Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 284-288

Ultrasound training in surgical residency: Is it feasible?

Department of Surgery, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India

Correspondence Address:
Srihari Sridhara
Department of Surgery, Padmashree Dr. D. Y. Patil Medical College, Pimpri, Pune
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-2870.128954

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Purpose: Ultrasound training for the surgical residents is not a common practice in India. This study was undertaken to prepare a working model for surgical trainees and assess its effectiveness by training a single surgical resident. Materials and Methods: This was a prospective study of 238 patients with pain abdomen. Training was given in abdominal ultrasound for a period of 2 months. Ultrasound scans were performed independently by a radiology resident and surgery resident. Inter-rater agreement between both residents was assessed using Kappa coefficient. Ultrasound results were compared with clinical diagnosis and final diagnosis. Results: The kappa agreement was 0.53, 0.56, 0.8 and 1 for urolithiasis, appendicitis, pancreatitis and urinary tract infection, respectively. Almost all cases of cholelithiasis were identified by the surgery resident. There was improvement of 21%, 31% and 100% in patients of urolithiasis, acute appendicitis and liver abscess, respectively, in the second 10 months of the study. Conclusions: Ultrasound scans can be performed by a surgery resident with similar results as that of a radiology resident. Training of the surgery resident is possible with satisfactory results.

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