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本科医学课程选修课程中的超声教育可提高学生的主观学习效果、临床轮转表现及住院医师培训准备水平。

Ultrasound Education in an Elective Course in the Undergraduate Medical Curriculum Improves Students' Subjective Learning and Clinical Rotation and Residency Preparedness.

作者信息

Draper Riley, Ellinger Douglas, Trottier Mark, Armstrong Kelly, Ma Wenyue

机构信息

Michigan State University College of Human Medicine, 15 Michigan St SE, Grand Rapids, MI 49503 USA.

出版信息

Med Sci Educ. 2023 May 11;33(3):737-746. doi: 10.1007/s40670-023-01800-4. eCollection 2023 Jun.

Abstract

OBJECTIVES

Studies have demonstrated that students are able to improve their understanding of anatomy, physical exam skills, and clinical knowledge when ultrasound is incorporated into their education. This study investigates whether students enrolled in an elective with significant use of ultrasound (ACS) in their preclinical years subjectively improved their preparedness for clinical rotations, residency, and learning in several subjects.

METHODS

This was a retrospective analysis of an anonymous online needs assessment survey sent to 384 third- and fourth-year medical students. Survey items included Likert scales analyzed with a student's t-test or Chi-Square analysis and yes/no questions analyzed with Chi square, as well as demographic information.

RESULTS

201 students responded to the survey (52.3% response rate). ACS participants reported feeling more prepared for their clinical rotations than their non-ACS peers (3.5 vs. 2.33, p < 0.001 ) and felt more prepared for residency (3.12 vs 1.91, p < 0.001). ACS students also found ultrasound significantly more helpful in understanding the physical exam (69.3% vs. 53.2%, p = 0.02) and anatomy (94.7% vs. 81%, p = 0.012).

CONCLUSIONS

Student respondents expressed a desire for more ultrasound education throughout medical school. Students who participated in ACS reported feeling more prepared for their clinical rotations and residency than their non-ACS peers and were more likely to feel that ultrasound improved their understanding of anatomy and the physical exam. This study adds to the literature suggesting that increasing the quantity of ultrasound in preclinical medical education may improve students' satisfaction, learning and clinical preparedness.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-023-01800-4.

摘要

目的

研究表明,将超声纳入医学教育中,学生能够提高其对解剖学的理解、体格检查技能和临床知识。本研究调查了在临床前阶段大量使用超声的选修课程(ACS)的学生是否主观上提高了他们对临床轮转、住院医师培训以及多门学科学习的准备程度。

方法

这是一项对384名三、四年级医学生进行的匿名在线需求评估调查的回顾性分析。调查项目包括用学生t检验或卡方分析的李克特量表,以及用卡方分析的是/否问题,还有人口统计学信息。

结果

201名学生回复了调查(回复率为52.3%)。参与ACS课程的学生表示,他们比未参与ACS课程的同龄人对临床轮转的准备更充分(3.5对2.33,p<0.001),对住院医师培训的准备也更充分(3.12对1.91,p<0.001)。参与ACS课程的学生还发现超声在理解体格检查(69.3%对53.2%,p = 0.02)和解剖学(94.7%对81%,p = 0.012)方面明显更有帮助。

结论

参与调查的学生表示希望在整个医学院学习过程中接受更多的超声教育。参与ACS课程的学生比未参与ACS课程的同龄人表示对临床轮转和住院医师培训的准备更充分,并且更有可能认为超声提高了他们对解剖学和体格检查的理解。这项研究补充了相关文献,表明在临床前医学教育中增加超声的使用量可能会提高学生的满意度、学习效果和临床准备程度。

补充信息

在线版本包含可在10.1007/s40670-023-01800-4获取的补充材料。

相似文献

本文引用的文献

1
The Current Status of Ultrasound Education in United States Medical Schools.美国医学院超声教育的现状。
J Ultrasound Med. 2021 Nov;40(11):2459-2465. doi: 10.1002/jum.15633. Epub 2021 Jan 15.
3
Hand-held Ultrasound Scanners in Medical Education: A Systematic Review.医学教育中的手持式超声扫描仪:一项系统综述。
J Cardiovasc Ultrasound. 2017 Sep;25(3):75-83. doi: 10.4250/jcu.2017.25.3.75. Epub 2017 Sep 29.

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