Development of a Foundational Neuromuscular Ultrasound Competency Assessment for Trainees

Area of Science:

• Neurology
• Medical Education
• Diagnostic Imaging

Background:

• Neuromuscular ultrasound (NMUS) is increasingly used in electrodiagnostic (EDX) medicine.
• Competency assessment is vital for quality NMUS application and interpretation.
• Developing standardized assessment tools is crucial for postgraduate medical trainees.

Purpose of the Study:

• To develop and implement a competency-based assessment tool for foundational NMUS skills.
• To evaluate the tool's effectiveness in assessing postgraduate medical trainees.
• To ensure trainees achieve minimal competency for unsupervised NMUS practice.

Main Methods:

• A competency assessment tool comprising written (multiple-choice, short answer, yes/no) and practical skills sections was created.
• The assessment focused on core NMUS knowledge and skills for common conditions, including median/ulnar nerves and diaphragm.
• The Angoff standard setting method was used by educators to determine passing scores.

Main Results:

• Three clinical neurophysiology fellows participated after completing NMUS training.
• Composite scores ranged from 89% to 97%, with all subjects meeting minimum passing standards.
• Passing scores were 77% for the knowledge section and 88% for the skills section.

Conclusions:

• The developed NMUS competency assessment tool was successfully implemented.
• The tool can be integrated into postgraduate training to ensure minimal competency in NMUS.
• This initiative supports the quality integration of NMUS evaluations into clinical practice for conditions like carpal tunnel syndrome and ulnar neuropathy.