UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course title:
Ultrasound Central Line Insertion & Thoracentesis
Course director:
Herb Phelan, MD, FACS
Specialty:
Trauma and Surgical Critical Care Surgery
Additional course faculty:
Colleen Stoeppel, MD Surgical Critical Care Fellow
BTCC Faculty and Fellows
Participants:
PGY 1 Surgery residents
# participants
for course:
Curriculum dates:
1st group:
2nd group:
27
6/21/13 AM
N=13
6/21/13 PM
N=14
Expected attendance:
27
Sessions assigned to each trainee
1
Duration of each session
1
Trainees per session
hr(s)
4,5
Other assigned sessions:
Duration of each session
Trainees per session
When other sessions are held?
hr(s)
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Course Completion Verification - How do you know when a trainee has completed each component of
the course and the overall course itself? Please specify for each course component, if applicable – for
example, assigned reading component verified by written testing and skills component verified by
attending 2 course-instructor led sessions.
☒
☐
Attendance based:
based on trainee attending all of the designated sessions
☒
Entire course - course solely based on attendance
☐
Part of course - attendance to designated sessions required in
addition to other components listed below
Repetition based:
based on the trainee performing a specific number of repetitions
Components:
# of Repetitions:
☐
Proficiency based:
based on the trainee performing a specified number of repetitions
Components:
Method for
determining:
☒
☒
Written testing:
based on passing a written test
Components:
A written pre-test consisting of 10 questions with a passing score of
75%
Documentation of watching videos/CD's/web-based materials: based on proctor or
instructor verification that the trainee has watched the specified materials
Components:
☒
Pre-view of Ultrasound Imaging of Thorax & Vessels slides
Other (specify):
Components:
Retention of information on pre-course slide review
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
Self-study or self-practice (Is self-study or self-practice an expectation of this course?)
☐
No
☒
Yes
Self-study component(s):
Preview demonstration slides
Estimated time requirements for self-study:
0.5
hrs
Phase of course where self-study completed:
Prior to initial session
Self-practice component(s):
Estimated time requirements for self-practice:
Phase of course where self-study completed:
Training Location(s):
hrs
SCMIS
Resources (Textbooks, CD-ROMs, Videos, etc.):
Pre-Course Slide Review (Ultrasound Imaging of Thorax & Vessels)
Educational Scope:
☒
☒
☒
Skills
Components:
Cognitive
Components:
Judgment
Components:
Essential practices and physics of ultrasound imaging; proper
transducer selection and orientation in B mode (Brightness)
Applications of ultrasound principles to clinical imaging in the
SICU setting – vascular and thoracic imaging
Understand indications and limitations of bedside ultrasound
imaging of critically ill surgical/trauma patients
Learning Objectives:
Understand essential ultrasound practices and physics principles.
Understand indications and limitations of bedside ultrasound imaging.
Demonstrate ultrasound imaging and interventional/therapeutic modalities including central line and pleural
drain insertion procedure with proctor
Patient safety maintained by ultrasound imaging prior to invasive procedures.
Summary of Curriculum, Teaching Methods, and Resource Utilization:
(For each component, please specify what material will be taught during each session, how will the
material be taught, and what teaching materials will be used. Please also specify the overall format for the
course including expectations required for successful course completion)
UT SOUTHWESTERN DEPARTMENT OF SURGERY
2013-2014 TECHNICAL SKILLS COURSE OUTLINE
All residents will preview Ultrasound Imaging of the Thorax and Vessels Slide presentation sent two weeks prior
to session. Complete Pre-test prior to session and obtain 70% passing score. Trainees have successfully
completed the course if attendance is verified and if proficiency in CVP insertion and chest drain is determined.
Completion of documentation on Ultrasound guided CVP insertion & Thoracentesis competency check-off sheet
by proctors.
Methods for giving feedback to learners (Formative and Summative):
Formalized feedback will be given immediately to course participants by the course director and /or BTCC
Fellow. Residents will perform 20 ultrasound-guided central line placements to be deemed proficient (will
capture in SNIPS) and visit practice station annually.
All SICU procedures, with or without the use of ultrasound guidance, will be observed by an SICU/Trauma
attending. Immediate verbal feedback will be provided.
Methods of assessment of learners:
Direct instructor feedback
Methods of course evaluation:
Post-test questionnaires completed by trainees at the end of the course and faculty evaluations of skills sessions
Materials:
B&K ultrasound Unit
Blue Phantom vascular and chest phantoms
Pressure Injectable Multi-Lumen CVC Kit