IPHONE AND IPAD TECHNOLOGY AS A QUANTITATIVE METHOD FOR MEASURING AND DOCUMENTING CLINICAL COMPETENCY IN ULTRASOUND TEACHING. John R. MacMillan Rodney,

Slides:

Advertisements

Similar presentations

To Fourth Year and Beyond Selecting your fourth year clerkships Cathy Callahan, MD FACOG.

Advertisements

Family Medicine Residency Sites and Facilities. The medical staff at EDMC are Emory faculty, and the remainder are community physicians. This profile.

PRESENTED BY: Michael T. Flannery, M.D., F.A.C.P. Professor of Medicine GME Internal Review Director.

Orientation Pediatric Clerkship Welcome Clerkship Director: Nasreen Talib Clerkship Coordinator: Barbara Lyon.

Joan E. St. Onge, M.D. UMMSM At Holy Cross Hospital Internal Medicine Residency Faculty Development January 23, 2013 The Evaluation Toolkit.

Obstetrics And Gynecology Curriculum

Premature Labor Assessment Toolkit (PLAT)

Educational Research Funding Opportunities W. Eryn Perry.

Introduction: International Healthcare Volunteers (IHCV) is a nonprofit organization that provides healthcare to women and their families in under-served.

Political and Strategic Aspects of Employing Digital Pathology in Pathology Departments John D. Pfeifer, MD, PhD Vice Chair for Clinical Affairs, Department.

Introduction to Residency in Obstetrics and Gynecology Shelly Holmström, MD Assistant Professor in Obstetrics and Gynecology University of South Florida.

Tips for VA Pre and Postdoctoral Nurse Fellowship Applications Maude Rittman, Ph.D., RN North Florida/South Georgia Veterans Health System Gainesville,

Medical Education at CCHS: Presentation for Delaware Healthcare Commission Neil Jasani, MD VP, Academic Affairs Lisa Maxwell, MD Director, Undergraduate.

Empowering Surgical Faculty Ronald F Martin, MD 20 April 2010 APDS, San Antonio, TX.

The Otorhinolaryngology Hand-Off: Pursuing Excellence in Patient Care and Safety Mark A. Zacharek, MD, FACS, FAAOA Associate Professor Associate Residency.

Vietnam Revisited Surendra K. Varma, M.D. Associate Dean For Graduate Medical Education & Resident Affairs Ted Hartman Endowed Chair in Medical Education.

Resident as Teacher Program Clint Snyder, PhD Visiting Professor Department of Family Medicine.

USF Health Leadership Judy L. Genshaft, PhD President, University of South Florida Stephen K. Klasko, MD, MBA, Sr. Vice President, USF Health Dean, USF.

Component 1: Introduction to Health Care and Public Health in the U.S. Unit 3: Delivering Healthcare (Part 2) Focus On Primary Care.

GENERAL SURGERY TRAINING FOR RURAL PRACTICE: EVOLUTION OVER SIX YEARS Karen Deveney, M.D. Oregon Health & Science University Portland, Oregon.

AMU DoQuP FINAL REPORT MD, PhD, Associate Professor G.Ahmadov Azerbaijan Medical University Bishkek, April 22, 2015.

Academic Program Units (APUs) Presentation to the Executive Committee February 9, 2006 Revised and Presented April 20, 2006 UNIVERSITY OF CALIFORNIA, SAN.

Meeting Stage 1 Meaningful Use: A View from a Healthcare System Pamela McNutt Sr. VP & CIO Methodist Health System Chair, College of Health Information.

Diagnosis of pregnancy Teng Yincheng M.D., Ph.D., Professor Department Of Obstetrics & Gynecology Renji Hospital Affiliated to SJTU School of Medicine.

Lawrence Family Medicine Residency Transition to a Four Year Program (an ACGME Length of Training Pilot Program) Wendy Brooks Barr.

CBME – Department of OB/GYN Sue Chamberlain CBME workshop Sept 2015.

Jeff Towns – Michigan Health Council Clinical Rotations and Community Connections.

A survey of our OB/GYN residents identified fellows as a source of valued and effective teaching more often than either senior residents or faculty members.

Using Simulation to Teach Obstetrics to Second Year Medical Students Catherine Pokropek, MD; David Cameron, MD; Judith Venuti, PhD; Dotun Ogunyemi, MD.

