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利用三维心脏模型结合床旁超声视频教程改善医学生教育:一项双盲随机对照研究。

Utilizing 3-Dimensional Cardiac Models With Point-of-Care Ultrasound Video Tutorials to Improve Medical Student Education: A Double-Blinded Randomized Control Study.

作者信息

McKinley Hillary, Stuart Heather, Ailawadi Shaina, Brunswick Jordan

机构信息

Emergency Medicine, Wright State University, Fairborn, USA.

Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, USA.

出版信息

Cureus. 2023 Feb 14;15(2):e34978. doi: 10.7759/cureus.34978. eCollection 2023 Feb.

DOI:10.7759/cureus.34978
PMID:36938223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10019752/
Abstract

Introduction Ultrasound is a rapidly expanding imaging modality that many medical schools are incorporating into a structured curriculum. Learning both anatomy and ultrasound imaging simultaneously is intuitively challenging. This double-blinded, randomized control study examined the effect of utilizing three-dimensional (3d) cardiac models within an ultrasound video tutorial in order to achieve improved cardiac ultrasound anatomy education. Methods Thirty-nine (39) first- and second-year medical students at a single medical school voluntarily participated. The control group watched a video tutorial on cardiac ultrasound anatomy while the experimental group watched a similar video tutorial that also included a 3d cardiac model. The effect was measured with a multiple-choice test that included a sub-analysis of ultrasound principles. The test was unique in that no text or context clues were provided on the reference images, further challenging anatomic identification. Results The findings of the study included a p-value of 0.73 for the ultrasound principles section and a p-value of 0.77 for the cardiac anatomy. There was no statistical difference in the primary outcome or in the subgroup analysis. Post-hoc analysis demonstrated the study was underpowered. Conclusions This study is the first of its kind to utilize an innovative testing method that holds promise for future research in regards to utilizing 3d models with ultrasound education. The study was underpowered, therefore no definitive conclusions about the utility of 3d cardiac models in the educational process can be ascertained.

摘要

引言

超声是一种迅速发展的成像方式,许多医学院校都将其纳入结构化课程中。同时学习解剖学和超声成像在直观上具有挑战性。这项双盲随机对照研究考察了在超声视频教程中使用三维(3D)心脏模型对改善心脏超声解剖学教育的效果。

方法

一所医学院的39名一年级和二年级医学生自愿参与。对照组观看了一段关于心脏超声解剖学的视频教程,而实验组观看了一段类似的视频教程,其中还包括一个3D心脏模型。通过多项选择题测试来衡量效果,该测试包括对超声原理的子分析。该测试的独特之处在于,参考图像上没有提供文本或上下文线索,这进一步增加了解剖识别的难度。

结果

研究结果显示,超声原理部分的p值为0.73,心脏解剖学部分的p值为0.77。主要结果或亚组分析均无统计学差异。事后分析表明该研究效能不足。

结论

本研究首次采用了一种创新的测试方法,有望为未来关于在超声教育中使用3D模型的研究提供参考。该研究效能不足,因此无法确定3D心脏模型在教育过程中的效用的确切结论。

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本文引用的文献

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Cost-Effective Training Models in Point-of-Care Ultrasound for Medical Students in Emergency Medicine: An Evaluation of Current Resources.针对急诊医学专业医学生的即时超声检查的经济高效培训模式:当前资源评估
Cureus. 2022 Apr 2;14(4):e23753. doi: 10.7759/cureus.23753. eCollection 2022 Apr.
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Medical Student Ultrasound Education, a WFUMB Position Paper, Part II. A consensus statement of ultrasound societies.《医学生超声教育:WFUMB 立场文件,第二部分》。超声学会的共识声明。
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Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review.
JACC Adv. 2024 Feb 28;3(4):100893. doi: 10.1016/j.jacadv.2024.100893. eCollection 2024 Apr.
本科医学教育中的超声课程:一项范围综述
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Ultrasound Guidelines: Emergency, Point-of-Care and Clinical Ultrasound Guidelines in Medicine.超声指南:医学中的急诊、床旁及临床超声指南
Ann Emerg Med. 2017 May;69(5):e27-e54. doi: 10.1016/j.annemergmed.2016.08.457.
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Arch Cardiovasc Dis. 2013 Oct;106(10):487-91. doi: 10.1016/j.acvd.2013.06.002. Epub 2013 Aug 2.
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A simple model to demonstrate the movements and the axes of the eyeball.一个用于演示眼球运动和轴的简单模型。
Adv Physiol Educ. 2009 Dec;33(4):356-7. doi: 10.1152/advan.00047.2009.
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Integration of ultrasound in the education programme in anatomy.超声在解剖学教育课程中的整合。
Med Educ. 2005 Nov;39(11):1148. doi: 10.1111/j.1365-2929.2005.02288.x.