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Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey
Background: Cranial ultrasound (cUS) is a recommended skill for paediatric and neonatal trainees in South Africa. Surveys in other countries showed inadequate knowledge and subsequently a global trend towards standards and training recommendations. There are no guidelines for training of clinicians...
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| Format: | Thesis |
| Language: | English |
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Division of Neonatology
2024
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| _version_ | 1867613263398699008 |
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| access_status_str | Open Access |
| author | Belay, Fitsum |
| author2 | Pillay, Shakti |
| author_browse | Belay, Fitsum Pillay, Shakti |
| author_facet | Pillay, Shakti Belay, Fitsum |
| author_sort | Belay, Fitsum |
| collection | Thesis |
| description | Background: Cranial ultrasound (cUS) is a recommended skill for paediatric and neonatal trainees in South Africa. Surveys in other countries showed inadequate knowledge and subsequently a global trend towards standards and training recommendations. There are no guidelines for training of clinicians performing cUS in South Africa. Objectives: To survey the following aspects of cUS among paediatric and neonatal trainees in the University of Cape Town (UCT): duration of paediatric training, experience and supervision; knowledge of reporting content, procedural and technical aspects; interpretation of common neonatal cUS pathologies and confidence in scan interpretation and counselling. Methods: An online survey was sent to all trainees, who had worked at least one month at a neonatal unit on the UCT training platform. The survey included seven questions on cUS interpretation. Procedural and image knowledge was compared between groups with ≥ 24 months' experience versus shorter duration. Results: Thirty-one paediatric registrars and five neonatal subspecialty senior registrars were sent the survey. Twenty-six surveys were returned (72%). None of the trainees had attended a formal cUS course, 18 (69%) had attended a formal lecture from a neonatologist, and 8 (30%) had attended a formal tutorial from a consultant. Ten (38%) trainees received initial training from other registrars, medical officers, or self-study. The components of a cUS report were stated as description of anatomy and haemorrhage by 24 (92%) and 21 (81%) respectively; only 17 (65%) mentioned ventricular size and other aspects of reporting were less frequently mentioned. Only 7 (27%) trainees knew the correct number of images to be taken in the coronal and sagittal planes. Correct identification of the major features of images ranged from 12% to 92% but was below 40% in five questions. Duration of training only affected answers in two questions; trainees with ≥ 24 months experience were more likely to correctly identify a normal scan (58% vs. 14%; p=0.038) and less likely to assign abnormal prognosis in a term infant with increased white matter echogenicity (0% vs. 43%; p=0.017). Conclusions: Our survey shows inadequate and variable cUS training and competency in paediatric and neonatal trainees in our institution. The findings indicate the need for a structured training program and standardised diagnostic and training criteria to accredit clinicians who perform and report on neonatal cUS. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/39273 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:21.255Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Division of Neonatology |
| publisherStr | Division of Neonatology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/39273 Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey Belay, Fitsum Pillay, Shakti Horn Alan Neonatology Background: Cranial ultrasound (cUS) is a recommended skill for paediatric and neonatal trainees in South Africa. Surveys in other countries showed inadequate knowledge and subsequently a global trend towards standards and training recommendations. There are no guidelines for training of clinicians performing cUS in South Africa. Objectives: To survey the following aspects of cUS among paediatric and neonatal trainees in the University of Cape Town (UCT): duration of paediatric training, experience and supervision; knowledge of reporting content, procedural and technical aspects; interpretation of common neonatal cUS pathologies and confidence in scan interpretation and counselling. Methods: An online survey was sent to all trainees, who had worked at least one month at a neonatal unit on the UCT training platform. The survey included seven questions on cUS interpretation. Procedural and image knowledge was compared between groups with ≥ 24 months' experience versus shorter duration. Results: Thirty-one paediatric registrars and five neonatal subspecialty senior registrars were sent the survey. Twenty-six surveys were returned (72%). None of the trainees had attended a formal cUS course, 18 (69%) had attended a formal lecture from a neonatologist, and 8 (30%) had attended a formal tutorial from a consultant. Ten (38%) trainees received initial training from other registrars, medical officers, or self-study. The components of a cUS report were stated as description of anatomy and haemorrhage by 24 (92%) and 21 (81%) respectively; only 17 (65%) mentioned ventricular size and other aspects of reporting were less frequently mentioned. Only 7 (27%) trainees knew the correct number of images to be taken in the coronal and sagittal planes. Correct identification of the major features of images ranged from 12% to 92% but was below 40% in five questions. Duration of training only affected answers in two questions; trainees with ≥ 24 months experience were more likely to correctly identify a normal scan (58% vs. 14%; p=0.038) and less likely to assign abnormal prognosis in a term infant with increased white matter echogenicity (0% vs. 43%; p=0.017). Conclusions: Our survey shows inadequate and variable cUS training and competency in paediatric and neonatal trainees in our institution. The findings indicate the need for a structured training program and standardised diagnostic and training criteria to accredit clinicians who perform and report on neonatal cUS. 2024-04-03T12:48:15Z 2024-04-03T12:48:15Z 2023 2024-03-28T12:45:31Z Thesis / Dissertation Masters MPhil http://hdl.handle.net/11427/39273 eng application/pdf Division of Neonatology Faculty of Health Sciences |
| spellingShingle | Neonatology Belay, Fitsum Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| thesis_degree_str | Master's |
| title | Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| title_full | Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| title_fullStr | Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| title_full_unstemmed | Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| title_short | Quality of neonatal cranial ultrasound Interpretation among doctors in the Western Cape Metro: a clinical survey |
| title_sort | quality of neonatal cranial ultrasound interpretation among doctors in the western cape metro a clinical survey |
| topic | Neonatology |
| url | http://hdl.handle.net/11427/39273 |
| work_keys_str_mv | AT belayfitsum qualityofneonatalcranialultrasoundinterpretationamongdoctorsinthewesterncapemetroaclinicalsurvey |