The journal of education in perioperative medicine : JEPM最新文献

{"title":"Objective Assessment of Skill Retention 7 Months Post-Training: Motion Analysis of Central Venous Catheter Placement.","authors":"Vincent Baribeau, Miheer P Sane, Aidan Sharkey, Kadhiresan R Murugappan, Daniel P Walsh, Vanessa T Wong, John D Mitchell","doi":"10.46374/VolXXVII_Issue1_Mitchell","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Mitchell","url":null,"abstract":"<p><strong>Background: </strong>Central venous catheter (CVC) placement is a technically challenging skill. Routine assessment tools, including checklists and global rating scales, require subjective expert evaluation. We hypothesized that motion analysis could be used to objectively assess skill retention in CVC placement by comparing the performance of anesthesiology residents immediately after training and 7 months later.</p><p><strong>Methods: </strong>After learning to perform CVC placement on a mannikin, 12 first-year anesthesiology residents each performed a \"baseline\" trial with electromagnetic motion sensors on the dorsum of their dominant hand and base of their ultrasound probe. Seven months later, they each performed a \"follow-up\" mannikin trial with an identical setup. For each trial, sensors recorded participants' path length, translational motions, and rotational sum. Time was recorded for each trial as well. We defined skill retention as performance within 1 standard deviation or less of the entire cohort's average at baseline (threshold). We compared the number of residents who met the threshold, which indicated less excessive motion and therefore better performance, at baseline with the number at follow-up using McNemar's test across each metric for each sensor.</p><p><strong>Results: </strong>For path length, translational motions, and rotational sum of the probe, significantly more residents met the threshold at baseline than at follow-up (<i>P</i> < .04). No significant differences were detected for any metrics of the dorsum or time.</p><p><strong>Conclusions: </strong>Motion analysis can objectively assess skill decay in anesthesiology residents performing CVC placement. Residents exhibited skill retention in tasks involving their dominant hand and skill decay in tasks involving the ultrasound probe (nondominant hand).</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E742"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12005083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Appraisal of Anesthesiology Educational Research for 2021.","authors":"Lara Zisblatt, Rachel Moquin, Andrew Benckendorf, Dawn Dillman, Amy N DiLorenzo, Ashley E Grantham, Mark P MacEachern, Emily E Peoples, Fei Chen","doi":"10.46374/VolXXVII_Issue1_Chen","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Chen","url":null,"abstract":"<p><strong>Background: </strong>Based on a review of anesthesiology education articles published in 2021, the authors conducted a critical appraisal to describe trends in the literature, highlight innovations in the field, and identify high-yield articles for clinician educators in anesthesiology.</p><p><strong>Methods: </strong>After a database search (3 Ovid MEDLINE databases, Embase.com, ERIC [via FirstSearch], PsycINFO [via EBSCOhost], and PubMed), abstracts were screened by 2 independent reviewers based on inclusion criteria. Articles representing publications in both anesthesiology-specific journals and general medical education journals were included via manual search. Three randomly assigned raters reviewed and scored each quantitative article using a rubric. Two raters scored qualitative studies using a separate rubric designed for qualitative studies. Each article also received an overall quality rating used to create an additional list of recommended articles.</p><p><strong>Results: </strong>The database search identified 1141 articles and an additional manual search identified 1497 articles. Of these, 67 articles met the inclusion criteria (61 quantitative, 6 qualitative). This article reports and summarizes the top 13 quantitative articles and top 2 qualitative papers.</p><p><strong>Conclusions: </strong>This year we did not see as many articles describing curriculum to teach learners procedures, a topic heavily present in previous years. Also, analysis revealed an increase in articles focused on nontechnical skill education and a trend toward how to assess learner performance. Finally, 2 articles focused on gender issues in anesthesiology, an emerging area of interest.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E737"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Anesthesiology: A Survey of Diversity, Equity, and Inclusion in Residency Curricula.","authors":"Grace Huang, Chris Wang, Tiffany Rosenzweig, Rachel Moquin, Scott Markowitz, Enyo Ablordeppey","doi":"10.46374/VolXXVII_Issue1_Ablordeppey","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Ablordeppey","url":null,"abstract":"<p><strong>Background: </strong>Despite national recognition of diversity, equity, and inclusion (DEI) training in graduate medical education, the current landscape of DEI curricula across anesthesiology residencies is poorly understood. We surveyed anesthesiology residency programs to evaluate how DEI education is implemented and assessed.