Competency-based Assessment in Musculoskeletal Ultrasound

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-01

Study Completion Date

2022-06-30

Brief Summary

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Early diagnosis and rapid treatment initiation are of most importance to prevent joint damage in patients with arthritis. Musculoskeletal ultrasound (MSUS) is becoming an integrated part of rheumatology routine care and is more sensitive than clinical examination for detecting synovitis even in the early stage of disease.

However, MSUS is highly operator dependent and competences are needed to ensure correct image interpretation. Traditionally competences are evaluated on how many examinations the trainees have performed, but the gold standard has now shifted towards competency-based education where objective assessment tools are the key element. A previous study has developed a scale for assessment of ultrasound competence, The Objective Structured Assessment of Ultrasound skills (OSAUS). Although expert consensus supports evidence of content validity of the assessment instrument, it is not known if the OSAUS scale can discriminate differences in performance scores between different levels of MSUS experience in rheumatology in a reliable way.

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Detailed Description

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Conditions

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Musculoskeletal Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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MSUS novices

Measurement of competence

Group Type OTHER

musculoskeletal ultrasound

Intervention Type OTHER

The participants will perform four MSUS examinations which are all videorecorded. All videos will be rated by two blinded raters using the OSAUS assessment tool.

MSUS intermediates

Measurement of competence

Group Type OTHER

musculoskeletal ultrasound

Intervention Type OTHER

The participants will perform four MSUS examinations which are all videorecorded. All videos will be rated by two blinded raters using the OSAUS assessment tool.

MSUS experts

Measurement of competence

Group Type OTHER

musculoskeletal ultrasound

Intervention Type OTHER

The participants will perform four MSUS examinations which are all videorecorded. All videos will be rated by two blinded raters using the OSAUS assessment tool.

Interventions

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musculoskeletal ultrasound

The participants will perform four MSUS examinations which are all videorecorded. All videos will be rated by two blinded raters using the OSAUS assessment tool.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Physicians working at the rheumatology departments in Denmark:

1. Novices: No or little experience with MSUS (less than 100 examinations).
2. Intermediates: Participated and completed at least one formal ultrasound course and more than 100 examinations (less than 1000 MSUS examinations).
3. Physicians with a long experience in MSUS doing the procedure almost daily and providing teaching and/or research within this field (more than 1000 examinations).

Exclusion Criteria

* No informed consent
* Novices/Intermediates: extensive experience in MSUS

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Stine Maya Dreier Carstensen

MD, PhD fellow, Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stine Maya Carstensen, MD

Role: PRINCIPAL_INVESTIGATOR

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Copenhagen University Hospital - Rigshospitalet Glostrup, Copenhagen, Denmark