Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Walrod, Bryant; Boucher, Laura C.; Conroy, Mary Carol; McCamey, Kendra; Hartz, Clinton; Way, David P.; Jonesco, Michael A.; Albrechta, Steven; Bockbrader, Marcia; Bahner, David P.

doi:10.1002/jum.14894

Cited by 9 publications

(11 citation statements)

References 23 publications

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“…For each group of participants, before the course started, a scoring assessment of the participants' palpation skills in terms of accuracy and time was conducted with reference to previous studies 18 . In summary, the scoring test comprised an assessment of the accuracy and time required to palpate five tissues randomly selected for palpation by each participant from 30 tissues around the shoulder joint.…”

Section: Methodsmentioning

confidence: 99%

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Randomised controlled trial for evaluation of an ultrasound-guided palpation intervention for palpation skill training

Kitagawa

Aoki

Sugimoto

et al. 2022

Sci Rep

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Although there are increasing reports on the usefulness of sonopalpation with ultrasound imaging, many previous studies have reported interventions without a control group. This single-blind, parallel-group randomised controlled trial aimed to determine whether educational instruction with sonopalpation for physical therapy students has a more superior effect on skill improvement than traditional instruction without ultrasonography. Twenty-nine physical therapy students participated in the study and were randomised using block randomisation into an ultrasound imaging group (n = 15) and a control group (n = 14). Subsequently, they underwent three training sessions focusing on the shoulder joint. Participants underwent a scoring assessment of their palpation skills at pre-intervention, post-intervention, and follow-up 3 months after training. The raters were blinded to the subjects’ group. The Friedman and Mann–Whitney U tests were used for data analysis. The intervention group showed a significant increase in scores at post-intervention and the 3-month follow-up; the effect sizes were large (0.849 and 0.849, respectively). A comparison of the scores at different time points after the intervention at the 3-month follow-up revealed no significant difference between the groups. Education using ultrasound imaging may be non-inferior to education without it; nevertheless, further studies are needed to demonstrate superiority.

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Section: Methodsmentioning

confidence: 99%

“…Many preliminary studies have reported improvements in palpation skills using US imaging 5 , 6 , 10 – 12 , 16 – 18 . However, most of these were observational studies that did not examine confounders or interventional studies without a control group.…”

Section: Introductionmentioning

confidence: 99%

Randomised controlled trial for evaluation of an ultrasound-guided palpation intervention for palpation skill training

Kitagawa

Aoki

Sugimoto

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…For each group of participants, before the course started, a scoring assessment of the participants' palpation skills in terms of accuracy and time was conducted with reference to previous studies 14 . In summary, the scoring test comprised an assessment of the accuracy and time required to palpate ve tissues randomly selected for palpation by each participant from 30 tissues around the shoulder joint.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, systematic learning courses for improving palpation skills using US images have been developed to take advantage of the US images recently 10 . There has also been an increasing number of interventional studies on the usefulness of US imaging as a tool to improve the palpation skills of medical students or residents [11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Ultrasound-Guided Palpation Intervention for Palpation Skill Training: A Single-Blind, Parallel Group, Randomised Controlled Trial

Kitagawa

Aoki

Sugimoto

et al. 2021

Preprint

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Although there are increasing reports on the usefulness of sonopalpation with ultrasound imaging, many previous studies have reported interventions without a control group. This single-blind, parallel group randomised controlled trial aimed to determine whether educational instruction with sonopalpation for medical students has a superior effect on skill improvement than traditional instruction without ultrasonography. Twenty-nine medical students participated in the study and were randomised using block randomisation into an ultrasound imaging group (n = 15) and a control group (n = 14). Then, they underwent three training sessions focusing on the shoulder joint. Participants underwent a scoring assessment of their palpation skills at pre-intervention, post-intervention, and follow-up 3 months after training. The raters were blinded to the subjects’ group. The Friedman and Mann–Whitney U tests were used for data analysis. The intervention group showed a significant increase in scores at post-intervention and at the 3-month follow-up when compared with the pre-intervention group (p < 0.05); the effect sizes were large (0.849 and 0.849, respectively). A comparison of the scores at different time points after the intervention at the 3-month follow-up revealed that there was no significant difference between the groups. Education using ultrasound images may improve the sonopalpation skills of medical students.

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“…In learning to perform physical examinations of the musculoskeletal system, Walrod et al [ 27 ] demonstrated that ultrasonography appeared effective in helping students locate and identify soft tissue structures on palpation compared to bony structures. Subsequent research conducted by the same group has suggested that ultrasound assistance might improve students’ abilities to correctly locate, palpate, and identify soft tissue structures in the limbs, provided they be allowed sufficient hands-on practice [ 28 ]. Ruiz-Curiel et al [ 29 ] showed that medical students’ skills in detecting joint inflammation on palpation significantly improved when using ultrasonography as an educational tool for feedback through a five-session training program over 13 weeks.…”

Section: Ultrasound As a Tool For Learning Basic Sciences And Physical Examination Skillsmentioning

confidence: 99%

Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University

et al. 2022

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The concept of point-of-care ultrasound has been widely accepted owing to the development of portable ultrasound systems and growing body of evidence concerning its extensive utility. Thus, it is reasonable to suggest that training to use this modality be included in undergraduate medical education. Training in ultrasonography helps medical students learn basic subjects such as anatomy and physiology, improve their physical examination skills, and acquire diagnostic and procedural skills. Technological advances such as simulators, affordable handheld devices, and tele-ultrasound systems can facilitate undergraduate ultrasound education. Several reports have indicated that some medical schools have integrated ultrasound training into their undergraduate medical curricula. Jichi Medical University in Japan has been providing medical students with ultrasound education to fulfill part of its mission to provide medical care to rural areas. Vertical integration of ultrasound education into a curriculum seems reasonable to ensure skill retention and improvement. However, several issues have hampered the integration of ultrasound into medical education, including a lack of trained faculty, the need to recruit human models, requisition of ultrasound machines for training, and limited curricular space; proposed solutions include peer teaching, students as trained simulated patients, the development of more affordable handheld devices, and a flipped classroom approach with access to an e-learning platform, respectively. A curriculum should be developed through multidisciplinary and bottom-up student-initiated approaches. Formulating national and international consensuses concerning the milestones and curricula can promote the incorporation of ultrasound training into undergraduate medical education at the national level.

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Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Cited by 9 publications

References 23 publications

Randomised controlled trial for evaluation of an ultrasound-guided palpation intervention for palpation skill training

Randomised controlled trial for evaluation of an ultrasound-guided palpation intervention for palpation skill training

Evaluation of an Ultrasound-Guided Palpation Intervention for Palpation Skill Training: A Single-Blind, Parallel Group, Randomised Controlled Trial

Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University

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