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of all 164 Accreditation Council for Graduate Medical Education-accredited anesthesiology residency programs. The survey was developed, and data were collected using the Research Electronic Data Capture (REDCap) tool. Program characteristics and departmental attitudes toward DEI were collected on a 5-point Likert scale. Univariate and bivariate analysis models were used to generate a descriptive report of responses. Content analysis was used to identify additional themes from open-ended responses.</p><p><strong>Results: </strong>Fifty-three (32%) program directors responded to the survey. As their primary practice setting, 71.7% of programs were university-based, 18.9% community-based university- associated, and 9.4% community-based programs. A DEI curriculum was reported in 64.2% of programs with the median year of implementation in 2020 and the median hours spent per academic year on DEI content was 2.0 to 3.5 (range, 1-20). Of programs without a DEI curriculum, 68.4% indicated interest in implementing one. Of those with a DEI curriculum, common learning activities were case-based discussion, web-based learning, classroom learning, and simulations. The most common barriers to implementation included educational expertise, time for residents, and time for faculty. Only 11.5% (n = 3) of programs assessed outcomes from their curricula, most using pre-post surveys.</p><p><strong>Conclusions: </strong>This study found that the presence of a DEI curriculum in anesthesiology residencies is relatively new, heterogeneous, and nonstandardized, and that outcomes are rarely measured.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E736"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Block: Development of an Assessment Tool to Evaluate Periprocedural and Communication Skills in Regional Anesthesia.","authors":"Andres F Rojas, Fei Chen, Daniel McMillan, Xinming An, Robert Isaak, Maxwell Jolly, Jennifer Allan, Randall Coombs, Monika Nanda, Stuart A Grant","doi":"10.46374/VolXXVII_Issue1_Rojas","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Rojas","url":null,"abstract":"<p><strong>Background: </strong>The Objective Structured Clinical Examination (OSCE) allows for residency training programs to assess clinical competencies. OSCEs can assess periprocedural skills but are challenging to implement because of their cost and time-intensive nature, especially in subspecialty areas such as regional anesthesia. The objective of this pilot project was to develop and implement an OSCE to assess important competencies in the field of regional anesthesia with focus on periprocedural and communication skills such as the ability to obtain informed consent, select appropriate equipment, and manage complications.</p><p><strong>Methods: </strong>Three scenarios were developed after a needs assessment of the institution's regional anesthesia curriculum. No injections were performed, and focus was given to competencies required for effective and safe regional anesthesia practice outside of procedure-specific and technical competencies. We describe the development of the scenarios, exam format, setting and performance, and development of the scoring tool. Statistical analysis was performed to evaluate the reliability of the project by measuring interrater reliability and internal consistency reliability.</p><p><strong>Results: </strong>Three scenarios were developed with a grading tool containing 64 checklist items and 5 global rating scores. Sixty-one percent of checklist items (39 of 64) showed moderate or better interrater reliability and all global rating scores showed moderate or better agreement. All scenarios showed moderate or better internal consistency reliability.</p><p><strong>Conclusions: </strong>This pilot project details the development of a regional anesthesia OSCE that offers a valid, reliable, reproducible, cost-effective, and feasible method to assess periprocedural and communication competencies required for successful regional anesthesia practice.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E743"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Physiologic Effect of Augmented Reality Simulation Versus Traditional Simulation: A Noninferiority, Randomized Controlled Trial.","authors":"Asheen Rama, Marcos S Rojas-Pino, Ellen Y Wang, Samuel T Rodriguez, Man Yee Suen, Janet S Titzler, Michelle Zuniga-Hernandez, Christian Jackson, Oswaldo Rosales, Faith Collins, Thomas J Caruso","doi":"10.46374/VolXXVII_Issue1_Rama","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Rama","url":null,"abstract":"<p><strong>Background: </strong>Traditional medical simulations leverage stressful scenarios to potentiate memory. Augmented reality (AR) simulations provide cost-effective experiences using holograms instead of mannequins. This study investigated the physiologic response to AR simulations.</p><p><strong>Methods: </strong>This was a noninferiority, controlled trial at an academic, pediatric hospital in Northern California among health care workers randomized to AR or traditional, in situ medical simulations. The primary outcome investigated parasympathetic tone. Biometric sensors assessed parasympathetic tone as respiratory sinus arrhythmia (RSA). A difference in RSA of less than 10% between groups was considered noninferior. Secondary outcomes explored usability, ergonomics, satisfaction, and recall with the System Usability Scale (SUS), ISO 9241-400, Simulation Design Scale (SDS), and an electronic questionnaire 5 months after the intervention, respectively.