4.6 Article

Which factors are associated with trainees' confidence in performing obstetric and gynecological ultrasound examinations?

Journal

ULTRASOUND IN OBSTETRICS & GYNECOLOGY
Volume 43, Issue 4, Pages 444-451

Publisher

WILEY
DOI: 10.1002/uog.13211

Keywords

learning curves; medical education; ultrasound assessment; ultrasound competence; ultrasound training

Funding

  1. Juliane Marie Centre, Copenhagen 'University Hospital Rigshospitalet

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Objective To explore the association between clinical training characteristics and trainees' level of confidence in performing ultrasound scans independently. Methods A cross-sectional e-survey was distributed to members of the national societies of junior obstetricians/gynecologists in Denmark, Sweden and Norway (n=973). Multiple linear regression models were used to explore the effect that amount of time spent in specialized ultrasound units and clinical experience had on trainees' confidence in performing ultrasonography independently. Exploratory factor analysis was used to identify factors that contributed to trainees' confidence in performing ultrasonography. Trainees' ultrasound confidence was finally compared with their expected levels of performance. Results Of the 682 respondents (response rate 70.1%), 621 met the inclusion criteria. Clinical experience and time spent in specialized ultrasound units were predictors of trainees' confidence in performing ultrasonography independently (P<0.001). Trainees required more than 24 months of clinical experience and 12-24 days of training in specialized ultrasound units in order to feel confident about performing transvaginal and transabdominal ultrasound scans independently. Three factors were related to ultrasound confidence: technical aspects, image perception and integration of scan into patient care. There were significant differences between trainees' level of confidence and their expected levels of performance (P<0.001). Conclusions Clinical experience and time spent in specialized ultrasound units were predictors of trainees' confidence in performing ultrasonography independently. Discrepancies between trainees' confidence and their expected levels of performance raised concerns about the adequacy of current ultrasound training programs. Copyright (C) 2013 ISUOG. Published by John Wiley & Sons Ltd.

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