Parikh Tejal, Czuzak Maria, Bui Naomi, Wildner Corinna, Koch Bryna, Leko Elizabeth, Rappaport William, Adhikari Srikar, Gordon Paul, Gura Mike, Ellis Susan
Departments of Family and Community Medicine, University of Arizona, Tucson, Arizona, USA.
Office of Curricular Affairs, University of Arizona School of Medicine, Tucson, Arizona, USA.
J Ultrasound Med. 2018 Mar;37(3):709-715. doi: 10.1002/jum.14408. Epub 2017 Sep 28.
To determine whether integration of ultrasound (US) into a reproductive system examination clinical skills lab can increase confidence in palpating key reproductive structures during testicular and bimanual pelvic examinations, reduce anxiety about conducting testicular and bimanual pelvic examinations, and improve performance on multiple-choice questions based on structure identification using US images.
Second-year medical students enrolled in the Life Cycle preclinical course participated in this cross-sectional study. A single learning activity was developed to pair the teaching of the reproductive system physical examination with the use of US in the clinical skills lab. The evaluation of the teaching session consisted of a pre-post analysis of student self-reported knowledge, confidence, and anxiety.
The response rate for the pre survey was 82% (n = 96), and the rate for the post survey was 79% (n = 93). Students' confidence in their ability to identify reproductive system structures on US images increased from pre to post survey. Their confidence in their ability to palpate the epididymis, uterus, and ovary during a physical examination improved, and their anxiety about conducting testicular and bimanual pelvic examinations decreased. Student satisfaction with the session was high. Students' performance on multiple-choice questions based on structure identification using US images was at 96% or higher.
Our study findings support the integration of US into a reproductive system examination clinical skills lab. Medical students acquire competency and confidence in reproductive system physical examination skills with US integration.
确定将超声（US）融入生殖系统检查临床技能实验室是否能增强在睾丸和双手盆腔检查中触诊关键生殖结构的信心，减轻对进行睾丸和双手盆腔检查的焦虑，并提高基于使用US图像进行结构识别的多项选择题的成绩。
参加生命周期临床前课程的二年级医学生参与了这项横断面研究。开展了一项单一的学习活动，将生殖系统体格检查的教学与临床技能实验室中US的使用相结合。教学环节的评估包括对学生自我报告的知识、信心和焦虑进行前后分析。
预调查的回复率为82%（n = 96），后调查的回复率为79%（n = 93）。学生在US图像上识别生殖系统结构的能力信心从预调查到后调查有所增加。他们在体格检查中触诊附睾、子宫和卵巢的能力信心有所提高，并且他们对进行睾丸和双手盆腔检查的焦虑有所降低。学生对该环节的满意度很高。学生基于使用US图像进行结构识别的多项选择题成绩达到96%或更高。
我们的研究结果支持将US融入生殖系统检查临床技能实验室。医学生通过融入US获得了生殖系统体格检查技能的能力和信心。
