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Structured ultrasound-guided peripheral intravenous cannulation (US-PIVC) training improved resident doctors' confidence and proficiency. This standardized approach enhances patient safety and clinical efficiency, addressing gaps in medical education.

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Area of Science:

  • Medical Education
  • Point-of-Care Ultrasound
  • Clinical Skills Training

Background:

  • Standardized ultrasound-guided peripheral intravenous cannulation (US-PIVC) training is inconsistent in undergraduate medical curricula.
  • This inconsistency may negatively impact patient care and safety.
  • Resident doctors require proficiency in US-PIVC as a critical skill.

Purpose of the Study:

  • To evaluate the effectiveness of a structured, competency-based US-PIVC simulation training program.
  • To assess the impact of the training on resident doctors' confidence, proficiency, and preparedness.
  • To identify factors influencing the adoption, implementation, and maintenance of US-PIVC training.

Main Methods:

  • A convergent parallel mixed-method study utilizing the RE-AIM framework.
  • Quantitative data collected via validated rating scales in end-of-session assessments.
  • Qualitative data gathered through focus group discussions with students and staff.

Main Results:

  • 98 students participated; 98% pass rate, 84% achieved full procedural proficiency.
  • Thematic analysis revealed enhanced student confidence and preparedness for foundation roles.
  • Participants reported reduced dependence on senior staff and improved patient safety and procedural efficacy.

Conclusions:

  • Structured, standardized US-PIVC training is essential to reduce variability in clinical education.
  • The program successfully improved confidence, proficiency, and clinical efficiency.
  • Recommendations for skill retention include ongoing practice, logbook signoffs, and simulation realism to enhance patient safety and preparedness.