A framework for guiding the learning of ultrasound scanning

Ultrasound scanning is provided by a range of health professionals who need to be trained to a proficient level. In respect of education and training in ultrasound scanning, little attention has been given to how scanning skills are acquired and what assists and hinders the learning process. This study aims to develop a framework for guiding learning in ultrasound scanning. Overt participant observation and semi-structured interviews generated data on four learners undertaking a 12-month postgraduate ultrasound programme. Narrative analysis of the interview data was used to reveal dominant themes related to stages in learning to scan. Dominant themes associated with learning to scan were; communication with the patient, navigation skills, image interpretation skills, observation of practice, feedback on performance, random practise. Detailed interpretation of the themes through narrative analysis provided characteristics of learning for each stage of a four staged process. This study provides an insight into the key features of scan performance and how scanning skills are acquired over a four staged approach. These themes and characteristics are presented in a framework for guiding learning in ultrasound scanning

Using conspecific broadcast for Willow Flycatcher restoration

Willow Flycatcher (Empidonax traillii) populations have been in decline across the western United States for decades. California populations are especially vulnerable with fewer than 500 pairs remaining in the state. Declines and local extirpations continue despite extensive habitat restoration and improved management designed to help conserve Willow Flycatchers. Such efforts may have failed to help reverse these trends in part because Willow Flycatchers rarely recolonize habitat after extirpation, regardless of present habitat suitability. Failure to recolonize habitat may be because prospecting Willow Flycatchers, like many other songbird species, assess habitat suitability based on the presence of conspecifics, making them unlikely to consider unoccupied habitat as potential breeding grounds. If true, broadcasting conspecific vocalizations in suitable but unoccupied habitat could help facilitate recolonization. During the 2016 and 2017 breeding seasons, we assessed the effectiveness of providing artificial social cues as a means of restoring Willow Flycatchers to suitable but unoccupied restored meadows in the Sierra Nevada mountains of California. We selected 14 experimental meadows where conspecific songs were broadcast during the settlement and breeding periods and 19 control meadows where no broadcasts took place. All the meadows were recently restored, contain high-quality habitat with hydrological characteristics and vegetation similar to meadows where Sierra Willow Flycatchers successfully breed, and were confirmed to be unoccupied in the year prior to their inclusion in the study. We observed Willow Flycatchers at five of 14 experimental meadows (35.75%) during the breeding season and at one of 19 control meadows (5.3%). We found that habitat characteristics also play a role in the efficacy of this technique, as Willow Flycatcher presence was highly significantly related to the combination of both the experimental treatment and meadow size. These results demonstrate that within large, restored meadows, conspecific broadcasts may be an effective strategy for restoring Willow Flycatchers