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Background  Clinician-performed ultrasound has become a widely utilized tool in emergency medicine and is a mandatory component of the residency curricula. We aimed to assess the effect of personalized peer-comparison feedback on the number of ultrasound scans performed by emergency medicine residents.    Findings  A personalized peer-comparison feedback was performed by sending 44 emergency medicine residents a document including personally identified scan numbers and class averages. The number of ultrasound scans per clinical shift for a 3-month period before and after the feedback intervention was calculated. The average number of ultrasound exams per shift improved from 0.39 scans/shift before to 0.61 scans/shift after feedback ( p  = 0.04). Among the second year residents, the scans/shift ratio improved from 0.35 to 0.87 ( p  = 0.07); for third year residents, from 0.51 to 0.58 ( p  = 0.46); and from 0.33 to 0.41 ( p  = 0.21) for the fourth year residents before and after the intervention, respectively.    Conclusions  A personalized peer-comparison feedback provided to emergency medicine residents resulted in increased ultrasound scan numbers per clinical shift. Incorporating this method of feedback may help encourage residents to scan more frequently.

Personalized peer-comparison feedback and its effect on emergency medicine resident ultrasound scan numbers