Critical Care Nephrology – Research Article

Vasudev K.a· Kazory A.b· Ronco C.c,d· Bhattacharya D.e· Koratala A.f

Author affiliations

aUniversity School of Milwaukee, Milwaukee, WI, USA
bDivision of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL, USA
cDepartment of Nephrology, San Bortolo Hospital, and International Renal Research Institute of Vicenza (IRRIV), Vicenza, Italy
dDepartment of Medicine, University of Padova, Padova, Italy
eKnowledge representation consultant, Milwaukee, WI, USA
fDivision of Nephrology, Medical College of Wisconsin, Milwaukee, WI, USA

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Article / Publication Details

First-Page Preview

Received: October 21, 2022
Accepted: January 13, 2023
Published online: February 13, 2023

Number of Print Pages: 6
Number of Figures: 3
Number of Tables: 0

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: https://www.karger.com/BPU

Abstract

Introduction: Point of care ultrasonography (POCUS) is being increasingly recognized as an adjunct to physical examination in the field of nephrology. However, paucity of trained faculty and standardized curricula remain key barriers to widespread adoption of this skill as well as development of reliable quality assessment programs at the institutional level. Herein, we sought to explore the utility of Twitter polls to gain insights into knowledge deficits of the learners for making curricular improvements while simultaneously disseminating POCUS pearls and pitfalls. Methods: A series of 57 single-question polls were tweeted over a 12-month period, each containing an ultrasound image or a video asking for correct interpretation. These were sent out from the Twitter handle of NephroPOCUS.com (@NephroP), an online POCUS education tool. The answer and a brief explanation were shared in a subsequent tweet at the end of the voting period. Information on the percentage of correct answers, Tweet impressions, and engagements was collected and analyzed by the pre-determined difficulty level (I-III) and the organ/learning objective being tested. Results: The number of responses per poll was 228 ± 94.6 (mean ± SD), and the percentage of correct responses was 57.9 ± 17.5 (mean ± SD). 16 (of 57) polls received less than 50% correct responses, of which 8 belonged to level III difficulty. The learning objectives that received the least number of correct responses in the kidney, cardiac, lung, vascular, and other categories were identification of end-stage kidney (16.2% correct answers), right pleural effusion on the parasternal short axis view of the heart (29%), right pleural effusion from the subxiphoid window (39%), grading of systemic venous congestion (27.3%), and identification of ascites on the right lateral chest window (15%), respectively. The overall engagement rate was 6.96%, which was above the median for health and higher education-related tweets on Twitter. Targeted didactic material was developed based on these results, published on various open-access nephrology education platforms. Conclusions: Twitter polls aid in identifying the knowledge gaps among POCUS learners. Information obtained from the polls can be used to improve POCUS-related curricula and develop targeted educational material to facilitate remote learning.

© 2023 S. Karger AG, Basel

References Nicholas E, Ly AA, Prince AM, Klawitter PF, Gaskin K, Prince LA. The current status of ultrasound education in United States medical schools. J Ultrasound Med. 2021;40(11):2459–65. Koratala A, Reisinger N. POCUS for nephrologists: basic principles and a general approach. Kidney360. 2021;2(10):1660–8. Koratala A, Olaoye OA, Bhasin-Chhabra B, Kazory A. A blueprint for an integrated point-of-care ultrasound curriculum for nephrology trainees. Kidney360. 2021;2(10):1669–76. Moore CA, Ross DW, Pivert KA, Lang VJ, Sozio SM, O’Neill WC 4th. Point-of-Care ultrasound training during nephrology fellowship: a national survey of fellows and program directors. Clin J Am Soc Nephrol. 2022;17(10):1487–94. ASN innovations in kidney education contest winners. https://www.asn-online.org/education/contest/ (accessed September 26, 2022). Rival IQ social media industry benchmark report. https://www.rivaliq.com/blog/social-media-industry-benchmark-report/ (accessed September 26 2022). Rein JL, Sparks MA, Hilburg R, Farouk SS. Tackling acid-base disorders, one Twitter poll at a time. Adv Physiol Educ. 2020;44(4):706–8. Koratala A, Bhattacharya D, Kazory A. Harnessing Twitter polls for multi-specialty collaboration in standardizing point-of-care ultrasonography in nephrology. Clin Nephrol. 2020;94(1):50–2. Koratala A, Bhattacharya D, Kazory A. Twitter as an educational tool for point-of-care ultrasonography in nephrology: a “Reach” analysis. Educ Health (Abingdon). 2021;34(1):43–4. Identification of Various Effusions on Standard Echocardiographic Views. https://www.renalfellow.org/2021/10/21/identification-of-various-effusions-on-standard-echocardiographic-views-part-1/ (accessed September 26, 2022). Article / Publication Details

First-Page Preview

Received: October 21, 2022
Accepted: January 13, 2023
Published online: February 13, 2023

Number of Print Pages: 6
Number of Figures: 3
Number of Tables: 0

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: https://www.karger.com/BPU

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