远程教学与腹部、胸部和甲状腺超声的实践教学——TELUS II 研究。

Teledidactic Versus Hands-on Teaching of Abdominal, Thoracic, and Thyroid Ultrasound-The TELUS II Study.

机构信息

Department of Rheumatology and Clinical Immunology, Clinic of Internal Medicine III, University Hospital Bonn, Bonn, Germany.

Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.

出版信息

J Gen Intern Med. 2024 Aug;39(10):1803-1810. doi: 10.1007/s11606-024-08760-4. Epub 2024 Apr 12.

Abstract

BACKGROUND

The worldwide COVID-19 pandemic has initiated a change in medical education and the development of new teaching concepts has become inevitable to maintain adequate training.

OBJECTIVE

This pilot study aims to compare teledidactic teaching with traditional face-to-face teaching for abdominal, thoracic, and thyroid ultrasound.

DESIGN

Concurrently, a teledidactic and a face-to-face ultrasound course were held. The students completed seven 90-min modules using mobile ultrasound probes (Butterfly IQ). Each module consisted of a lecture, a demonstration of probe guidance, and independent training.

PARTICIPANTS

A total of thirty medical students took part in the study and were randomly assigned to a teledidactic and a face-to-face group.

MAIN MEASURES

An objective structured assessment of ultrasound skills (OSAUS) was performed as a pre-test and as the final exam and ultrasound images obtained during the exam were evaluated using the brightness mode quality ultrasound imaging examination (B-QUIET) scale.

KEY RESULTS

No significant difference between the two cohorts on the OSAUS final exam was shown (p > 0.05 in all modules). There was a significant difference in the assessment of the images in the focused assessment with sonography for trauma (FAST) (p 0.015) and aorta (p 0.017) modules. Students in the teledidactic group performed better in both modules, scoring 33.59 (± 2.61) out of 44 in the module FAST (face-to-face group 30.95 (± 1.76)) and aortic images averaged 35.41 (± 2.61) points (face-to-face group 32.35 (± 3.08)).

CONCLUSIONS

A teledidactic course for abdominal and thoracic ultrasound examinations is equally effective to traditional face-to-face teaching in this pilot study. Digital implementation with a portable ultrasound machine could be a great opportunity to promote ultrasound education worldwide and over great distances.

摘要

背景

全球 COVID-19 大流行促使医学教育发生变革,为保证培训质量,开发新的教学理念势在必行。

目的

本初步研究旨在比较远程教学与传统面对面教学在腹部、胸部和甲状腺超声检查中的效果。

设计

同时开展远程教学和面对面教学超声课程。学生使用移动超声探头(Butterfly IQ)完成七个 90 分钟模块的学习。每个模块包括讲座、探头引导演示和独立训练。

参与者

共有 30 名医学生参加了本研究,他们被随机分配到远程教学组和面对面教学组。

主要观察指标

采用客观结构化超声技能评估(OSAUS)进行预测试和期末考试,并使用亮度模式质量超声成像检查(B-QUIET)量表评估考试期间获得的超声图像。

主要结果

两组学生在 OSAUS 期末考试中无显著差异(所有模块中 p > 0.05)。在焦点评估超声用于创伤(FAST)和主动脉检查(p 0.015 和 p 0.017)模块中,两组学生的图像评估结果存在显著差异。远程教学组学生在这两个模块中的表现均优于面对面教学组,FAST 模块得分为 33.59(±2.61)(面对面教学组 30.95(±1.76)),主动脉图像平均得分为 35.41(±2.61)(面对面教学组 32.35(±3.08))。

结论

在本初步研究中,远程教学课程在腹部和胸部超声检查方面与传统面对面教学同样有效。使用便携式超声机进行数字化教学可能是在全球范围内远距离推广超声教育的绝佳机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0afa/11282015/0542d4758d9c/11606_2024_8760_Fig1_HTML.jpg

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