Medical Education in Transition Medicine Sarah Mennito, MD MSCR Assistant Professor, Departments of Pediatrics and Internal Medicine Program Director,

Improving the Quality of Prenatal Care at the WMed FM Residency Clinic Susan Jevert, DO Homer Stryker MD School of Medicine Department of Family and Community.

Pharmacists in Family Medicine: a New Model in Teaching & Practice John E. Delzell, Jr, MD, MSPH L. Brian Cross, PharmD, CDE Michelle Hilaire, PharmD,

Ultrasound in the Family Medicine Clerkship Rachel S. Brown, MD Assistant Professor Brian D. Keisler, MD Assistant Professor Department of Family and Preventive.

Ultrasound in the Family Medicine Clerkship Rachel S. Brown, MD Assistant Professor Brian D. Keisler, MD Assistant Professor Department of Family and Preventive.

Coordinating the Goals and Objectives of Family, Rural, and Community Medicine through a Rotation Merger James Leeper, PhD Professor, Community and Rural.

Rural Family Medicine Residency Training and Developing a Rural Area-of-Concentration Carl Rasmussen, MD OHSU Family Medicine Residency Portland, OR

A New Model for Assessing Teaching Quality Improvement to Family Medicine Residents Does It Work? Fred Tudiver, Ivy Click, Jeri Ann Basden Department of.

International Family Medicine EDUCATION Training World Class Physicians 6th AAFP Family Medicine Global Health Workshop Denver, September 2009 John.

Developing Global Family Medicine Faculty “de Novo” John G Halvorsen, MD, MS Professor Emeritus of Family and Community Medicine University of Illinois.

Docs on the Rocks: A Recipe for a Better Cocktail PERRT: Project for Enhanced Rural and Remote Training Robert Miller, MD Associate Professor PERRT Lead.

Global Maternal and Child Health in Rural Malawi : A Resident-Centerd Evaluation Of A New ACGME-Approved Rotation Christina Miller, MD; Sumedh Mankar,

Global Health Partnerships, A Panel Discussion: Trials and Synergies Between Academic Centers and International Non- Governmental Organizations Panelists:

How to Find the Best Family Medicine Residency Program for You 2007 National Conference of Family Medicine Residents and Medical Students August 2, 2007.

Starting Medication Abortion Services in a FQHC Residency Clinic: You Can Do It! Lealah Pollock, MD, MS Isabel Lee, MD UCSF Family and Community Medicine.

OU Neurology THE TITLE OF MY TALK John Doe, M.D. Professor Department of Neurology The University of Oklahoma Health Sciences Center.

NEUROLOGY/NEUROSURGERY Joanne Wojcieszek, M.D., Course Director Rebecca Radford, Clerkship Coordinator Robert Pascuszzi,

Rural Medical Educator’s Interest Group of the National Rural Health Association Joe Florence, MD Director of Rural Programs – East Tennessee State University.

Clinical Professor of Medicine Stanford University School of Medicine

Political and Strategic Aspects of Employing Digital Pathology in Pathology Departments John D. Pfeifer, MD, PhD Vice Chair for Clinical Affairs, Department.

A Closer Look at Global Health Through the Use of Ultrasound

Collaborative residency training in Kenya and Ethiopia

Medical Education Update

Development of Inter-Professional Geriatric and Palliative Care Clinic

Orientation Nancy Weintraub, MD Wael Hamade, MD, FAAFP

One Health Collaborative at Rutgers: A Species Inclusive Approach

Improving the Family Medicine Board Pass Rate in your Residency Program Michele Vaca MD, Sandra Amado MD, Jehye Neptune MD, Matthew Nevulus MSII, Sonia.

Family Medicine “D” Service: Built to Deliver In Every Way

Academic Program Units (APUs)

Mark A. Smith, MD, MBA, FACS Clinical Assistant Professor of Surgery

Development of Inter-Professional Geriatric and Palliative Care Clinic

Recognize and respond to physician distress and suicidal behavior

Recognize and respond to physician distress and suicidal behavior

One Health Collaborative at Rutgers: A Species Inclusive Approach

Azita Amiri, Anne Turner-Henson

UNIVERSITY OF TEXAS MEDICAL BRANCH At GALVESTON

Medical Education Update

33rd ANNUAL SPRING FLING MAY 10, 2019 GARY L. SLICK, D.O.

