Echocardiography interpretation training and internal medicine milestones: A pilot study
Background/Purpose: The competency-based Internal Medicine Milestones (IMM) assesses physician training outcomes through six key competencies. This pilot study introduced IMM concepts through an echocardiography report interpretation course for postgraduate students (PGYs) and residents (Rs). We aim...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Journal of the Formosan Medical Association |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S092966462400617X |
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| author | Li-Tan Yang Meng-Han Tsai Wang-Huei Sheng Jiun-Yu Yu Yi-Lwun Ho |
| author_facet | Li-Tan Yang Meng-Han Tsai Wang-Huei Sheng Jiun-Yu Yu Yi-Lwun Ho |
| author_sort | Li-Tan Yang |
| collection | DOAJ |
| description | Background/Purpose: The competency-based Internal Medicine Milestones (IMM) assesses physician training outcomes through six key competencies. This pilot study introduced IMM concepts through an echocardiography report interpretation course for postgraduate students (PGYs) and residents (Rs). We aimed to help young physicians understand and track competency development as they receive cardiovascular training, with a view to expanding IMM usage for all junior physicians. Methods: A single-center prospective study was conducted from August 2022 through December 2023. Pre- and post-course test scores and baseline IMM scores from 15 selected milestones were obtained. Follow-up IMM changes were tracked at the 3rd and 6th months after the course. Results: We analyzed scores of 193 junior physicians (mean age 26 ± 2 years; 68% male; 136 PGYs and 57 Rs) who attended the echocardiography report interpretation course. Of 193 participants, 77 completed the 3rd and 6th month IMM questionnaires. Compared with average pre-course scores, average post-course scores improved significantly (n = 193; 2.9 ± 1.3 vs 4.3 ± 1.3; P < 0.001) without differences between sexes or ranks (P ≥ 0.21). Post-course scores were not associated with baseline, 3rd-month, or 6th-month IMM scores (n = 77, P ≥ 0.42). IMM scores improved from baseline to 3rd month (5.8 ± 1.2 vs. 7.2 ± 1.3, P < 0.001), but plateaued from 3rd to 6th months (7.2 ± 1.3 vs. 7.2 ± 1.0, P = 0.78). Conclusion: The significant post-course scores improvements indicate that the course was taught effectively and the test questions were well-formulated. Course participants showed improvements in IMM scores as they continued clinical training. Our results offer a reference for future curriculum design and competency development for junior physicians in internal medicine. |
| format | Article |
| id | doaj-art-e2a7b61617bb4f92a8fc526389112929 |
| institution | Kabale University |
| issn | 0929-6646 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj-art-e2a7b61617bb4f92a8fc5263891129292025-08-20T03:24:07ZengElsevierJournal of the Formosan Medical Association0929-66462025-07-01124760060610.1016/j.jfma.2024.12.038Echocardiography interpretation training and internal medicine milestones: A pilot studyLi-Tan Yang0Meng-Han Tsai1Wang-Huei Sheng2Jiun-Yu Yu3Yi-Lwun Ho4Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Telehealth Center, National Taiwan University Hospital, Taipei, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Business Administration, College of Management, National Taiwan University, Taipei, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Telehealth Center, National Taiwan University Hospital, Taipei, Taiwan; Corresponding author. Department of Internal Medicine and Cardiovascular Center, National Taiwan University Hospital, No.7, Jhongshan S. Rd., Jhongjheng Dist., Taipei, 10002, Taiwan.Background/Purpose: The competency-based Internal Medicine Milestones (IMM) assesses physician training outcomes through six key competencies. This pilot study introduced IMM concepts through an echocardiography report interpretation course for postgraduate students (PGYs) and residents (Rs). We aimed to help young physicians understand and track competency development as they receive cardiovascular training, with a view to expanding IMM usage for all junior physicians. Methods: A single-center prospective study was conducted from August 2022 through December 2023. Pre- and post-course test scores and baseline IMM scores from 15 selected milestones were obtained. Follow-up IMM changes were tracked at the 3rd and 6th months after the course. Results: We analyzed scores of 193 junior physicians (mean age 26 ± 2 years; 68% male; 136 PGYs and 57 Rs) who attended the echocardiography report interpretation course. Of 193 participants, 77 completed the 3rd and 6th month IMM questionnaires. Compared with average pre-course scores, average post-course scores improved significantly (n = 193; 2.9 ± 1.3 vs 4.3 ± 1.3; P < 0.001) without differences between sexes or ranks (P ≥ 0.21). Post-course scores were not associated with baseline, 3rd-month, or 6th-month IMM scores (n = 77, P ≥ 0.42). IMM scores improved from baseline to 3rd month (5.8 ± 1.2 vs. 7.2 ± 1.3, P < 0.001), but plateaued from 3rd to 6th months (7.2 ± 1.3 vs. 7.2 ± 1.0, P = 0.78). Conclusion: The significant post-course scores improvements indicate that the course was taught effectively and the test questions were well-formulated. Course participants showed improvements in IMM scores as they continued clinical training. Our results offer a reference for future curriculum design and competency development for junior physicians in internal medicine.http://www.sciencedirect.com/science/article/pii/S092966462400617XInternal medicine milestonesCompetenciesEchocardiographyClinical educationSelf-assessments |
| spellingShingle | Li-Tan Yang Meng-Han Tsai Wang-Huei Sheng Jiun-Yu Yu Yi-Lwun Ho Echocardiography interpretation training and internal medicine milestones: A pilot study Journal of the Formosan Medical Association Internal medicine milestones Competencies Echocardiography Clinical education Self-assessments |
| title | Echocardiography interpretation training and internal medicine milestones: A pilot study |
| title_full | Echocardiography interpretation training and internal medicine milestones: A pilot study |
| title_fullStr | Echocardiography interpretation training and internal medicine milestones: A pilot study |
| title_full_unstemmed | Echocardiography interpretation training and internal medicine milestones: A pilot study |
| title_short | Echocardiography interpretation training and internal medicine milestones: A pilot study |
| title_sort | echocardiography interpretation training and internal medicine milestones a pilot study |
| topic | Internal medicine milestones Competencies Echocardiography Clinical education Self-assessments |
| url | http://www.sciencedirect.com/science/article/pii/S092966462400617X |
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