First "glass" education: telementored cardiac ultrasonography using Google Glass- a pilot study.
OBJECTIVE
The objective of this study was to determine the feasibility of telementored instruction in bedside ultrasonography (US) using Google Glass. The authors sought to examine whether first-time US users could obtain adequate parasternal long axis (PSLA) views to approximate ejection fraction (EF) using Google Glass telementoring.


METHODS
This was a prospective, randomized, single-blinded study. Eighteen second-year medical students were randomized into three groups and tasked with obtaining PSLA cardiac imaging. Group A received real-time telementored education through Google Glass via Google Hangout from a remotely located expert. Group B received bedside education from the same expert. Group C represented the control and received no instruction. Each subject was given 3 minutes to obtain a best PSLA cardiac imaging using a portable GE Vscan. Image clips obtained by each subject were stored. A second expert, blinded to instructional mode, evaluated images for adequacy and assigned an image quality rating on a 0 to 10 scale.


RESULTS
Group A was able to obtain adequate images six out of six times (100%) with a median image quality rating of 7.5 (interquartile range [IQR] = 6 to 10) out of 10. Group B was also able to obtain adequate views six out of six times (100%), with a median image quality rating of 8 (IQR = 7 to 9). Group C was able to obtain adequate views one out of six times (17%), with a median image quality of 0 (IQR = 0 to 2). There were no statistically significant differences between Group A and Group B in the achievement of adequate images for E-point septal separation measurement or in image quality.


CONCLUSIONS
In this pilot/feasibility study, novice US users were able to obtain adequate imaging to determine a healthy patient's EF through telementored education using Google Glass. These preliminary data suggest telementoring as an adequate means of medical education in bedside US. This conclusion will need to be validated with larger, more powerful studies including evaluation of pathologic findings and varying body habitus among models.
The Department of Emergency Medicine, University of Kentucky, Lexington, KY.
Patrick M
PM
Russell
Michael
M
Mallin
Scott T
ST
Youngquist
Jennifer
J
Cotton
Nael
N
Aboul-Hosn
Matt
M
Dawson
D002309:Cardiology / Q000193:education*; D004452:Echocardiography; D004501:Education, Medical / Q000379:methods*; D004521:Educational Measurement; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D020407:Internet / Q000295:instrumentation*; D008297:Male; D010865:Pilot Projects; D011446:Prospective Studies; D015203:Reproducibility of Results; D016037:Single-Blind Method