Palma James K
Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
Mil Med. 2015 Apr;180(4 Suppl):153-7. doi: 10.7205/MILMED-D-14-00573.
Nearly all physician specialties currently utilize bedside ultrasound, and its applications continue to expand. Bedside ultrasound is becoming a core skill for physicians; as such, it should be taught during undergraduate medical education. When ultrasound is integrated in a longitudinal manner beginning in the preclerkship phase of medical school, it not only enhances teaching the basic science topics of anatomy, physiology, and pathology but also ties those skills and knowledge to the clerkship phase and medical decision-making. Bedside ultrasound is a natural bridge from basic science to clinical science. The Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine is currently in its fourth year of implementing an integrated ultrasound curriculum in the school of medicine. In our experience, successful integration of a bedside ultrasound curriculum should: align with unique focuses of a medical schools' mission, simplify complex anatomy through multimodal teaching, correlate to teaching of the physical examination, solidify understanding of physiology and pathology, directly link to other concurrent content, narrow differential diagnoses, enhance medical decision-making, improve procedural skills, match to year-group skillsets, develop teaching and leadership abilities, and have elective experiences for advanced topics.
目前几乎所有医学专科都在使用床边超声，其应用也在不断拓展。床边超声正成为医生的一项核心技能；因此，应在本科医学教育期间教授该技能。当超声从医学院预科阶段开始以纵向方式融入教学时，它不仅能加强解剖学、生理学和病理学等基础科学主题的教学，还能将这些技能和知识与临床实习阶段及医疗决策联系起来。床边超声是从基础科学到临床科学的天然桥梁。美国卫生科学大学制服服务部F·爱德华·赫伯特医学院目前正处于在医学院实施综合超声课程的第四年。根据我们的经验，成功整合床边超声课程应做到：与医学院独特的使命重点保持一致，通过多模式教学简化复杂的解剖结构，与体格检查教学相关联，巩固对生理学和病理学的理解，直接与其他同步内容相联系，缩小鉴别诊断范围，加强医疗决策，提高操作技能，与各年级的技能水平相匹配，培养教学和领导能力，并提供高级主题的选修体验。
