Effectiveness of a multicenter training programme to teach point‐of‐care vascular ultrasound for the detection of peripheral arterial disease in people with diabetes

Background The primary aim of this study was to evaluate the effectiveness of a training programme to teach a focused bedside ultrasound scan (PAD‐scan; Podiatry Ankle Duplex Scan) for the detection of arterial disease in people with diabetes. Methods Five podiatrists and one diabetologist across tw...

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Bibliographic Details
Published in:	Journal of foot and ankle research Vol. 11; no. 1; pp. 41 - n/a
Main Authors:	Normahani, Pasha, Agrawal, Rishi, Bravis, Vasilliki, Falinska, Agnieszka, Bloomfield, Linda, Mehar, Zaheer, Gaulton, Dawn, Sangster, Alex, Arkle, Tracey, Gomm, Corinna, Aslam, Mohamed, Standfield, Nigel J., Jaffer, Usman
Format:	Journal Article
Language:	English
Published:	London BioMed Central 16-07-2018 BioMed Central Ltd Wiley
Subjects:	Aged Ankle Complications and side effects Diabetes Diabetes mellitus Diabetic foot Diabetic Foot - diagnostic imaging Diagnosis Diagnosis, Ultrasonic Duplex ultrasound Education, Medical, Continuing Female Foot diseases Formative Feedback Hospitals Humans Learning Curve Leg ulcers Male Medical diagnosis Medical imaging Medical personnel Methods Middle Aged PAD‐scan Patients Performance evaluation Peripheral arterial disease Peripheral Arterial Disease - diagnostic imaging Peripheral vascular diseases Podiatry - education Point-of-Care Systems Point‐of‐care Professionals Pulse Risk factors Scanning Studies Teaching Training Ulcer Ultrasonic imaging Ultrasonography Ultrasound Duplex ultrasound Diabetic foot Peripheral arterial disease Ulcer Diabetes Diagnosis PAD-scan Point-of-care
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Summary:	Background The primary aim of this study was to evaluate the effectiveness of a training programme to teach a focused bedside ultrasound scan (PAD‐scan; Podiatry Ankle Duplex Scan) for the detection of arterial disease in people with diabetes. Methods Five podiatrists and one diabetologist across two hospitals were enrolled in a structured training programme consisting of a training course (1‐day), supervised scanning (5‐weeks), independent scanning (3‐weeks) and a final evaluation of performance (1‐day). Time, technical skills (Duplex Ultrasound Objective Structured Assessment of Technical Skills tool (DUOSATS); minimum score = 6, maximum score = 26) and accuracy (level of agreement with vascular scientist PAD‐scan assessment) were assessed for every supervised scan and again for the final evaluation of performance. Results A total of 90 PAD‐scans in 65 patients were performed during the supervised phase. Participants demonstrated significant improvements in median time (19 min(IQR 13.9–25.5) vs 9.3 min (IQR 7.3–10.5);p = 0.028) and DUOSATS scores (17.5 (IQR 16.8–21) vs 25 (IQR 24–25.3); p = 0.027). At the final evaluation, participants completed scans in 5.4 min (IQR 5.3–5.9), achieved full DUOSAT scores and perfect agreement with the vascular scientist. Conclusion A structured training programme, integrated into diabetic foot clinics, was effective in teaching the PAD‐scan
Bibliography:	https://doi.org/10.1186/s13047‐018‐0283‐0 Electronic supplementary material contains supplementary material, which is available to authorized users. The online version of this article ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1757-1146 1757-1146
DOI:	10.1186/s13047-018-0283-0