Clinical trial NCT04204369: A Musculoskeletal Ultrasound Course for Orthopedic Surgery Residents
Official title: Usefulness of a Musculoskeletal Ultrasound Course in an Orthopedic Surgery Residency Training Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Tendon Disorder
Keywords: point of care ultrasound
musculoskeletal ultrasound
sonography
resident education
orthopaedic surgery
online curriculum
Lead sponsor: Université de Sherbrooke
Sponsor class: OTHER
First posted: 2019-12-19
Enrollment: 10
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: One group receiving intervention. Assessement prior to intervention, immediately after, and at 6 months.
Primary purpose: OTHER

Brief summary: A group of orthopedic surgery residents underwent a structured online and practical musculoskeletal ultrasound course. Their proficiency on a written and practical exam, as well as frequency and comfort when using was recorded prior to the course, immediately after, and 6 months after the course.

Detailed description: Musculoskeletal ultrasound (MSK-US) can have many uses for orthopedic surgeons, such as assisting in clinical diagnosis for muscle, tendon and ligament injuries, providing direct guidance for joint injections, or assessing the adequacy of a reduction in the emergency department. However, proficiency in sonography is not a requirement for certification in orthopedic surgery in Canada, and orthopedic trainees are rarely exposed to the subject. This project aims assess the usefulness in clinical education of a newly implemented MSK-US course in an orthopedic surgery program.

An MSK-US course for orthopedic surgery residents has been developed. An online survey covering the level of training of the resident, their prior experience with ultrasound (number of times used by month) and their comfort level with different parts of the examination (numeric analog scale - NAS), was filled by the participants prior to the course. A pre-course written and practical test was also given to the residents. Following the course, the participants were reassessed with the same tests and surveys on the same day as the course, and at 6 months post. Change in frequency of use, comfort level and test scores were assessed using a Kruskal-Wallis ANOVA and post-hoc Wilcoxon tests.

It was expected that residents' frequency of use, comfort level and tests scores would improve following the implementation of the course. The results were expected to be maintained at the 6 months endpoint.

Eligibility criteria: Inclusion Criteria:

* Be an orthopedic surgery resident
* Training at the University of Manitoba
* Post-graduate year (PGY) one to five

Exclusion Criteria:

* Residents having less than six months of training left before graduation
* Residents on extended leave (for example: completing graduate studies abroad, parental leave, and sabbatical)

Primary outcomes:
measure: Change in Musculoskeletal ultrasound knowledge after the course
timeFrame: Before the course (within a month), immediately after the course (same day)
measure: Change in Musculoskeletal ultrasound knowledge at 6 months
timeFrame: Before the course (within a month), 6 months after the course
Secondary outcomes:
measure: Practical shoulder ultrasound exam
timeFrame: Immediately after the course (same day), 6 months after the course
measure: Ultrasound comfort in clinical setting
timeFrame: Before the course (within a month), 6 months after the course
measure: Ultrasound use in clinical setting
timeFrame: Before the course (within a month), 6 months after the course
Other outcomes:
measure: Socio-demographic questionnaire
timeFrame: Before the course (within a month)
Locations:
city: Winnipeg
country: Canada
facility: University of Manitoba
state: Manitoba
Study officials:
affiliation: University of Manitoba
name: Samuel Larrivee, MD-MSc
role: PRINCIPAL_INVESTIGATOR
References: