",
            "name_suffix": "",
            "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-16T09:12:59+05:30",
    "date_accepted": "2020-06-16T09:12:59+05:30",
    "date_published": "2020-12-15T09:11:39+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14154/galley/7320/download/"
        }
    ]
}