Evidence map›Paper›PMID 40524135›Full record

SynthesisMedical education2025

Is ultrasound training sustainable? A systematic review of competency retention in healthcare trainees.

Liang-Wei Wang, Cheng-Heng Liu, Wen-Yi Li, Wen-Chu Chiang, Yen-Lin Chiu, Matthew Huei-Ming Ma, Huey-Ling Chen, Chih-Wei Yang

Abstract readSystematic Review
In one paragraph

Synthesis in Medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
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  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Liang-Wei WangDepartment of Medical Research and Education, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan.
Cheng-Heng LiuDepartment of Medical Education, National Taiwan University Hospital, Taipei, Taiwan.
Wen-Yi LiDivision of Nephrology, Department of Internal Medicine, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan.
Wen-Chu ChiangDepartment of Emergency Medicine, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan.
Yen-Lin ChiuGraduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0003-3032-5220
Matthew Huei-Ming MaDepartment of Emergency Medicine, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan.
Huey-Ling ChenGraduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.
Chih-Wei YangGraduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.

Funding

National Taiwan University Hospital, Yunlin Branch 113-N020Taiwan National Science and Technology Council MOST 111-2628-H-002-011-MY3
6 · The paper itself

Abstract

purposeDespite Point-of-Care Ultrasound (PoCUS) emerging as an essential clinical skill, evidence regarding practitioners' knowledge retention and competence remains poorly synthesized. This systematic review sought to evaluate PoCUS competency retention patterns using the Indication, Acquisition, Interpretation, Medical decision-making (I-AIM) framework following various educational interventions and to identify factors influencing long-term skill retention among healthcare professional trainees.

methodsThe authors conducted a systematic review by searching PubMed, the Cochrane Library and Embase databases (1990-2024) for studies evaluating PoCUS educational interventions with objective competency measures and retention assessment. Data were analysed based on educational strategies, course duration and retention patterns across I-AIM domains.

resultsThirty-one studies met the inclusion criteria, comprising 1638 participants (38.6% medical students, 20.5% attending physicians). Most studies employed a single-group pretest-posttest design (54.8%) and demonstrated moderate-to-high methodological quality (Medical Education Research Study Quality Instrument median: 12.5, interquartile range [IQR]: 11.0 to 13.0). Within the I-AIM framework analysis, all domains of competency retention demonstrated a decline over a 1-12-month follow-up period. The Acquisition domain showed the most significant decline with median percentage changes of -11.8% (IQR: -16.5% to -6.4%), followed by Interpretation, Medical decision-making and Indication. Short-course programs (≤4 h) demonstrated greater competency decline (median: -11.8%, IQR: -16.9% to -4.4%) compared to long-course programs (median: -2.6%, IQR: -6.8% to 1.3%). Hands-on practice with high-fidelity simulation and clinical context integration were associated with superior retention outcomes across multiple domains.

conclusionsUltrasound competence retention showed variable decay patterns across I-AIM domains, with Acquisition skills showing the most pronounced deterioration, particularly following short-course programs. Comprehensive training programs integrating high-fidelity hands-on practice and clinical context may enhance PoCUS retention for healthcare providers.

Indexed as

Clinical CompetenceEducational MeasurementHumansPoint-of-Care SystemsStudents, MedicalUltrasonography

Identifiers

PMID40524135
PMCPMC12686767

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.