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    Cadaver Models in Residency Training for Uncommonly Encountered Ultrasound-Guided Procedures

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    Author
    Amini, Richard
    Camacho, Luis D
    Valenzuela, Josephine
    Ringleberg, Jeannie K
    Patanwala, Asad E
    Stearns, Jack
    Situ-LaCasse, Elaine H
    Acuña, Josie
    Adhikari, Srikar
    Affiliation
    Univ Arizona, Dept Emergency Med
    Univ Arizona, Coll Med
    Univ Arizona, Dept Mol & Cellular Biol
    Issue Date
    2019-11-19
    Keywords
    Point of care ultrasound
    bedside ultrasound
    cadaver
    emergency ultrasound
    internship and residency
    nerve block
    regional nerve block
    thoracentesis
    ultrasound education
    ultrasound guidance
    
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    Publisher
    SAGE PUBLICATIONS LTD
    Citation
    Amini, R., Camacho, L. D., Valenzuela, J., Ringleberg, J. K., Patanwala, A. E., Stearns, J., ... & Adhikari, S. (2019). Cadaver Models in Residency Training for Uncommonly Encountered Ultrasound-Guided Procedures. Journal of Medical Education and Curricular Development, 6, 2382120519885638.
    Journal
    JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
    Rights
    Copyright © The Author(s) 2019. Creative Commons CC BY: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Arthrocentesis of the ankle and elbow and brachial plexus nerve blocks are infrequently performed procedures; however, clinicians in specialties such as emergency medicine are required to be proficient in these procedures in the event of emergent or urgent necessity. Objectives: The objective of this study was to create, implement, and assess a fresh cadaver-based educational model to help resident physicians learn how to perform ultrasound-guided arthrocentesis of the ankle and elbow and ultrasound-guided regional nerve blocks. Methods: This was a single-center cross-sectional study conducted at an academic medical center. After a brief didactic session, 26 emergency medicine residents with varying levels of clinical and ultrasound experience rotated through 4 fresh cadaver-based stations. The objective of each station was to understand the sonographic anatomy and to perform ultrasound-guided arthrocentesis or regional nerve block with hands-on feedback from ultrasound fellows and faculty. Participants were subsequently asked to complete a questionnaire which evaluated participants' experience level, opinions, and procedural confidence regarding the 4 stations. Results: A total of 26 residents participated in this study. All 26 residents agreed that the cadaver model (compared with clinical anatomy) was realistic regarding ultrasound quality of the joint space, ultrasound quality of the joint effusion, ultrasound quality of nerves, tissue density, needle guidance, and artifacts. Finally, there was a statistically significant difference between mean scores for pre-simulation and post-simulation session participant procedural confidence for all 4 procedures. Conclusions: This fresh cadaver-based ultrasound-guided educational model was an engaging and well-received opportunity for residents to gain proficiency and statistically significant confidence in procedures which are uncommonly performed in clinical settings.
    Note
    Open access journal
    ISSN
    2382-1205
    PubMed ID
    31799406
    DOI
    10.1177/2382120519885638
    Version
    Final published version
    ae974a485f413a2113503eed53cd6c53
    10.1177/2382120519885638
    Scopus Count
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    UA Faculty Publications

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