THE TITLE OF MY TALK John Doe, M.D. Professor Department of Neurology

Presentation transcript:

IPHONE AND IPAD TECHNOLOGY AS A QUANTITATIVE METHOD FOR MEASURING AND DOCUMENTING CLINICAL COMPETENCY IN ULTRASOUND TEACHING. John R. MacMillan Rodney, M.D Maternal Child Health Fellow Department of Family Medicine Affiliate University of Texas, Southwestern John Peter Smith Hospital Fort Worth, Texas Kelly R. Arnold, M.D Assistant Professor, Family Medicine University of Tennessee Chattanooga, TN Robert K. Sigman, M.D. Division of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of North Texas Health Sciences Center Fort Worth, Texas Wm. MacMillan Rodney Director, Surgical Family Medicine Obstetrics Medicos para la Familia Fellowship Memphis, TN

Disclosure Neither I nor my partners have any relevant financial interests, arrangements, or affiliations with a commercial interest.

Global Use of OB-GYN Ultrasound Basic ultrasound competency is necessary for the practice of obstetrics and gynecology in any setting. These settings range from primary care clinics to tertiary subspecialty settings. – Family Medicine Clinics – Labor and Delivery – Maternal Fetal Medicine – Rural, Remote, Underserved Areas

Global Need to Assess and Establish Competency As technology has improved, ultrasound has become more portable and available. As a result, bedside and outpatient sonography are increasingly common. Yet there are no easily established methods to assess, research, and establish competency.

Application Development To facilitate appropriate documentation To verify structural identification To validate common measurements To quantify competency To permanently store faculty sign off on resident reports

iPhone and iPad Interfaces

Camera Function: How are the images obtained and processed? Using camera function built into iPhone and iPad Accessing native files from the camera roll These files can be cropped, rotated, and transmitted to this app.

Camera Function: How are the images obtained and processed?

Camera Function Examples: 5 Common Biometric Markers Crown Rump Length Biparietal Diameter Head Circumference Abdominal Circumference Femur Length

1 st Trimester Crown Rump Length

2nd Trimester Biparietal Diameter

2nd Trimester Head Circumference

2nd Trimester Abdominal Circumference

2 nd Trimester Femur Length

Student 2 nd /3 rd Trimester Report

Final Documentation By Student

Faculty Edit Student 2 nd /3 rd Tri Report

Faculty Sign Off “The student has fulfilled documentation of competencies or deficiencies for the following areas.” CompetentDeficient Crown Rump Length Biparietal Diameter Head Circumference Abdominal Circumference Femur Length

This program is NOT designed to: Replace existing ultrasound reporting programs. Generate a billing matrix. Replace AIUM criteria for various levels of examinations.

This program IS designed to show: The resident’s educational progress in response to a curriculum. The resident’s limitations and deficiencies as they progress through training. The resident’s knowledge that she has not completed the entire program until signed off by faculty. The faculty’s permanent documented confidence in the student’s ability.

Future Applications The initial app was constructed for the most basic competency. It does not preclude more advanced teaching by the ultrasound program in the future. Cine-looping and organogenesis surveys are currently in development.

Acknowledgements Dr. Robert K. Sigman, Maternal Fetal Medicine, Senior Presenter Department of Family Medicine at JPS Department of Obstetrics and Gynecology JPS Department of Academic Affairs at JPS Dr. Kelly Arnold, Assistant Professor, University of Tennessee, Chattanooga Dr. Patricia S. Poole, Radiology Resident University of California, San Diego Dr. Wm Rodney, Director Obstetrics Fellowship, Medicos para la Familia Dr. John O. Gibson, Director Global Health Fellowship, JPS Dr. David E. McRay, Director Maternal Child Health Fellowship, JPS Dr. Daniel Casey, Program Director Family Medicine, JPS Dr. Joane Baumer, Chairman Family Medicine, JPS Dr. David Moreland, Program Director Obstetrics and Gynecology, JPS Dr. G. Sealy Massingill, Chairman Obstetrics and Gynecology, JPS Dr. Elwyn Grimes, Former Chair Obstetrics and Gynecology, JPS

QUESTIONS?