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Erschienen in: Journal of General Internal Medicine 10/2020

10.08.2020 | Innovations in Medical Education

A Mixed-Methods Evaluation of Medical Residents’ Attitudes Towards Interprofessional Learning and Stereotypes Following Sonography Student-Led Point-of-Care Ultrasound Training

verfasst von: Christopher J. Smith, MD, Tabatha Matthias, DO, MBA, Elizabeth Beam, PhD, RN, Kathryn Wampler, MA, RT(R), RDMS, RVT, Lea Pounds, PhD, MBA, Devin Nickol, MD, Ronald J. Shope, PhD, Kristy Carlson, PhD, Kimberly Michael, MA, RT(R), RDMS, RVT, FSDMS

Erschienen in: Journal of General Internal Medicine | Ausgabe 10/2020

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Abstract

Background

Point-of-care ultrasound (POCUS) training is growing across internal medicine graduate medical education, but lack of trained faculty is a barrier to many programs. Interprofessional education (IPE) may offer a solution but must overcome potential biases of trainees.

Aim

To evaluate the impact of an interprofessional POCUS training on residents’ attitudes towards interprofessional learning and stereotypes.

Setting

Midwestern health sciences university.

Participants

Diagnostic medical sonography (DMS) students (n = 13) served as teachers for first-year internal medicine residents (IMR) (n = 49).

Program Description

DMS students participated in a train-the-trainer session to learn teaching strategies via case-based simulation, then coached IMR to acquire images of the kidneys, bladder, and aorta on live models.

Program Evaluation

Mixed-methods evaluation, including pre-/post-surveys and focus group interviews. The survey response rate was 100% (49/49 IMR). Composite survey scores evaluating residents’ attitudes towards IPE and stereotyping of sonographers improved significantly following the intervention. Qualitative analysis of focus group interviews yielded four themes: enhanced respect for other disciplines, implications for future practice, increased confidence of DMS students, and interest in future IPE opportunities.

