ORIGINAL ARTICLE |
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Year : 2014 | Volume
: 7
| Issue : 3 | Page : 284-288 |
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Ultrasound training in surgical residency: Is it feasible?
Srihari Sridhara, Karan Vir Singh Rana, Satish Naware, Gurjit Singh, Ketak Nagare, Garima Gupta
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 India
 Source of Support: None, Conflict of Interest: None  | Check |
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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