Arya Sushila, Mulla Zuber D, Kupesic Plavsic Sanja
Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA.
Clin Teach. 2018 Dec;15(6):457-461. doi: 10.1111/tct.12714. Epub 2017 Oct 10.
Pelvic ultrasound is a critical diagnostic imaging tool in obstetrics and gynaecology. Training opportunities in transvaginal ultrasound have not kept pace with the demand among learners because of the increased complexity of modern ultrasound technology and duty-hour restrictions. Ultrasound simulation training has the potential to overcome this gap. Training opportunities in transvaginal ultrasound have not kept pace with the demand OBJECTIVE: Our study aimed to determine the usefulness, applicability and attitudes toward pelvic ultrasound simulation training among residents, sonographers and practising doctors.
Pelvic ultrasound simulation activity using high-fidelity virtual reality ultrasound simulators lasted 4 hours and consisted of three modules: abnormal uterine bleeding, adnexal masses and bleeding in pregnancy. All learners completed a pre- and post-encounter quiz, and an anonymous post-simulation survey on the relevance of ultrasound simulation to clinical learning, and its usefulness to improve scanning performance and interpretation skills.
Thirty-one participants attended the workshop, and 28 (90.3%) of them responded to the survey. Five respondents agreed and 23 strongly agreed that pelvic ultrasound simulation applies to their clinical ultrasound practice, and seven of them agreed and 21 strongly agreed that their performance of ultrasound and interpretation skills will be improved following their simulation training. The average post-activity knowledge score for all three topics significantly increased (paired Student's t-test, p < 0.0001).
All 28 respondents believe that ultrasound simulation is a useful complement to learning with real patients, with the potential to improve their pelvic ultrasound performance, interpretation skills and clinical reasoning.
盆腔超声是妇产科至关重要的诊断成像工具。由于现代超声技术日益复杂以及值班时间限制，经阴道超声的培训机会未能跟上学习者的需求。超声模拟培训有潜力弥补这一差距。经阴道超声的培训机会未能跟上需求
我们的研究旨在确定住院医师、超声技师和执业医生对盆腔超声模拟培训的有用性、适用性及态度。
使用高保真虚拟现实超声模拟器进行的盆腔超声模拟活动持续4小时，包括三个模块：异常子宫出血、附件包块和妊娠出血。所有学习者在模拟前后均完成了测验，并就超声模拟与临床学习的相关性以及对提高扫描性能和解读技能的有用性进行了匿名模拟后调查。
31名参与者参加了此次研讨会，其中28人（90.3%）回复了调查。5名受访者表示同意，23人强烈同意盆腔超声模拟适用于他们的临床超声实践，其中7人表示同意，21人强烈同意经过模拟培训后他们的超声操作和解读技能将得到提高。所有三个主题的活动后平均知识得分均显著提高（配对学生t检验，p<0.0001）。
所有28名受访者均认为超声模拟是对与真实患者学习的有益补充，有潜力提高他们的盆腔超声操作、解读技能和临床推理能力。
