Background
Methods
Study context
Design
Statistical analysis
Results
PGY | n | Previous number of scans: FAST | Previous number of scans: four-view cardiac | Previous number of scans: total | Self-rated entrustment (1 to 5) | ||||
---|---|---|---|---|---|---|---|---|---|
Average (SD) | Range | Average (SD) | Range | Average (SD) | Range | FAST | Cardiac POCUS | ||
PGY1 | 2/4 | 37 (5) | 31–41 | 7 (7) | 0–15 | 112 (11) | 99–120 | 3.0 (0) | 1.67 (0.6) |
PGY2 | 4/4 | 82 (41) | 57–144 | 58 (42) | 2–101 | 355 (146) | 234–560 | 3.75 (0.5) | 2.0 (1.4) |
PGY3 | 4/4 | 118 (39) | 70–150 | 37 (19) | 15–55 | 408 (90) | 320–496 | 4.75 (0.5) | 3.5 (1.3) |
PGY4 | 3/4 | 171 (112) | 97–300 | 35 (14) | 23–50 | 572 (371) | 348–1000 | 4.67 (0.6) | 3.33 (0.6) |
PGY5 | 0/4 | ||||||||
CCFP-EM | 8/8 | 54 (52) | 0–150 | 12 (14) | 0–34 | 186 (173) | 3–477 | 3.75 (1.4) | 2.37 (1.1) |
UCAT domain | Rater 1 (CB) Mean (SD) | Rater 1 (CB) Range | Rater 2 (CM) Mean (SD) | Rater 2 (CM) Range | Average of Two Raters | ICC (Absolute Agreement) | p-value |
---|---|---|---|---|---|---|---|
Preparation | 2.45 (0.51) | 2.0–3.0 | 2.60 (0.67) | 1.0–3.0 | 2.52 | 0.71 | 0.003* |
Image acquisition | 1.64 (0.66) | 1.0–3.0 | 1.77 (0.68) | 1.0–3.0 | 1.70 | 0.86 | < 0.001* |
Image optimization | 1.64 (0.73) | 1.0–3.0 | 1.91 (0.75) | 1.0–3.0 | 1.78 | 0.61 | 0.01* |
Clinical integration | 2.14 (0.56) | 1.0–3.0 | 2.32 (0.65) | 1.0–3.0 | 2.23 | 0.68 | 0.005* |
Entrustment | 2.55 (1.14) | 1.0–5.0 | 2.76 (1.09) | 1.0–5.0 | 2.65 | 0.91 | < 0.001* |
Factors | Entrustment scores beta coefficient | Entrustment scores t value | Entrustment scores p-values (sig.) | Composite scores beta coefficient | Composite scores t value | Composite scores p-values (sig.) |
---|---|---|---|---|---|---|
Number of total scans | 0.43 | 1.46 | 0.16 | 0.32 | 1.02 | 0.32 |
PGY | − 0.11 | − 0.40 | 0.70 | − 1.08 | − 0.36 | 0.73 |
Number of previous focused cardiac ultrasound scans | − 0.28 | − 1.24 | 0.23 | − 0.18 | − 0.76 | 0.46 |
Intent to pursue POCUS certification | − 0.31 | − 1.08 | 0.30 | − 0.18 | − 0.60 | 0.56 |
Self-rated entrustment focused cardiac ultrasound | 0.47 | 1.97 | 0.07 | 0.54 | 2.15 | 0.05 |
All factors combined | R2 | F value (df) | p-value (sig) | R2 | F value (df) | p-value (sig) |
0.56 | F (5,16) = 4.06 | 0.01 | 0.50 | F (5,16) = 3.21 | 0.03 |