</p><p><strong>Results: </strong>A total of 111 participants were enrolled and 106 analyzed. Both groups experienced a decrease in mean RSA from baseline to during the simulation (<i>P</i> < .001 for both groups). Subsequently, there was an increase in RSA from the simulation period to the recovery period (<i>P</i> < .001 for the AR group and <i>P</i> = .035 for the traditional group). Regarding secondary outcomes, the mean SUS score of 70.5 suggested good usability, 65.38% of AR participants reported feeling comfortable using the headset, and satisfaction in both groups was similar except for differences in use of real-life factors. The recall assessment was completed by 12 AR and 15 traditional participants, with similar scores between the 2 groups (<i>P</i> = .4).</p><p><strong>Conclusions: </strong>AR simulations produced a noninferior change in parasympathetic tone compared with traditional simulations. Future investigations may explore the effectiveness of AR simulations for developing nontechnical skills during remote training. (Registration: Clinical Trials Registry NCT05674188.).</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E740"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing a Validity Argument and Exploring Implications for the American Board of Anesthesiology's Basic Examination.","authors":"Riley S Carpenter Lide, Rachel Moquin, Erin Green","doi":"10.46374/VolXXVII_Issue1_Lide","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Lide","url":null,"abstract":"<p><strong>Background: </strong>In 2014, The American Board of Anesthesiology introduced the Basic Examination as a graduation requirement for second-year anesthesiology trainees. The exam's validity has been supported by evidence demonstrating enhanced performance on other standardized exams; however, an assessment's validity is inseparable from decisions made on its behalf. This study aimed to understand the usage and implications of the Basic Exam within training programs to construct a comprehensive validity argument.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with a sample of 20 program directors from Accreditation Council for Graduate Medical Education-accredited anesthesiology training programs. Thematic analysis was performed by a 3-member team.</p><p><strong>Results: </strong>A 56-item codebook was developed and applied to the 20 transcripts, yielding 1941 coded segments organized into 7 themes. Theme 1 highlights varied programmatic policies, including dismissal (1a). Theme 2 addresses the perceived purposes of the exam: as a tool to \"weed out\" residents unlikely to achieve board certification (2a), a data point supporting remediation (2b), and a distinguishing accomplishment of physician anesthesiologists (2c). Theme 3 captures programmatic implications for recruitment (3a), operations (3b), and curricula (3c). Theme 4 confirms that residents are studying for the exam, emphasizing targeted test preparation (4a). Theme 5 discusses resident implications, including stress (5a) and clinical distraction (5b). Themes 6 and 7 explore the implications of failure and equity concerns, respectively.</p><p><strong>Conclusions: </strong>This study identifies a significantly underdeveloped validity argument supporting dismissal based on Basic Exam results and explores implications to guide future validation efforts.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E738"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Pilot of an Online, Interactive Defibrillator Simulation for Advanced Cardiovascular Life Support Providers.","authors":"Michael R Kazior, Fei Chen, Kimberly S Samuels, Christopher Samouce, Nikolaus Gravenstein, Samsun Lampotang, Susan M Martinelli","doi":"10.46374/VolXXVII_Issue1_Kazior","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Kazior","url":null,"abstract":"<p><strong>Background: </strong>To decrease the risk of device mismanagement when using manual external defibrillators (MED), we created and piloted an online simulation to build and assess skills in using an MED.</p><p><strong>Methods: </strong>Subject matter experts from anesthesiology, critical care, and nursing developed an online, interactive simulation-based curriculum for the MED device used at the VA Health System (R Series, Zoll) following the successive approximation method. Content was from the 2020 American Heart Association advanced cardiac life support (ACLS) guidelines and product manufacturer recommendations. Instructions for ACLS providers on how to correctly place defibrillator pads and perform synchronized cardioversion, defibrillation, and transcutaneous pacing were included. During the pilot study, 22 users from one institution completed a pre-assessment (baseline ability to place pads, perform the 3 defibrillator tasks), watched instructional videos and engaged with an interactive tutorial, and, in the post-assessment, must have correctly completed each task independently. The assessments tracked \"pass/fail,\" number of attempts, and the time to complete each task.</p><p><strong>Results: </strong>Feedback from users was positive. Completing the simulation-based curriculum resulted in improved device management on a simulated device. Wilcoxon signed-rank tests showed no significant change in time to place defibrillator pads, but there was a significant reduction in time to perform a cardioversion (median [interquartile range] = 31.31 [34.23] vs 20.10 [13.92] seconds; <i>P</i> = .001), defibrillation (19.79 [19.24] vs 15.54 [6.22] seconds; <i>P</i> < .0001), and pacing (39.51 [30.72] vs 20.07 [10.59] seconds; <i>P</i> < .0001).