Title

Expanding Point-of-Care Ultrasound Training in a Low- and Middle-Income Country: Experiences From a Collaborative Short-Training Workshop in Kenya

UMMS Affiliation

Department of Family Medicine and Community Health

Publication Date

2020-01-01

Document Type

Article

Disciplines

Equipment and Supplies | Family Medicine | Health Services Administration | International Public Health | Medical Education | Radiology

Abstract

BACKGROUND AND OBJECTIVES: In Kenya, little data exists on point-of-care ultrasound (POCUS) training and use for family medicine physicians. In 2017, a 3-day POCUS workshop assembled most of the family medicine physicians in Kenya. Through surveys, we assessed how this workshop could affect the level of POCUS use, skill, and confidence in family medicine practitioners in the long term.

METHODS: Structured surveys, distributed before, after, and 10 months postworkshop assessed demographics, POCUS use, barriers, comfort, and skills based on attendee self-assessment. We compared data from the preworkshop surveys to postsurveys and post-postsurveys to assess immediate and long-term differences. Wilcoxon signed-rank test was used to evaluate continuous data, and significance was based on a P value of < .05.

RESULTS: The proportion of participants who self-reported using POCUS increased significantly between presurvey and post-postsurvey (29.7% to 63.2%, P=.0161). Mean confidence scores increased significantly from presurvey to postsurvey and post-postsurvey. For all body systems, self-reported mean skill scores increased significantly from presurvey to postsurvey and post-postsurvey. Lack of access to machines and mentorship are substantial barriers to increasing POCUS use.

CONCLUSIONS: This study highlights the utility of one-time POCUS training in increasing long-term POCUS uptake by participants. While encouraging, our findings also show barriers to increasing POCUS use. These barriers must be addressed, potentially through intradepartmental and interorganizational exchanges of resources to ensure that future POCUS workshops are successful in supporting POCUS use in Kenya.

Keywords

Point-of-Care Ultrasound, POCUS, Training, Kenya

DOI of Published Version

10.22454/FamMed.2020.986896

Source

Jones L, Gathu C, Szkwarko D, Mucheru S, Amin N, Amisi JA, Bergman K, Ramos M, Jayasekera N. Expanding Point-of-Care Ultrasound Training in a Low- and Middle-Income Country: Experiences From a Collaborative Short-Training Workshop in Kenya. Fam Med. 2020 Jan;52(1):38-42. doi: 10.22454/FamMed.2020.986896. PMID: 31914182. Link to article on publisher's site

Journal/Book/Conference Title

Family medicine

Related Resources

Link to Article in PubMed

PubMed ID

31914182

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