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ACES: Accurate Cervical Evaluation With Sonography.

Margaret K Chory1, William T Schnettler2, Melissa March2

  • 1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts USA (M.K.C., W.T.S., M.M., M.R.H., A.M.M., D.R.); and Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts USA (M.K.C., W.T.S., M.R.H., D.R.). mchory@bidmc.harvard.edu.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|November 22, 2015
PubMed
Summary
This summary is machine-generated.

The Accurate Cervical Evaluation with Sonography (ACES) program effectively trains obstetrics residents in transvaginal cervical length assessment. This structured curriculum significantly improves measurement accuracy and skill evaluation for preterm labor screening.

Keywords:
cervical lengthobstetric ultrasoundtransvaginal sonographyultrasound education

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Area of Science:

  • Medical Education
  • Obstetrics & Gynecology
  • Diagnostic Imaging

Background:

  • Transvaginal sonographic cervical length screening is crucial for preterm labor evaluation.
  • A standardized curriculum for this skill is often lacking in residency programs.
  • The Accurate Cervical Evaluation with Sonography (ACES) program was developed to address this gap.

Purpose of the Study:

  • To evaluate the effectiveness of the ACES program in teaching residents accurate sonographic cervical length assessment.
  • To assess the impact of the ACES program on resident skill development and measurement accuracy.

Main Methods:

  • The ACES program involved an online didactic course, written examination, and supervised transvaginal cervical scans.
  • Residents underwent initial and subsequent supervised scans with instructor comparison.
  • A 10-item checklist assessed skill performance over time.

Main Results:

  • Median difference in cervical length measurements between residents and instructors significantly decreased after training (P ≤ .02).
  • Checklist scores demonstrated significant improvement over the course of the program (P ≤ .0008).
  • 10 out of 17 participating residents completed the full ACES program.

Conclusions:

  • The ACES program offers a structured curriculum for transvaginal cervical sonography training in obstetrics residencies.
  • It provides a standardized method for evaluating resident proficiency in cervical length assessment.
  • This program enhances the ability to accurately evaluate preterm labor risk.