</p><p><strong>Conclusions: </strong>The online simulation-based curriculum was well received and should be particularly useful for those who do not have ready access to in-person MED training.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E739"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesiology Residency Program Social Media Presence: An Analysis.","authors":"Gina R Lepore, Caoimhe C Duffy","doi":"10.46374/VolXXVII_Issue1_Lepore","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Lepore","url":null,"abstract":"","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E734"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Roadmap for a Competency-Based Point-of-Care Ultrasound Education Program.","authors":"Elizabeth Parker, William Totura, Michael Majewski, Jayanta Mukherji, Elizabeth Tetteh, Susanna Byram","doi":"10.46374/VolXXVII_Issue1_Parker","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Parker","url":null,"abstract":"<p><strong>Background: </strong>The clinical applications of point-of-care ultrasound (POCUS) have proliferated across multiple specialties with technologic advances. POCUS education in residency programs has challenged educators to develop a POCUS- based clinical practice curriculum. The level of exposure needed to achieve POCUS competence is evolving with programs adopting diverse POCUS training initiatives. Our study aims to evaluate our POCUS curriculum and use evaluation results and survey feedback to optimize and improve trainee competence.</p><p><strong>Methods: </strong>Twenty-one anesthesiology residents participated in a baseline POCUS and a 2-week POCUS exam comprising 65 questions (50 cardiac, 10 lung, and 5 abdominal). Technical competence in lung and cardiac ultrasound was assessed by POCUS supervisors using validated tools. The Rapid Assessment of Competency in Echocardiography (RACE) Scale was used to assess image generation and interpretation domains. The American College of Emergency Physicians - Council of Residency Directors (ACEP-CORD) guidelines measure technical skills for lung ultrasound. Resident perception to POCUS education and training was based on a survey.</p><p><strong>Results: </strong>Score comparisons between the baseline and 2-week post course multiple-choice exams did not show a statistically significant change in performance. The technical competency assessment demonstrates that Image Generation Scores on the RACE Scale were highest for images in the parasternal long-axis view and lowest for the subcostal view and inferior vena cava view. Results of the resident perception survey showed a strong interest and motivation to learn ultrasound and strong desire for more exposure and training with ultrasound.</p><p><strong>Conclusions: </strong>Anesthesiology programs have incorporated POCUS training; however, training methods are not uniform. This study aims to provide a road map for residents-in-training to integrate POCUS skills into clinical practice.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E741"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Point of Care Transthoracic Echocardiography: Feasibility and Implications for Education.","authors":"Jonathan M Curley, Jessica L Guerra, Emily H Garmon, Siny Tsang, Craig J Lilie, William C Culp","doi":"10.46374/VolXXVII_Issue1_Curley","DOIUrl":"https://doi.org/10.46374/VolXXVII_Issue1_Curley","url":null,"abstract":"<p><strong>Background: </strong>Incorporating intraoperative ultrasound education into anesthesiology graduate medical training may benefit both trainees and the field of anesthesiology.</p><p><strong>Methods: </strong>This study describes the successful integration of intraoperative ultrasound training into an existing Focused Cardiac Ultrasound (FoCUS) curriculum. A retrospective analysis of educational logs from 4 postgraduate year 4 anesthesiology residents (exam n = 160) was conducted to determine the most accessible intraoperative FoCUS views, success rates of image acquisition by surgical region, and impact of abdominal insufflation and Trendelenburg positioning on success rates.</p><p><strong>Results: </strong>Parasternal views had the highest probability of successful image acquisition (parasternal long axis [PLA] odds ratio [OR] = 16.36 and parasternal midpapillary short axis [PSA] OR = 21.98 compared with subcostal 4-chamber [SC]). Extremity surgeries offered the highest success rates (52% for SC to 92.5% for PLA), whereas thoracic surgery had the lowest (9.1% for SC to 63.6% for PSA). Trendelenburg positioning increased the odds of successful image acquisition in PLA or PSA views (OR, 3.58; 95% confidence interval, 1.4-9.11).</p><p><strong>Conclusions: </strong>Integrating intraoperative ultrasound education into existing FoCUS curricula is feasible. Educators should consider emphasizing parasternal views, which are the most accessible to anesthesia clinicians, consider the higher success rates in extremity surgeries for complete examinations, and recognize that Trendelenburg positioning may enhance image optimization.</p>","PeriodicalId":75067,"journal":{"name":"The journal of education in perioperative medicine : JEPM","volume":"27 1","pages":"E735"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}