Discussion

Interprofessional POCUS education can improve residents’ perceptions towards IPE, increase their level of respect for sonographers, and motivate interest in future interprofessional collaboration.
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Literatur
1.
Zurück zum Zitat Bhagra A, Tierney DM, Sekiguchi H, Soni NJ. Point-of-Care Ultrasonography for Primary Care Physicians and General Internists. Mayo Clin Proc 2016;91:1811-27.CrossRef Bhagra A, Tierney DM, Sekiguchi H, Soni NJ. Point-of-Care Ultrasonography for Primary Care Physicians and General Internists. Mayo Clin Proc 2016;91:1811-27.CrossRef
2.
Zurück zum Zitat Pivetta E, Goffi A, Nazerian P, et al. Lung ultrasound integrated with clinical assessment for the diagnosis of acute decompensated heart failure in the emergency department: a randomized controlled trial. Eur J Heart Fail 2019;21:754-66.CrossRef Pivetta E, Goffi A, Nazerian P, et al. Lung ultrasound integrated with clinical assessment for the diagnosis of acute decompensated heart failure in the emergency department: a randomized controlled trial. Eur J Heart Fail 2019;21:754-66.CrossRef
3.
Zurück zum Zitat Buhumaid RE, St-Cyr Bourque J, Shokoohi H, Ma IWY, Longacre M, Liteplo AS. Integrating point-of-care ultrasound in the ED evaluation of patients presenting with chest pain and shortness of breath. Am J Emerg Med 2019;37:298-303.CrossRef Buhumaid RE, St-Cyr Bourque J, Shokoohi H, Ma IWY, Longacre M, Liteplo AS. Integrating point-of-care ultrasound in the ED evaluation of patients presenting with chest pain and shortness of breath. Am J Emerg Med 2019;37:298-303.CrossRef
5.
Zurück zum Zitat Soni NJ, Lucas BP. Diagnostic point-of-care ultrasound for hospitalists. J Hosp Med 2015;10:120-4.CrossRef Soni NJ, Lucas BP. Diagnostic point-of-care ultrasound for hospitalists. J Hosp Med 2015;10:120-4.CrossRef
6.
Zurück zum Zitat LoPresti CM, Jensen TP, Dversdal RK, Astiz DJ. Point-of-Care Ultrasound for Internal Medicine Residency Training: A Position Statement from the Alliance of Academic Internal Medicine. Am J Med LoPresti CM, Jensen TP, Dversdal RK, Astiz DJ. Point-of-Care Ultrasound for Internal Medicine Residency Training: A Position Statement from the Alliance of Academic Internal Medicine. Am J Med
7.
Zurück zum Zitat Schnobrich DJ, Gladding S, Olson AP, Duran-Nelson A. Point-of-Care Ultrasound in Internal Medicine: A National Survey of Educational Leadership. J Grad Med Educ 2013;5:498-502.CrossRef Schnobrich DJ, Gladding S, Olson AP, Duran-Nelson A. Point-of-Care Ultrasound in Internal Medicine: A National Survey of Educational Leadership. J Grad Med Educ 2013;5:498-502.CrossRef
8.
Zurück zum Zitat Ailon J, Mourad O, Nadjafi M, Cavalcanti R. Point-of-care ultrasound as a competency for general internists: a survey of internal medicine training programs in Canada. Can Med Educ J 2016;7:e51-e69.CrossRef Ailon J, Mourad O, Nadjafi M, Cavalcanti R. Point-of-care ultrasound as a competency for general internists: a survey of internal medicine training programs in Canada. Can Med Educ J 2016;7:e51-e69.CrossRef
9.
Zurück zum Zitat World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010. World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010.
10.
Zurück zum Zitat Remington TL, Foulk M, Williams B. Evaluation of evidence for interprofessional education. Am J Pharm Educ 2006;70. Remington TL, Foulk M, Williams B. Evaluation of evidence for interprofessional education. Am J Pharm Educ 2006;70.
11.
Zurück zum Zitat Riskiyana R. Objectively measured interprofessional education outcome and factors that enhance program effectiveness: A systematic review. Nurse Educ Today;66:73-8. Riskiyana R. Objectively measured interprofessional education outcome and factors that enhance program effectiveness: A systematic review. Nurse Educ Today;66:73-8.
12.
Zurück zum Zitat Reeves S, Fletcher S, Barr H, et al. A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Med Teach 2016;38:656-68.CrossRef Reeves S, Fletcher S, Barr H, et al. A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Med Teach 2016;38:656-68.CrossRef
13.
Zurück zum Zitat Hean S, Clark JM, Adams K, Humphris D. Will opposites attract? Similarities and differences in students’ perceptions of the stereotype profiles of other health and social care professional groups. J Interprof Care 2006;20:162-81.CrossRef Hean S, Clark JM, Adams K, Humphris D. Will opposites attract? Similarities and differences in students’ perceptions of the stereotype profiles of other health and social care professional groups. J Interprof Care 2006;20:162-81.CrossRef
14.
Zurück zum Zitat Curran VR, Sharpe D, Forristall J, Flynn K. Attitudes of health sciences students towards interprofessional teamwork and education. Learn Health Soc Care 2008;7:146-56.CrossRef Curran VR, Sharpe D, Forristall J, Flynn K. Attitudes of health sciences students towards interprofessional teamwork and education. Learn Health Soc Care 2008;7:146-56.CrossRef
15.
