A Train-the-Trainer Point of Care Ultrasound (POCUS) Program for Pediatric Pneumonia in a Low-Resource Setting Article Swipe
Michelle Lee
,
Fatima Mir
,
Amerta Ladhani
,
Huba Atiq
,
Shaun K. Morris
,
Mark O. Tessaro
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.24908/pocusj.v10i01.18285
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.24908/pocusj.v10i01.18285
Background: Lung point of care ultrasound (POCUS) has the potential to transform pediatric pneumonia care in low resource settings. Prior studies of novice POCUS users in such settings showed high agreement with remote POCUS experts for diagnosing pediatric pneumonia, but use of remote experts may falsely inflate this agreement. Objectives: This study aimed to 1. Deliver a train-the-trainer program in Pakistan on lung POCUS for diagnosing pediatric pneumonia; 2. Determine inter-rater reliability between i) study-trained community health workers (CHWs) and a remote expert, with both interpreting POCUS examinations acquired by the CHWs, and ii) study-trained CHWs and local champions, with both interpreting examinations that they had acquired. Methods: Phase 1: Canadian pediatric POCUS experts developed and delivered a lung POCUS training program for two user groups in Pakistan. These groups included local champions (who had POCUS experience) and CHWs (who were POCUS novices). Phase 2: Children with suspected pneumonia underwent two lung POCUS examinations, one by a CHW and one by a local champion. Examinations were recorded and later reviewed by a remote expert for interpretation and quality assurance. Inter-rater reliability was determined. Results: Two local champions and three CHWs were successfully trained. An analysis of 231 recruited patients showed strong inter-rater reliability between study-trained CHWs and remote expert interpretations (κ = 0.83). In contrast, inter-rater reliability was moderate (κ = 0.66) between interpretations by novices and local champions when these users interpreted the examinations that they themselves had acquired. Conclusion: Our study showed that train-the-trainer programs are feasible and can be effective, while highlighting the importance of hands-on training and having local champions provide longitudinal support to novices.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.24908/pocusj.v10i01.18285
- https://ojs.library.queensu.ca/index.php/pocus/article/download/18285/12413
- OA Status
- diamond
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410122472
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410122472Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.24908/pocusj.v10i01.18285Digital Object Identifier
- Title
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A Train-the-Trainer Point of Care Ultrasound (POCUS) Program for Pediatric Pneumonia in a Low-Resource SettingWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-15Full publication date if available
- Authors
-
Michelle Lee, Fatima Mir, Amerta Ladhani, Huba Atiq, Shaun K. Morris, Mark O. TessaroList of authors in order
- Landing page
-
https://doi.org/10.24908/pocusj.v10i01.18285Publisher landing page
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https://ojs.library.queensu.ca/index.php/pocus/article/download/18285/12413Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://ojs.library.queensu.ca/index.php/pocus/article/download/18285/12413Direct OA link when available
- Concepts
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Trainer, Medicine, Physical therapy, Pneumonia, Reliability (semiconductor), Medical physics, Computer science, Internal medicine, Power (physics), Quantum mechanics, Programming language, PhysicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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