Schmidt G, Gerlinger C, Endrikat J, Gabriel L, Müller C, Baus S, Volk T, Findeklee Sebastian, Solomayer E F, Hamza A, Ströder R
Department of Gynecology, Obstetrics and Reproductive Medicine, University Medical School of Saarland, Kirrberger Straße, 66421, HomburgSaar, Germany.
MVZ Fertility Center Hamburg, 20095, Hamburg, Germany.
Arch Gynecol Obstet. 2021 Jul;304(1):197-202. doi: 10.1007/s00404-021-06016-8. Epub 2021 Mar 16.
To investigate whether a training program on breast ultrasound skills including core-needle biopsies to undergraduate students can improve medical knowledge and learning satisfaction.
Medical students attending mandatory classes at the Medical School of the University of Saarland received a supplemental theoretical and hands-on training program on ultrasound (US) breast screening and on US-guided core-needle biopsy using an agar-agar phantom. Experienced breast specialists and ultrasound examiners served as trainers applying Peyton's 4-step training approach. The students' theoretical knowledge and hands-on skills were tested before and after the training program, using a multiple-choice questionnaire (MCQ), the Objective Structured Clinical Examination (OSCE) and a student curriculum evaluation.
The MCQ results showed a significant increase of the student's theoretical knowledge (50.2-75.2%, p < 0.001). After the course, the OSCE showed a mean total of 17.3/20 points (86.5%), confirming the practical implementation of the new skills. The student curriculum evaluation in general was very positive. A total of 16/20 questions were rated between 1.2 and 1.7 (very good) and 3 questions were rated as 2.1 (good).
Undergraduate student's medical education can be enhanced by teaching breast US skills.
研究针对本科生开展的包括粗针活检在内的乳腺超声技能培训项目是否能提高医学知识水平和学习满意度。
在萨尔兰大学医学院参加必修课的医学生接受了关于超声(US)乳腺筛查以及使用琼脂模拟物进行超声引导下粗针活检的补充理论和实践培训项目。经验丰富的乳腺专科医生和超声检查人员担任培训师,采用佩顿的四步培训法。在培训项目前后,使用多项选择题问卷(MCQ)、客观结构化临床考试(OSCE)和学生课程评估对学生的理论知识和实践技能进行测试。
MCQ结果显示学生的理论知识有显著提高(从50.2%提高到75.2%,p < 0.001)。课程结束后,OSCE的平均总分为17.3/20分(86.5%),证实了新技能的实际应用。学生课程评估总体上非常积极。共有16/20个问题的评分在1.2至1.7之间(非常好),3个问题的评分为2.1(好)。
通过教授乳腺超声技能可以加强本科生的医学教育。