Minardi Joseph, Ressetar Holly, Foreman Theresa, Craig Kristen, Sharon Melinda, Bassler John, Davis Stephen, Machi Anthony, Cottrell Scott, Denne Nicolas, Ferrari Norman, Landreth Kenneth, Palmer Bruce, Schaefer Gregory, Tallaksen Robert, Wilks David, Williams Dorian
Department of Emergency Medicine, West Virginia University, Morgantown, West Virginia, USA.
Department of Pathology, Anatomy, and Laboratory Medicine, West Virginia University, Morgantown, West Virginia, USA.
J Ultrasound Med. 2019 Jan;38(1):63-72. doi: 10.1002/jum.14662. Epub 2018 May 6.
Sonography is a clinical tool being incorporated in multiple medical specialties with evidence of improved patient care and cost. Some schools have begun implementing ultrasound curricula. We hope to build upon that foundation and provide another potential framework of incorporation. There are several barriers, including curricular space, equipment and physical space, adequate faculty, and performing assessment.
At West Virginia University, we began a longitudinal ultrasound curriculum in 2012 with incorporation of didactic and practical sessions into gross anatomy, our systems-based second-year curriculum, physical diagnosis course, and clinical rotations. We included both written and practical assessment from the onset. After the initial 4 years, the first graduates were surveyed on their perceptions of the curriculum. Responses were correlated with specialty choice and clinical campus site.
Based on our survey (90% response rate), students felt sonography was useful for anatomical understanding and patient care. Overall, 93% of our respondents reviewed the curriculum favorably. Qualitative feedback was very positive, with students desiring more ultrasound education and more required components, specifically in clinical rotations.
Based on these results, some changes have already been implemented, including decreased student-to-instructor ratios, more open scan time, and more required components. The breadth of formal assessment has increased. Multiple pilot programs for clinical rotations are being developed. There is an ongoing need for faculty development and continued assessment of ultrasound competency.
超声检查作为一种临床工具,已被多个医学专业采用,有证据表明其改善了患者护理并降低了成本。一些学校已开始实施超声课程。我们希望在此基础上进一步发展,并提供另一种潜在的整合框架。存在几个障碍,包括课程空间、设备和物理空间、足够的教师以及进行评估。
在西弗吉尼亚大学,我们于2012年开始了一项纵向超声课程,将理论和实践课程纳入大体解剖学、基于系统的二年级课程、物理诊断课程以及临床轮转中。从一开始我们就纳入了书面和实践评估。在最初的4年之后,对首批毕业生关于他们对该课程的看法进行了调查。回答与专业选择和临床校区地点相关。
根据我们的调查(回复率为90%),学生们认为超声检查对解剖学理解和患者护理有用。总体而言,93%的受访者对该课程给予好评。定性反馈非常积极,学生们希望获得更多的超声教育以及更多的必修内容,特别是在临床轮转方面。
基于这些结果,已经实施了一些变革,包括降低师生比例、增加开放扫描时间以及增加必修内容。正式评估的范围有所扩大。正在开发多个临床轮转试点项目。持续需要教师发展以及对超声能力的持续评估。