Cardiac point-of Care Ultrasound Training Pathway for Emergency Department Advanced Practice Providers

NCT ID: NCT07159269

Last Updated: 2025-12-09

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

RECRUITING

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-13

Study Completion Date

2030-06-30

Brief Summary

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The aim of this study is to assess emergency medicine physician and advanced practice provider (APP) knowledge and technical skill in performance of a point-of-care ultrasound simulation and just-in-time training pathway to determine the feasibility, acceptability, and usability of the ultrasound training program. By performing this study, we hope to create a standardized training model which could potentially facilitate point-of-care ultrasound (POCUS) clinical performance and thereby improve patient care.

Detailed Description

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Conditions

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Cardiovascular Disease Acute Emergency Department Patient Heart Failure Acute Pulmonary Embolism (Diagnosis) Point of Care Ultrasound (POCUS) Cardiac Tamponade Pericardial Effusion Diagnostic Imaging Medical Training Implementation Science

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

prospective cohort study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Advanced Practice Provider (APP) Cohort

Advanced Practice Providers (APPs) are nonphysicians essential to the emergency department workforce, especially in rural and community hospitals.

Group Type EXPERIMENTAL

Cardiac point-of-care ultrasound (POCUS) training and clinical pathway

Intervention Type BEHAVIORAL

Participants will complete a cardiac POCUS simulation session and a hands-on observed structured clinical skill exam (OSCE) post-training led by ultrasound-trained faculty. Then as part of standard clinical care, advanced practice providers (APPs) will perform POCUS while supervised by emergency medicine (EM) attending physicians. To assess program feasibility and acceptability, participants will complete a pre/post and 6-month post-survey and semi-structured interview, as well as a knowledge and technical skills assessment.

Interventions

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Cardiac point-of-care ultrasound (POCUS) training and clinical pathway

Participants will complete a cardiac POCUS simulation session and a hands-on observed structured clinical skill exam (OSCE) post-training led by ultrasound-trained faculty. Then as part of standard clinical care, advanced practice providers (APPs) will perform POCUS while supervised by emergency medicine (EM) attending physicians. To assess program feasibility and acceptability, participants will complete a pre/post and 6-month post-survey and semi-structured interview, as well as a knowledge and technical skills assessment.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* advanced practice providers (APPs) currently working in our ED, with additional APPs as they are hired (expected to be about 75 APPs total within the next 3 years due to expanding staffing needs and coverage models).

Exclusion Criteria

* non-APPs such as physicians, nurses, or other clinical staff
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rebecca G Theophanous, MD, MHSc

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Duke University Health System

Durham, North Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rebecca G Theophanous, MD, MHSc

Role: CONTACT

919-681-0196

Abha Singh

Role: CONTACT

919-668-8700

Facility Contacts

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Rebecca G Theophanous, MD, MHSc

Role: primary

919-681-0196

Other Identifiers

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Pro00118464

Identifier Type: -

Identifier Source: org_study_id

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