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Quality of Widely Available Video Instructional Materials for Point‐of‐Care Ultrasound‐Guided Procedure Training in Internal Medicine
Author(s) -
Khandelwal Aditi,
Devine Luke A.,
Otremba Mirek
Publication year - 2017
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/ultra.16.06059
Subject(s) - medicine , quality (philosophy) , video recording , medical physics , point (geometry) , point of care ultrasound , ultrasonography , training (meteorology) , ultrasound , medical education , radiology , multimedia , philosophy , physics , geometry , mathematics , epistemology , meteorology , computer science
Objectives Many instructional materials for point‐of‐care ultrasound (US)‐guided procedures exist; however, their quality is unknown. This study assessed widely available educational videos for point‐of‐care US‐guided procedures relevant to internal medicine: central venous catheterization, thoracentesis, and paracentesis. Methods We searched Ovid MEDLINE, YouTube, and Google to identify videos for point‐of‐care US‐guided paracentesis, thoracentesis, and central venous catheterization. Videos were evaluated with a 5‐point scale assessing the global educational value and a checklist based on consensus guidelines for competencies in point‐of‐care US‐guided procedures. Results For point‐of‐care US‐guided central venous catheterization, 12 videos were found, with an average global educational value score ± SD of 4.5 ± 0.7. Indications to abort the procedure were discussed in only 3 videos. Five videos described the indications and contraindications for performing central venous catheterization. For point‐of‐care US‐guided thoracentesis, 8 videos were identified, with an average global educational value score of 4.0 ± 0.9. Only one video discussed indications to abort the procedure, and 3 videos discussed sterile technique. For point‐of‐care US‐guided paracentesis, 7 videos were included, with an average global educational value score of 4.1 ± 0.9. Only 1 video discussed indications to abort the procedure, and 2 described the location of the inferior epigastric artery. Conclusions The 27 videos reviewed contained good‐quality general instruction. However, we noted a lack of safety‐related information in most of the available videos. Further development of resources is required to teach internal medicine trainees skills that focus on the safety of point‐of‐care US guidance.