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本科医学教育中基于主题的床旁超声教学

Theme-based teaching of point-of-care ultrasound in undergraduate medical education.

作者信息

Amini Richard, Stolz Lori Ann, Gross Austin, O'Brien Kathleen, Panchal Ashish Raman, Reilly Kevin, Chan Lisa, Drummond Brian Scott, Sanders Arthur, Adhikari Srikar

机构信息

Department of Emergency Medicine, University of Arizona Medical Center, PO Box 245057, Tucson, AZ, 85724-5057, USA,

出版信息

Intern Emerg Med. 2015 Aug;10(5):613-8. doi: 10.1007/s11739-015-1222-8. Epub 2015 Mar 13.

DOI:10.1007/s11739-015-1222-8
PMID:25764053
Abstract

A handful of medical schools have developed formal curricula to teach medical students point-of-care ultrasound; however, no ideal method has been proposed. The purpose of this study was to assess an innovative theme-based ultrasound educational model for undergraduate medical education. This was a single-center cross-sectional study conducted at an academic medical center. The study participants were 95 medical students with minimal or no ultrasound experience during their third year of training. The educational theme for the ultrasound session was "The evaluation of patients involved in motor vehicle collisions." This educational theme was carried out during all components of the 1-day event called SonoCamp: asynchronous learning, the didactic lecture, the skills stations, the team case challenge and the individual challenge stations. Assessment consisted of a questionnaire, team case challenge, and individual challenges. A total of 89 of 95 (94 %) students who participated in SonoCamp responded, and 92 % (87 of 95) completed the entire questionnaire before and after the completion of SonoCamp. Ninety-nine percent (95 % CI, 97-100 %) agreed that training at skill stations helped solidify understanding of point-of-care ultrasound. Ninety-two percent (95 % CI, 86-98 %) agreed that theme-based learning is an engaging learning style for point-of-care ultrasound. All students agreed that having a team exercise is an engaging way to learn point-of-care ultrasound; and of the 16 groups, the average score on the case-based questions was 82 % (SD + 28). The 1-day, theme-based ultrasound educational event was an engaging learning technique at our institution which lacks undergraduate medical education ultrasound curriculum.

摘要

少数医学院校已经制定了正式课程,向医学生教授床旁超声检查;然而,尚未提出理想的方法。本研究的目的是评估一种创新的基于主题的超声教育模式用于本科医学教育。这是在一所学术医疗中心进行的单中心横断面研究。研究参与者是95名医学生,他们在培训的第三年几乎没有或没有超声经验。超声课程的教育主题是“机动车碰撞事故患者的评估”。这个教育主题在名为SonoCamp的为期1天的活动的所有环节中展开:异步学习、理论讲座、技能站、团队病例挑战和个人挑战站。评估包括一份问卷、团队病例挑战和个人挑战。参加SonoCamp的95名学生中有89名(94%)做出了回应,92%(95名中的87名)在SonoCamp结束前后完成了完整的问卷。99%(95%置信区间,97 - 100%)的学生同意在技能站的培训有助于巩固对床旁超声检查的理解。92%(95%置信区间,86 - 98%)的学生同意基于主题的学习是一种引人入胜的床旁超声学习方式。所有学生都同意进行团队练习是学习床旁超声检查的一种引人入胜的方式;在16个小组中,基于病例问题的平均得分是82%(标准差 + 28)。在我们这所缺乏本科医学教育超声课程的机构中,为期1天的基于主题的超声教育活动是一种引人入胜的学习技术。

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Ultrasound exposure during gross anatomy.大体解剖学过程中的超声暴露。
J Emerg Med. 2014 Feb;46(2):231-40. doi: 10.1016/j.jemermed.2013.08.028. Epub 2013 Oct 7.
2
Ultrasound-based teaching of cardiac anatomy and physiology to undergraduate medical students.超声心动图在本科医学生心脏解剖与生理学教学中的应用。
Arch Cardiovasc Dis. 2013 Oct;106(10):487-91. doi: 10.1016/j.acvd.2013.06.002. Epub 2013 Aug 2.
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Integrated medical school ultrasound: development of an ultrasound vertical curriculum.综合性医学院校超声检查:超声垂直课程的开发
在急诊科实施超声引导下神经阻滞:一种低成本、低逼真度的培训方法。
AEM Educ Train. 2023 Oct 8;7(5):e10912. doi: 10.1002/aet2.10912. eCollection 2023 Oct.
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Undergraduate ultrasound training: prospective comparison of two different peer assisted course models on national standards.本科超声培训:两种不同同伴辅助课程模式对国家标准的前瞻性比较。
BMC Med Educ. 2023 Jul 17;23(1):513. doi: 10.1186/s12909-023-04511-x.
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Pediatric Residency Point-of-Care Ultrasound Training Needs Assessment and Educational Intervention.儿科住院医师即时超声培训需求评估与教育干预
Cureus. 2022 Sep 2;14(9):e28696. doi: 10.7759/cureus.28696. eCollection 2022 Sep.
6
Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University.本科医学教育中的超声影像学:全面综述及日本顺天堂大学实施的教育方案。
J Med Ultrason (2001). 2022 Apr;49(2):217-230. doi: 10.1007/s10396-021-01178-z. Epub 2022 Jan 16.
7
Utilization of a Co-enrolled Course Structure for Point-of-Care Ultrasound Training in the Undergraduate Medical Education Setting.在本科医学教育环境中利用联合注册课程结构进行床旁超声培训。
Med Sci Educ. 2020 Jan 6;30(1):31-39. doi: 10.1007/s40670-019-00831-0. eCollection 2020 Mar.
8
Use of gelatin puzzle phantoms to teach medical students isolated ultrasound transducer movements and fundamental concepts.使用明胶拼图模型来教授医学生孤立的超声换能器运动和基本概念。
BMC Med Educ. 2020 Jan 29;20(1):26. doi: 10.1186/s12909-020-1937-8.
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Cadaver Models in Residency Training for Uncommonly Encountered Ultrasound-Guided Procedures.住院医师培训中用于罕见超声引导操作的尸体模型
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J Ultrasound Med. 2012 Dec;31(12):2013-6. doi: 10.7863/jum.2012.31.12.2013.
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