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Using a Sonographic Simulator to Assess Residents Before Overnight Call

Wayne L. Monsky1, Deborah Levine1, Tejas S. Mehta1, Robert A. Kane1, Amitai Ziv2, Bernadette Kennedy1 and Harvey Nisenbaum3

1 Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215.
2 Chiam Sheba Medical Center, Tel-Hashomer 52621, Israel.
3 University of Pennsylvania Medical Center, 3400 Spruce St., Philadelphia, PA 19104.



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  		Fig. 1. —Simulator-produced sonogram representing task of measurement of crown—rump length of embryo. Calipers placed by resident exclude head. This response was given score of 2, because saved image did not show understanding of task.

 


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  		Fig. 2. —Simulator-produced sonogram representing task of identifying early gestational sac. This response was given score of 4, because saved image met task requirements by showing gestational sac and yolk sac. Perfect score was not given, because focal zone is lower than region of interest.

 


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  		Fig. 3. —Simulator-produced sonogram representing task of identifying gallbladder disease. Response was given score of 5, because it completely fulfilled task requirements, including good image quality and gallstone seen with shadowing.

 

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