Allsop Sarah, Gandhi Sanjay, Ridley Nicholas, Spear Michelle
School of Anatomy, Faculty of Health Sciences, University of Bristol, Southwell Street, Bristol, BS2 8EJ, UK.
Radiology Department, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB, UK.
Transl Res Anat. 2021 Jan;22:100088. doi: 10.1016/j.tria.2020.100088. Epub 2020 Sep 12.
There is an intrinsic link between radiology and anatomy and the importance of being able to convert knowledge from 3D structure to 2D image, and vice versa. Medical students must learn how to use anatomical knowledge to interpret radiological images, and with the increasing use of point-of-care ultrasound in clinical practice, the ability to interpret ultrasound scans is becoming more of a core skill for graduating doctors.
Several recent systematic reviews of the literature have been undertaken showing the benefits of incorporating ultrasound in anatomy teaching, including appreciation of the dynamic nature of living anatomy, better understanding of anatomical structure, and improved motivation to study. However, there is a lack of consensus in the way ultrasound teaching should be incorporated into undergraduate medical anatomy.
This article reflects on a pilot of integrating ultrasound into the medical undergraduate anatomy teaching in the School of Anatomy at the University of Bristol. It shares the experience and how some of the challenges cited in the literature have been approached.
To help others negotiate the challenges of implementing this valuable teaching experience, a 'Six Step Model' for developing a live ultrasound pilot for undergraduate medical anatomy is offered: Expertise, Education, Ethics, Environment, Equipment, Enlist.
放射学与解剖学之间存在内在联系，能够将知识从三维结构转换为二维图像，反之亦然，这一点至关重要。医学生必须学会如何运用解剖学知识解读放射影像，而且随着临床实践中即时超声检查的使用日益增多，解读超声扫描结果的能力正逐渐成为毕业医生的一项核心技能。
最近进行的几项文献系统综述表明，将超声纳入解剖学教学有诸多益处，包括认识活体解剖的动态特性、更好地理解解剖结构以及提高学习积极性。然而，在将超声教学纳入本科医学解剖学的方式上，尚未达成共识。
本文反思了布里斯托大学解剖学系将超声整合到医学本科解剖学教学中的一项试点情况。它分享了经验以及如何应对文献中提到的一些挑战。
为帮助他人应对实施这一宝贵教学经验的挑战，本文提供了一个为本科医学解剖学开发实时超声试点的“六步模型”：专业知识、教育、伦理、环境、设备、招募。
