Hani Selim, Chalouhi Gihad, Lakissian Zavi, Sharara-Chami Rana
Department of Industrial Engineering, American University of Beirut, Beirut, Lebanon.
International Society of Ultrasound in Obstetrics and Gynecology, London, United Kingdom.
JMIR Med Educ. 2019 Sep 26;5(2):e13568. doi: 10.2196/13568.
Ultrasound is ubiquitous across all disciplines of medicine; it is one of the most commonly used noninvasive, painless diagnostic tools. However, not many are educated and trained well enough in its use. Ultrasound requires not only theoretical knowledge but also extensive practical experience. The simulated setting offers the safest environment for health care professionals to learn and practice using ultrasound.
This study aimed to (1) assess health care professionals' need for and enthusiasm toward practicing using ultrasound via simulation and (2) gauge their perception and acceptance of simulation as an integral element of ultrasound education in medical curricula.
A day-long intervention was organized at the American University of Beirut Medical Center (AUBMC) to provide a free-of-charge interactive ultrasound simulation workshop-using CAE Vimedix high-fidelity simulator-for health care providers, including physicians, nurses, ultrasound technicians, residents, and medical students. Following the intervention, attendees completed an evaluation, which included 4 demographic questions and 16 close-ended questions based on a Likert scale agree-neutral-disagree. The results presented are based on this evaluation form.
A total of 41 participants attended the workshop (46% [19/41] physicians, 30% [12/41] residents, 19% [8/41] sonographers, and 5% [2/41] medical students), mostly from AUBMC (88%, 36/41), with an average experience of 2.27 (SD 3.45) years and 30 (SD 46) scans per attendee. Moreover, 15 out of 41 (36%) participants were from obstetrics and gynecology, 11 (27%) from internal medicine, 4 (10%) from pediatrics, 4 (10%) from emergency medicine, 2 (5%) from surgery and family medicine, and 5 (12%) were technicians. The majority of participants agreed that ultrasound provided a realistic setting (98%, 40/41) and that it allowed for training and identification of pathologies (88%, 36/41). Furthermore, 100% (41/41) of the participants agreed that it should be part of the curriculum either in medical school or residency, and most of the participants approved it for training (98%, 40/41) and teaching (98%, 40/41).
All attendees were satisfied with the intervention. There was a positive perception toward the use of simulation for training and teaching medical students and residents in using ultrasound, and there was a definite need and enthusiasm for its integration into curricula. Simulation offers an avenue not only for teaching but also for practicing the ultrasound technology by both medical students and health care providers.
超声在医学各学科中广泛应用;它是最常用的无创、无痛诊断工具之一。然而,接受过足够良好教育和培训以掌握其使用方法的人并不多。超声不仅需要理论知识,还需要丰富的实践经验。模拟环境为医护人员学习和实践使用超声提供了最安全的环境。
本研究旨在(1)评估医护人员对通过模拟进行超声操作实践的需求和热情,以及(2)衡量他们对模拟作为医学课程中超声教育不可或缺部分的认知和接受程度。
在贝鲁特美国大学医学中心(AUBMC)组织了为期一天的干预活动,为包括医生、护士、超声技师、住院医师和医学生在内的医护人员提供免费的交互式超声模拟工作坊,使用CAE Vimedix高保真模拟器。干预活动结束后,参与者完成了一项评估,其中包括4个人口统计学问题和16个基于李克特量表(同意 - 中立 - 不同意)的封闭式问题。呈现的结果基于此评估表。
共有41名参与者参加了工作坊(46%[19/41]为医生,30%[12/41]为住院医师,19%[8/41]为超声技师,5%[2/41]为医学生),大多数来自AUBMC(88%,36/41),每位参与者的平均经验为2.27年(标准差3.45),平均扫描次数为30次(标准差46)。此外,41名参与者中有15名(36%)来自妇产科,11名(27%)来自内科,4名(10%)来自儿科,4名(10%)来自急诊科,2名(5%)来自外科和家庭医学科,5名(12%)为技师。大多数参与者认为超声提供了逼真的环境(98%,40/41),并且它有助于训练和识别病变(88%,36/41)。此外,100%(41/41)的参与者同意它应该成为医学院或住院医师培训课程的一部分,并且大多数参与者赞成将其用于培训(98%,40/41)和教学(98%,40/41)。
所有参与者对此次干预活动感到满意。对于使用模拟来培训和教导医学生及住院医师使用超声,存在积极的认知,并且明确需要将其纳入课程并对此充满热情。模拟不仅为教学提供了途径,也为医学生和医护人员实践超声技术提供了途径。