{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T10:24:02Z","timestamp":1748600642631,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2024,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Differentiating cardiovascular causes of dyspnea in resource\u2010limited healthcare settings can be challenging. The use of easy\u2010to\u2010train, point\u2010of\u2010care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.<\/jats:p><\/jats:sec>Research Question<\/jats:title>Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource\u2010limited settings (CURLS) protocol?<\/jats:p><\/jats:sec>Methods<\/jats:title>A quasi\u2010experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya. Forty\u2010five graduate medical pre\u2010interns, novices in cardiac ultrasound, received simulated didactic and hands\u2010on FoCUS skills training using the CURLS protocol and 2018 European Association of Cardiovascular Imaging (EACVI) FoCUS training and competence assessment recommendations. Competency was assessed in image interpretation, image acquisition, and image quality.<\/jats:p><\/jats:sec>Results<\/jats:title>Aggregate image interpretation competency was attained by n<\/jats:italic>\u2009=\u200938 (84%) of trainees with a median score of 80%. The proportion of trainees attaining category\u2010specific image interpretation competency was as follows: pericardial effusion n<\/jats:italic>\u2009=\u200944 (98%), left atrial enlargement n<\/jats:italic>\u2009=\u200940 (89%), cardiomyopathy n<\/jats:italic>\u2009=\u200938 (84%), left ventricular hypertrophy n<\/jats:italic>\u2009=\u200937 (82%), and right ventricular enlargement n<\/jats:italic>\u2009=\u200929 (64%). Image acquisition skills competency was attained by n<\/jats:italic>\u2009=\u200936 (80%) of trainees. Three\u2010quarters of trainee\u2010obtained images were of good quality.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Majority of the trainees attained competency. Training constraints limit the generalizability of our findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23654","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T10:36:00Z","timestamp":1708943760000},"page":"426-434","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Focused cardiac ultrasound: Competency among pre\u2010internship medical officers in diagnosing cardiac causes of dyspnea"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2661-3815","authenticated-orcid":false,"given":"Daniel","family":"Muriuki","sequence":"first","affiliation":[{"name":"Masters of Medicine Internal Medicine The University of Nairobi Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Kagima","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Critical Care Kenyatta National Hospital Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Mugera","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Cardiology Kenyatta National Hospital Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Joekes","sequence":"additional","affiliation":[{"name":"Liverpool School of Tropical Medicine Liverpool United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kwasa","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Department of Clinical Medicine and Therapeutics The University of Nairobi Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark David","family":"Joshi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Department of Clinical Medicine and Therapeutics The University of Nairobi Nairobi 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