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Recruiting NCT07159269

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

No phase Interventional Cardiovascular Disease Acute Emergency Department Patient Heart Failure Acute Pulmonary Embolism (Diagnosis)

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Cardiac point-of-care ultrasound (POCUS) training and clinical pathway.
Who it may be relevant to
Registry conditions: Cardiovascular Disease Acute, Emergency Department Patient, Heart Failure Acute, Pulmonary Embolism (Diagnosis). Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

Cardiac Point-of-care Ultrasound Clinical Training Pathway Implementation and Impact Assessment for Advanced Practice Providers in the Emergency Department

Overview

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.

Interventions

  • Behavioral 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 an

Primary outcome measures

  • Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. [Time frame: 1-2 years for each study site]
  • Aim 1: Acceptability of the Intervention as measured by the Acceptability of Intervention Measure (AIM) [Time frame: 1-2 years for each study site]
  • Aim 1: Appropriateness of the Intervention as measured by the Intervention Appropriateness Measure (IAM) [Time frame: 1-2 years for each study site]
  • Aim 1: Feasibility of the Intervention as measured by the Feasibility of Intervention Measure (FIM) survey tool [Time frame: 1-2 years for each study site]
Secondary outcome measures (8)
  • Aim 1: Feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. [Time frame: 1-2 years for each study site]
  • Aim 2: Educational impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance [Time frame: 1-2 years for each study site]
  • Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - number of clinical POCUSs performed [Time frame: 1-2 years for each study site]
  • Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - image quality [Time frame: 1-2 years for each study site]
  • Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - diagnostic accuracy [Time frame: 1-2 years for each study site]
  • Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - time to initial cardiology consult [Time frame: 1-2 years for each study site]
  • Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - emergency department length-of-stay [Time frame: 1-2 years for each study site]
  • Aim 2: Impact of the training model on cost-effectiveness [Time frame: 1-2 years for each study site]

Eligibility criteria

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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Diagnostic

Study locations

United States · 1 center
  • Duke University Health System — Durham

Identifiers

NCT: NCT07159269 · Pro00118464

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