Centre for Biomedical Sciences Education, Queen's University Belfast, Belfast, UK.
Clin Teach. 2023 Oct;20(5):e13635. doi: 10.1111/tct.13635. Epub 2023 Sep 1.
Sonography is increasingly integrated into medical curricula to prepare students for clinical practice. In 2022, we conducted a systematic review to explore the degree to which ultrasound skill acquisition is incorporated into undergraduate medial education in the United Kingdom.
A search of Medline and Embase databases from 2003 to 2022 identified 15 relevant articles. Studies were included if they described ultrasound skills training in UK undergraduate medical education.
A range of teaching methods were reported including didactic demonstrations, hands-on experience and combinations thereof. Portable machines were more common than cart-based machines, and most demonstrators were ultrasound-trained clinicians. Ultrasound teaching is well received, with improvements in confidence using ultrasound, motivation to learn anatomy and retention of knowledge.
Obstacles to integration were noted including training, cost, curriculum time constraints and the issue of incidental pathology. One study demonstrated that anatomists with appropriate training could provide ultrasound teaching, reducing the need for clinicians or sonographers. Costs may be reduced by renting machines or purchasing portable/hand-held devices. Allowing access to machines during student's free time may address scheduling difficulties. A final recommendation is to pre-scan volunteers prior to the teaching session.
We have outlined approaches to ultrasound skills teaching and the inherent hurdles to this, as well as potential solutions. This may aid educators wishing to augment their curricula. Although there are relatively few studies from the United Kingdom, there is consensus that students enjoy the incorporation of ultrasound practice and believe it complements existing teaching, especially in a small group setting.
超声检查越来越多地融入医学课程，以帮助学生为临床实践做准备。2022 年，我们进行了一项系统评价，以探讨英国本科医学教育中超声技能获取的程度。
从 2003 年至 2022 年，对 Medline 和 Embase 数据库进行了检索，确定了 15 篇相关文章。如果研究描述了英国本科医学教育中的超声技能培训，则将其纳入研究。
报告了多种教学方法，包括理论演示、实践经验以及两者的结合。便携式机器比基于推车的机器更常见，大多数演示者都是经过超声培训的临床医生。超声教学很受欢迎，可以提高使用超声的信心、学习解剖的动机和知识的保留。
指出了整合过程中的障碍，包括培训、成本、课程时间限制以及偶然出现的病理学问题。一项研究表明，经过适当培训的解剖学家可以提供超声教学，从而减少对临床医生或超声技师的需求。通过租用机器或购买便携式/手持式设备可以降低成本。允许学生在空闲时间使用机器可能会解决时间安排上的困难。最后一个建议是在教学之前预先扫描志愿者。
我们概述了超声技能教学的方法以及存在的障碍和潜在的解决方案。这可能有助于希望增加课程的教育工作者。尽管来自英国的研究相对较少，但人们普遍认为学生喜欢将超声实践纳入课程，并且相信它补充了现有的教学，尤其是在小组环境中。
