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{
    "pk": 18449,
    "title": "Simulation Improves Emergency Medicine Residents’ Clinical Performance of Aorta Point-of-Care Ultrasound",
    "subtitle": null,
    "abstract": "<p><b>Purpose:</b> Using point-of-care ultrasound (POCUS) to diagnose abdominal aortic aneurysm (AAA) is an essential skill in emergency medicine (EM). While simulation-based POCUS education is commonly used, the translation to performance in the emergency department (ED) is unknown. We investigated whether adding case-based simulation to an EM residency curriculum was associated with changes in the quantity and quality of aorta POCUS performed by residents in the ED.</p><p><b><b>Methods: </b></b>A case-based simulation was introduced to resident didactics at our academic, Level I trauma center. A case of undifferentiated abdominal pain was presented, which required examination of an ultrasound phantom to diagnose an AAA, with a hands-on didactic. We compared the quantity, quality, and descriptive analyses of aorta POCUS performed in the ED during the four months before and after the simulation.</p><p><b><b><b>Results: </b></b></b>For participating residents (17/32), there was an 86% increase in total studies and an 80%increase in clinical studies. On an opportunity-adjusted, per-resident basis, there was no significant difference in median total scans per 100 shifts (4.4 [interquartile range (IQR) 0–15.8 vs 8.3 [IQR] 3.3–23.6, P = 0.21) or average total quality scores (3.2 ± 0.6 vs 3.2 ± 0.5, P = 0.92). The total number of limited or inadequate studies decreased (43% vs 19%, P = 0.02), and the proportion of scans submitted by interns increased (7% vs 54%, P =&lt;.001).</p><p><b><b><b><b>Conclusion: </b></b></b></b>After simulation training, aorta POCUS was performed more frequently, and ED interns contributed a higher proportion of scans. While there was no improvement in quantity or quality scores on a per-resident basis, there were significantly fewer incomplete or limited scans.</p>",
    "language": null,
    "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"
        },
        {
            "word": "ultrasonography"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "Abdominal aortic aneurysm"
        },
        {
            "word": "POCUS"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/73d398gn",
    "frozenauthors": [
        {
            "first_name": "Brandon",
            "middle_name": "M.",
            "last_name": "Wubben",
            "name_suffix": "",
            "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa",
            "department": "None"
        },
        {
            "first_name": "Cory",
            "middle_name": "",
            "last_name": "Wittrock",
            "name_suffix": "",
            "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa",
            "department": ""
        }
    ],
    "date_submitted": "2023-08-30T17:47:55Z",
    "date_accepted": "2023-08-30T17:47:55Z",
    "date_published": "2024-02-09T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/westjem/article/18449/galley/9607/download/"
    },
    "galleys": [
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18449/galley/9607/download/"
        }
    ]
}