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An Evaluation Of The Acs Ultrasound Education Program
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An Evaluation Of The Acs Ultrasound Education Program Presentation Transcript

  • 1. AN EVALUATION OF THE ACS ULTRASOUND EDUCATION PROGRAM M. Margaret Knudson, MD, FACS San Francisco, CA
  • 2. BACKGROUND • Ultrasound: wide applications in surgery • Little formal training: residency • Need for education/training • Didactic and Practical -interpretation -performance
  • 3. PURPOSE OF STUDY • EVALUATE: -effectiveness of courses:knowledge -impact: surgical practice
  • 4. HYPOTHESIS Reasons why surgeons would enroll: -gain new knowledge/skills -credentialing
  • 5. METHODOLOGY Survey: ACS students: 1998-2002 1. Use: Ultrasound before course 2. Hours: Ultrasound training 3. Courses: ACS and other 4. Use: Ultrasound after course 5. Exams: Type and number/month
  • 6. RESULTS • 1,791 surveys mailed • 873 completed (50% response) • All states/12 foreign countries
  • 7. NH 3 WA 23 VT 9 MT 2 ME 3 ND 1 MD 11 MA 10 OR 13 WI 16 NY 61 ID 4 SD 1 MI 16 RI 5 WY 1 PA 24 CT 12 IA 6 NE 10 IL 37 OH 23 NV 3 NJ 14 CA 57 IN 6 UT 6 CO 10 WV 2 DE 2 MO 10 VA 24 KS 12 KY 8 NC 21 MD 32 TN 16 OK 12 SC 2 AR 14 AZ 10 NM 1 AL 12 MS 5 GA 13 Argentina 1 Australia 1 TX 42 LA 14 Canada 11 Greece 1 FL 17 Guam 1 Hong Kong 1 Japan 1 London 1 Puerto Rico 5 New Zealand 1 Philippines 1 Saudi Arabia 1 Unknown 190
  • 8. ULTRASOUND USE: BEFORE AND AFTER COURSES 100 90 80 70 % 60 65% Performing 50 58% Ultrasound 40 30 20 10 0 N= 370 N= 565 Before After
  • 9. TOTAL NUMBER OF COURSE HOURS IN ULTRASOUND 250 Average: 10 Hours Number of surgeons 247 200 207 <4 150 5-8 128 9-16 100 17-24 50 80 >24 0 12 Total number of course hours
  • 10. HOURS OF DIDACTIC INSTRUCTION 300 Number of surgeons 250 283 Average: 5-8 Hours 200 <4 5-8 150 156 9-16 100 17-24 112 >24 50 80 0 24 Total number of didactic instruction
  • 11. HOURS OF HANDS-ON TRAINING 250 248 Number of surgeons 200 210 Average: 4-8 Hours <4 150 5-8 9-16 100 17-24 88 >24 50 81 0 17 Total number of hands-on hours
  • 12. ENROLLMENT:ACS ULTRASOUND COURSES (1998-2002) 600 Number of surgeons 500 547 Breast Basic 400 Vascular 300 Acute 312 Abdominal 200 Intraop/Laparoscopic Head/Neck 100 158 128 49 76 46 0 Type of ACS course taken
  • 13. ENROLLEMENT: NON-ACS ULTRASOUND COURSES (1998-2002) 180 Number of surgeons 160 170 140 Breast 120 135 Basic 100 Vascular 80 Acute 84 60 Abdominal 50 Intraop/Laparoscopic 40 56 40 Head/Neck 20 19 0 Type of non-ACS course taken
  • 14. TYPES OF ULTRASOUND EXAMS PERFORMED (1998-2002) 400 Number of surgeons 350 369 300 Breast 250 Vascular Acute 200 Abdominal 150 183 157 156 Intraop/Laparoscopic 100 105 115 Head/Neck 50 Endoluminal 38 0 Type of ultrasound performed
  • 15. BREAST ULTRASOUND EXAMS PER MONTH (1998-2002) 140 Number of surgeons 120 131 100 1-2 99 3-5 80 6-10 85 60 >10 40 54 20 0 Number of Breast U/S exams per month
  • 16. VASCULAR ULTRASOUND EXAMS PER MONTH (1998-2002) 45 40 Number of surgeons 42 35 30 1-2 25 28 3-5 20 6-10 15 20 15 >10 10 5 0 Number of vascular U/S exams per month
  • 17. ACUTE/TRAUMA ULTRASOUND EXAMS PER MONTH (1998-2002) 70 Number of surgeons 60 64 50 40 46 49 1-2 30 3-5 20 6-10 24 10 >10 0 Number of acute U/S exams per month
  • 18. INTRAOP/LAPAROSCOPIC ULTRASOUND EXAMS PER MONTH (1998-2002) 50 50 Number of surgeons 45 40 35 37 30 1-2 25 3-5 20 15 6-10 16 >10 10 12 5 0 Number of intraop/laparoscopic U/S exams per month
  • 19. HEAD/NECK ULTRASOUND EXAMS PER MONTH (1998-2002) 80 Number of surgeons 70 74 60 50 1-2 49 3-5 40 30 6-10 >10 20 21 10 12 0 Number of head/neck U/S exams per month
  • 20. ENDOLUMINAL ULTRASOUND EXAMS PER MONTH (1998-2002) 18 16 18 Number of surgeons 14 12 10 1-2 8 3-5 6 8 6-10 7 4 >10 5 2 0 Number of endoluminal U/S exams per month
  • 21. EVALUATION BY STUDENTS • Course relevance to needs • Knowledge and skills gained • Direct application to practice • Stimulate additional education • Overall rating
  • 22. STUDENT EVALUATIONS • 60-70%: skills applied to practice • Majority: would seek additional training • 91%: rated courses as good-excellent
  • 23. CONCLUSIONS • ACS Education in US: successful • Popularity increased by support: -ASBS -SAGES -AAST -Endocrine surgeons
  • 24. CONCLUSIONS REASONS TO ENROLL IN COURSES: -formalize ultrasound training -expand to new uses of ultrasound -credentials and privileges
  • 25. PRIVILEGES
  • 26. ACS ULTRASOUND EDUCATION PROGRAM • Structured development within ACS • Assures proper and safe use of technology • Model for learning other new skills