Zurück zum Zitat Tanaka M, Yokode M. Attitudes of medical students and residents toward multidisciplinary team approach. Med Educ 2005;39:1255-6.CrossRef Tanaka M, Yokode M. Attitudes of medical students and residents toward multidisciplinary team approach. Med Educ 2005;39:1255-6.CrossRef
16.
Zurück zum Zitat Shaw-Battista J, Young-Lin N, Bearman S, Dau K, Vargas J. Interprofessional Obstetric Ultrasound Education: Successful Development of Online Learning Modules; Case-Based Seminars; and Skills Labs for Registered and Advanced Practice Nurses, Midwives, Physicians, and Trainees. J Midwifery Womens Health 2015;60:727-34.CrossRef Shaw-Battista J, Young-Lin N, Bearman S, Dau K, Vargas J. Interprofessional Obstetric Ultrasound Education: Successful Development of Online Learning Modules; Case-Based Seminars; and Skills Labs for Registered and Advanced Practice Nurses, Midwives, Physicians, and Trainees. J Midwifery Womens Health 2015;60:727-34.CrossRef
17.
Zurück zum Zitat Vinayak S, Sande J, Nisenbaum H, Nolsoe CP. Training Midwives to Perform Basic Obstetric Point-of-Care Ultrasound in Rural Areas Using a Tablet Platform and Mobile Phone Transmission Technology-A WFUMB COE Project. Ultrasound Med Biol 2017;43:2125-32.CrossRef Vinayak S, Sande J, Nisenbaum H, Nolsoe CP. Training Midwives to Perform Basic Obstetric Point-of-Care Ultrasound in Rural Areas Using a Tablet Platform and Mobile Phone Transmission Technology-A WFUMB COE Project. Ultrasound Med Biol 2017;43:2125-32.CrossRef
18.
Zurück zum Zitat Luetmer MT, Cloud BA, Youdas JW, Pawlina W, Lachman N. Simulating the multi-disciplinary care team approach: Enhancing student understanding of anatomy through an ultrasound-anchored interprofessional session. Anat Sci Educ 2018;11:94-9.CrossRef Luetmer MT, Cloud BA, Youdas JW, Pawlina W, Lachman N. Simulating the multi-disciplinary care team approach: Enhancing student understanding of anatomy through an ultrasound-anchored interprofessional session. Anat Sci Educ 2018;11:94-9.CrossRef
19.
Zurück zum Zitat Smith CJ, Matthias T, Beam E, et al. Building a bigger tent in point-of-care ultrasound education: a mixed-methods evaluation of interprofessional, near-peer teaching of internal medicine residents by sonography students. BMC Med Educ 2018;18. Smith CJ, Matthias T, Beam E, et al. Building a bigger tent in point-of-care ultrasound education: a mixed-methods evaluation of interprofessional, near-peer teaching of internal medicine residents by sonography students. BMC Med Educ 2018;18.
20.
Zurück zum Zitat Romero P, Gunther P, Kowalewski KF, et al. Halsted’s “See One, Do One, and Teach One” versus Peyton’s Four-Step Approach: A Randomized Trial for Training of Laparoscopic Suturing and Knot Tying. J Surg Educ 2018;75:510-5.CrossRef Romero P, Gunther P, Kowalewski KF, et al. Halsted’s “See One, Do One, and Teach One” versus Peyton’s Four-Step Approach: A Randomized Trial for Training of Laparoscopic Suturing and Knot Tying. J Surg Educ 2018;75:510-5.CrossRef
21.
Zurück zum Zitat Gradl-Dietsch G, Lubke C, Horst K, et al. Peyton’s four-step approach for teaching complex spinal manipulation techniques - a prospective randomized trial. BMC Med Educ 2016;16:284.CrossRef Gradl-Dietsch G, Lubke C, Horst K, et al. Peyton’s four-step approach for teaching complex spinal manipulation techniques - a prospective randomized trial. BMC Med Educ 2016;16:284.CrossRef
22.
Zurück zum Zitat Herrmann-Werner A, Nikendei C, Keifenheim K, et al. “Best practice” skills lab training vs. a “see one, do one” approach in undergraduate medical education: an RCT on students’ long-term ability to perform procedural clinical skills. PLoS One 2013;8:e76354.CrossRef Herrmann-Werner A, Nikendei C, Keifenheim K, et al. “Best practice” skills lab training vs. a “see one, do one” approach in undergraduate medical education: an RCT on students’ long-term ability to perform procedural clinical skills. PLoS One 2013;8:e76354.CrossRef
23.
Zurück zum Zitat Krautter M, Weyrich P, Schultz JH, et al. Effects of Peyton’s four-step approach on objective performance measures in technical skills training: a controlled trial. Teach Learn Med 2011;23:244-50.CrossRef Krautter M, Weyrich P, Schultz JH, et al. Effects of Peyton’s four-step approach on objective performance measures in technical skills training: a controlled trial. Teach Learn Med 2011;23:244-50.CrossRef
24.
Zurück zum Zitat Krautter M. Peyton’s four-step approach: differential effects of single instructional steps on procedural and memory performance - a clarification study. Adv Med Educ Pract 2015;6:399-406.CrossRef Krautter M. Peyton’s four-step approach: differential effects of single instructional steps on procedural and memory performance - a clarification study. Adv Med Educ Pract 2015;6:399-406.CrossRef
25.
Zurück zum Zitat Hean S. The Contact Hypothesis: an exploration of its further potential in interprofessional education. J Interprof Care;19:480-91. Hean S. The Contact Hypothesis: an exploration of its further potential in interprofessional education. J Interprof Care;19:480-91.
26.
Zurück zum Zitat Schifferdecker KE. Using mixed methods research in medical education: basic guidelines for researchers. Med Educ;43:637-44. Schifferdecker KE. Using mixed methods research in medical education: basic guidelines for researchers. Med Educ;43:637-44.
27.
Zurück zum Zitat Hoang NS. A Call for Mixed Methods in Competency-Based Medical Education: How We Can Prevent the Overfitting of Curriculum and Assessment. Acad Med;93:996-1001. Hoang NS. A Call for Mixed Methods in Competency-Based Medical Education: How We Can Prevent the Overfitting of Curriculum and Assessment. Acad Med;93:996-1001.
28.
Zurück zum Zitat Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ 2007;41:892-6.CrossRef Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ 2007;41:892-6.CrossRef
29.
Zurück zum Zitat Havyer RD, Nelson DR, Wingo MT, et al. Addressing the Interprofessional Collaboration Competencies of the Association of American Medical Colleges: A Systematic Review of Assessment Instruments in Undergraduate Medical Education. Acad Med 2016;91:865-88.CrossRef Havyer RD, Nelson DR, Wingo MT, et al. Addressing the Interprofessional Collaboration Competencies of the Association of American Medical Colleges: A Systematic Review of Assessment Instruments in Undergraduate Medical Education. Acad Med 2016;91:865-88.CrossRef
30.
Zurück zum Zitat Gardner SF. Interdisciplinary didactic instruction at academic health centers in the United States: attitudes and barriers. Adv Health Sci Educ Theory Pract 2002;7:179-90.CrossRef Gardner SF. Interdisciplinary didactic instruction at academic health centers in the United States: attitudes and barriers. Adv Health Sci Educ Theory Pract 2002;7:179-90.CrossRef
31.
Zurück zum Zitat van Sonderen E, Sanderman R, Coyne JC. Ineffectiveness of reverse wording of questionnaire items: let’s learn from cows in the rain. PLoS One 2013;8:e68967.CrossRef van Sonderen E, Sanderman R, Coyne JC. Ineffectiveness of reverse wording of questionnaire items: let’s learn from cows in the rain. PLoS One 2013;8:e68967.CrossRef
32.
Zurück zum Zitat Parsell G, Bligh J. The development of a questionnaire to assess the readiness of health care students for interprofessional learning (RIPLS). Med Educ 1999;33:95-100.CrossRef Parsell G, Bligh J. The development of a questionnaire to assess the readiness of health care students for interprofessional learning (RIPLS). Med Educ 1999;33:95-100.CrossRef
33.
Zurück zum Zitat Rich WD, Tillman DR, Adams ML. Component Analysis of the Readiness for Interprofessional Learning Scale (RIPLS) in a Graduate and Professional Educational Context. Br J Educ Soc Behav Sci 2017;20:1-8.CrossRef Rich WD, Tillman DR, Adams ML. Component Analysis of the Readiness for Interprofessional Learning Scale (RIPLS) in a Graduate and Professional Educational Context. Br J Educ Soc Behav Sci 2017;20:1-8.CrossRef
34.
Zurück zum Zitat Sandelowski M. Whatever happened to qualitative description? Res Nurs Health 2000;23:334-40.CrossRef Sandelowski M. Whatever happened to qualitative description? Res Nurs Health 2000;23:334-40.CrossRef
35.
Zurück zum Zitat Hall JW, Holman H, Bornemann P, et al. Point of Care Ultrasound in Family Medicine Residency Programs: A CERA Study. Fam Med 2015;47:706-11.PubMed Hall JW, Holman H, Bornemann P, et al. Point of Care Ultrasound in Family Medicine Residency Programs: A CERA Study. Fam Med 2015;47:706-11.PubMed
36.
Zurück zum Zitat Reaume M, Siuba M, Wagner M, Woodwyk A, Melgar TA. Prevalence and Scope of Point-of-Care Ultrasound Education in Internal Medicine, Pediatric, and Medicine-Pediatric Residency Programs in the United States. J Ultrasound Med 2018. Reaume M, Siuba M, Wagner M, Woodwyk A, Melgar TA. Prevalence and Scope of Point-of-Care Ultrasound Education in Internal Medicine, Pediatric, and Medicine-Pediatric Residency Programs in the United States. J Ultrasound Med 2018.
37.
Zurück zum Zitat Ateah CA, Snow W, Wener P, et al. Stereotyping as a barrier to collaboration: Does interprofessional education make a difference? Nurse Educ Today 2011;31:208-13.CrossRef Ateah CA, Snow W, Wener P, et al. Stereotyping as a barrier to collaboration: Does interprofessional education make a difference? Nurse Educ Today 2011;31:208-13.CrossRef
Metadaten
Titel
A Mixed-Methods Evaluation of Medical Residents’ Attitudes Towards Interprofessional Learning and Stereotypes Following Sonography Student-Led Point-of-Care Ultrasound Training
verfasst von
Christopher J. Smith, MD
Tabatha Matthias, DO, MBA
Elizabeth Beam, PhD, RN
Kathryn Wampler, MA, RT(R), RDMS, RVT
Lea Pounds, PhD, MBA
Devin Nickol, MD
Ronald J. Shope, PhD
Kristy Carlson, PhD
Kimberly Michael, MA, RT(R), RDMS, RVT, FSDMS
Publikationsdatum
10.08.2020
Verlag
Springer International Publishing
Erschienen in
Journal of General Internal Medicine / Ausgabe 10/2020
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-06105-5

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