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Cardiac POCUS Training for Emergency Department APPs

This study is testing a training program for advanced practice providers (APPs) in the Emergency Department on how to use cardiac point-of-care ultrasound (POCUS). POCUS is a type of ultrasound done at the patient's bedside to quickly check the heart. The goal is to see if this training program is practical, acceptable, and easy to use for APPs. Participants will complete a POCUS simulation and a hands-on exam after training, then perform POCUS on patients under supervision as part of their regular work. This study aims to improve patient care by creating a standard training model for APPs. About 75 APPs working in the Emergency Department are expected to join this study.

Study design
This interventional study plans to enroll about 75 advanced practice providers (APPs). It is designed to assess the feasibility, acceptability, and appropriateness of a training pathway.
What's involved
Participants will complete a cardiac POCUS simulation session and a hands-on observed clinical skill exam after training. They will then perform POCUS on patients as part of standard clinical care, supervised by emergency department faculty.
Compensation
Not stated in the trial record.
Follow-up
The feasibility, acceptability, and appropriateness of the intervention will be measured at 1-2 years for each study site.

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NCT07159269

Cardiac point-of Care Ultrasound Training Pathway for Emergency Department Advanced Practice Providers

Recruiting
NAAges 18+InterventionalDiagnostic
Duke University
~75 participants
Updated 2026-06-03 on ClinicalTrials.gov
What's tested:Cardiac point-of-care ultrasound (POCUS) training and clinical pathway

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.
Measured over 1-2 years for each study site
+3 more outcomes measured

Conditions

Cardiovascular Disease Acute
Emergency Department Patient
Heart Failure Acute
Pulmonary Embolism (Diagnosis)
Point of Care Ultrasound (POCUS)
Cardiac Tamponade
Pericardial Effusion
Diagnostic Imaging
Medical Training
Implementation Science

Explore related trials

Cardiac TamponadeCardiovascular DisorderHeart FailurePericardial EffusionPulmonary Embolism

NCT07159269

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Duke University Health System

    Durham, North Carolinastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

Study leadership

  • Rebecca G Theophanous, MD, MHSc · PRINCIPAL_INVESTIGATOR · Duke University

Who to contact

Rebecca G Theophanous, MD, MHSc
[email protected]
919-681-0196
Email the study team

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Eligibility criteria

Inclusion

advanced practice providers (APPs) currently working in our ED, with additional APPs as they are hired (expected to be about 75 APPs total within the next 3 years due to expanding staffing needs and coverage models).

Exclusion

non-APPs such as physicians, nurses, or other clinical staff

What this trial measures

  • Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.1-2 years for each study site

    Participants will complete a cardiac POCUS simulation session and a hands-on structured clinical skill exam post-training (OSCE) led by ultrasound-trained faculty. Then as part of standard clinical care, APPs will perform POCUS while supervised by EM attending physicians. The primary outcome assesses program feasibility and acceptability. Participants will complete a pre/post and 6-month post-survey and semi-structured interview. Survey questions are structured based on the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) survey tool. This is scored on a Likert scale from 1-5.

  • Aim 1: Acceptability of the Intervention as measured by the Acceptability of Intervention Measure (AIM)1-2 years for each study site

    The AIM is scored on a Likert scale from 1 to 5, where a higher score indicates greater acceptability.

  • Aim 1: Appropriateness of the Intervention as measured by the Intervention Appropriateness Measure (IAM)1-2 years for each study site

    The IAM is scored on a Likert scale from 1 to 5, where a higher score indicates greater appropriateness.

  • Aim 1: Feasibility of the Intervention as measured by the Feasibility of Intervention Measure (FIM) survey tool1-2 years for each study site

    The FIM is scored on a Likert scale from 1 to 5, where a higher score indicates greater appropriateness.