Fergal McNamara
The Professional Development Needs of Hospital Teachers in Ireland: An Exploratory Case Study
Continuity in education
integration point care ultrasound pocus care trauma patients specifically efast improved accuracy initial diagnoses improved time surgical intervention critically ill patients physician assistants pas critically important members military trauma resuscitation team often team leaders prehospital setting may receive training ultrasound little data support use evaluate effectiveness using pocus designed study evaluate image quality efast exam performed emergency medicine physician assistant empa fellows emergency medicine em interns following identical training hypothesis image quality obtained empas noninferior images obtained em interns prospective singleblinded study comparing image quality efast exams performed first year em interns first year empa fellows participants completed standard pocus training prior enrollment study total 8 empas 8 em first year residents completed 10 recorded efast exams used study images participants also viewed 15question slide show containing images positive 6 negative 9 efast exams recorded interpretations images reviewed expert reviewers blinded images collected group image quality score recorded view well overall image quality score image quality rated 1 5 image quality scale overall image quality mean score empas 36 05 em residents 32 05 statistical significance favoring better image quality empas time completion efast exam empas 48 13 minutes interns 34 14 minutes p value 002 difference image interpretation quiz scores groups mean score 92 among interns 95 among pas pocus imaging modality portable relatively inexpensive makes ideal military medicine pas essential members military trauma teams often run initial trauma resuscitation able correctly identify patients free fluid early course treatment allows correct evacuation criteria ensure sickest patients get care fastest although limited data support pocus use nonphysicians data support growing body evidence profession baseline medical education determines individuals ability use incorporate ultrasound bedside clinical practice study shows training experience pas members military health care team use efast better care trauma patients