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本科医学教育中实施纵向课程的范围综述:维克森林大学的经验

Scoping review of implementing a longitudinal curriculum in undergraduate medical education: The wake forest experience.

作者信息

Glass Casey, Sarwal Aarti, Zavitz Joshua, Nitsche Joshua, Joyner JaNae, Johnson Leilani L, Garcia-Vargas Julia, O'Brien Mary Claire

机构信息

Department of Emergency Medicine, Medical Center, Wake Forest School of Medicine, 1 Winston-Salem, Boulevard, NC, 27157, USA.

Department of Neurology, Medical Center, Wake Forest School of Medicine, 1 Winston-Salem, Boulevard, NC, 27157, USA.

出版信息

Ultrasound J. 2021 Apr 19;13(1):23. doi: 10.1186/s13089-021-00206-w.

Abstract

BACKGROUND

Hands-on ultrasound experience has become a desirable component for undergraduate medical education (UGME) curricula throughout medical schools in the United States (US) to enhance readiness for future training. Ultrasound integration can be a useful assistive educational method in undergraduate medical education to improve anatomy and physiology skills. Relatively few medical schools have integrated ultrasound experiences formally into their 4-year medical school curriculum due to limitations of a resource intensive set up.

METHODS

We undertook a scoping review of published UGME ultrasound curricula integrated into all four years in peer-reviewed as well online literature. In addition, we provide a narrative review of our institutional experience in conceptualization, design and implementation of UGME ultrasound curriculum driven by need to address the fading knowledge in anatomy and physiology concepts beyond pre-clinical years.

RESULTS

Integrated ultrasound curriculum at WFSOM utilizes focused ultrasonography as a teaching aid for students to gain a more thorough understanding of basic and clinical science concepts taught in the medical school curriculum. We found 18 medical schools with ultrasound curricula published in peer-reviewed literature with a total of 33 ultrasound programs discovered by adding Google search and personal communication CONCLUSIONS: The results of the review and our institutional experience can help inform future educators interested in developing similar curricula in their undergraduate programs. Common standards, milestones and standardized competency-based assessments would be helpful in more widespread application of ultrasound in UGME curricula.

摘要

背景

在美国,实践超声经验已成为医学院校本科医学教育(UGME)课程中一个理想的组成部分,以增强学生为未来培训做好准备的能力。超声整合可以成为本科医学教育中一种有用的辅助教育方法,用于提高解剖学和生理学技能。由于资源密集型设置的限制,相对较少的医学院校已将超声经验正式纳入其四年制医学院课程。

方法

我们对同行评审以及在线文献中已整合到四年课程中的已发表UGME超声课程进行了范围审查。此外,我们对我们机构在概念化、设计和实施UGME超声课程方面的经验进行了叙述性回顾,该课程的驱动因素是需要解决临床前几年之后解剖学和生理学概念方面逐渐淡忘的知识。

结果

WFSOM的整合超声课程利用聚焦超声检查作为教学辅助手段,帮助学生更全面地理解医学院课程中讲授的基础和临床科学概念。我们发现有18所医学院校在同行评审文献中发表了超声课程,通过谷歌搜索和个人交流又发现了总共33个超声项目。结论:审查结果和我们机构的经验可以帮助那些有兴趣在其本科课程中开发类似课程的未来教育工作者。通用标准、里程碑和基于能力的标准化评估将有助于超声在UGME课程中更广泛地应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/8055803/56383600aa32/13089_2021_206_Fig1_HTML.jpg

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