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OP04.03: Manual versus automated segmentation for the computed assessment of the fetal face from ultrasound scans: preliminary results from a pilot study

Objectives: The objective of this research was to evaluate the effectiveness of teaching, explore experiences of clinicians and examine the impact of POCUS in clinical practice using KEF. Methods: Two intensive 2-day ultrasound training small group workshops incorporating lectures and hands-on sessions involving high fidelity simulators and live pregnant models, endorsed by ASUM and ISUOG were conducted for 12 GPs and 13 midwives. Participants maintained a record of frequency of use, ultrasound applications, change in clinical practice, changes in behaviour of clinical management and in antenatal patients such as modifications in lifestyle as a result of the POCUS scan. The KEF Levels 1 to 4 were used to appraise the efficacy of POCUS training, which included assessment of immediate reactions after training (Level 1), learning after training (Level 2), behavioural changes after training (Level 3) and results and impact on clinical practice after training (Level 4) using specifically designed surveys. Results: KEF Level 1 surveys demonstrated that the participants found the training very useful. Details and data for KEF Levels 2, 3 and 4 surveys will be presented. Advantages, limitations, barriers and challenges of POCUS implementation in clinical practice will be presented. Concrete tips for use of KEF in evaluating efficacy of ultrasound training programs will be discussed. Conclusions: Provision of antenatal POCUS training appears to benefit clinical practice in remote resource-poor settings in remote South Australia. KEF appears to be useful in evaluation of POCUS training.