Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

Stokke, Thomas Muri; Ruddox, Vidar; Sarvari, Sebastian Imre; Otterstad, Jan Erik; Aune, Erlend; Edvardsen, Thor

doi:10.1016/j.echo.2014.08.001

Cited by 59 publications

(64 citation statements)

References 28 publications

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“…Andersen and colleagues trained 30 fifth-year medical students, but in this study the intensity (teacher-student ratio) of hands-on teaching was not specified and the study suffered from selection bias, as the assessment of scanning quality was dependent on students’ log books, where students chose their best clips and were not evaluated in an objective test as they were in our study [11]. Stokke and colleagues briefly trained (in a four-hour course) 21 medical students using PUD, but compared their findings to auscultation and did not present objective scanning quality assessment [29]. …”

Section: Discussionmentioning

confidence: 99%

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

et al. 2017

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BackgroundTeaching cardiac ultrasound to medical students in a brief course is a challenge. We aimed to evaluate the feasibility of teaching large groups of medical students the acquisition and interpretation of cardiac ultrasound images using a pocket ultrasound device (PUD) in a short, specially designed course.MethodsThirty-one medical students in their first clinical year participated in the study. All were novices in the use of cardiac ultrasound. The training consisted of 4 hours of frontal lectures and 4 hours of hands-on training. Students were encouraged to use PUD for individual practice. Finally, the students’ proficiency in the acquisition of ultrasound images and their ability to recognize normal and pathological states were evaluated.ResultsSixteen of 27 (59%) students were able to demonstrate all main ultrasound views (parasternal, apical, and subcostal views) in a six-minute test. The most obtainable view was the parasternal long-axis view (89%) and the least obtainable was the subcostal view (58%). Ninety-seven percent of students correctly differentiated normal from severely reduced left ventricular function, 100% correctly differentiated a normal right ventricle from a severely hypokinetic one, 100% correctly differentiated a normal mitral valve from a rheumatic one, and 88% correctly differentiated a normal aortic valve from a calcified one, while 95% of them correctly identified the presence of pericardial effusion.ConclusionsTraining of medical students in cardiac ultrasound during the first clinical year using a short, focused course is feasible and enables students with modest ability to acquire the main transthoracic ultrasound views and gain proficiency in the diagnosis of a limited number of cardiac pathologies.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-017-0928-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

et al. 2017

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“…Some institutions taught students ultrasound-specific protocols such as FAST [60][61][62] or USEFUL [63] scans. Senior medical students, whose learning objectives have graduated to the diagnosing of disease in real-world patients, have demonstrated significant improvement in their ability to diagnose disease following brief, focused ultrasound teaching programs [64][65][66][67][68]. These benefits are particularly impressive when benchmarked against postgraduate medical practitioners using either physical examination [69,70] or ultrasound [71,72].…”

Section: Learning Category-incorporation Of Ultrasound Into Teaching mentioning

confidence: 91%

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

et al. 2017

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Introduction Increasingly, medical schools are integrating Point of Care Ultrasound (POCUS) into their curricula. This review investigated the available literature on how best to integrate POCUS in the teaching of medical students and the benefits of doing so. Methods Given the heterogeneous literature that has emerged on POCUS education, a scoping review was conducted. Relevant medical databases, including PubMed, MEDLINE, PsycINFO, EMBASE and CINAHL, were searched between January 1980 and August 2016, using keywords identified by the authors. Inclusion criteria were as follows: prospective or retrospective studies, observational or intervention studies, and studies describing how medical students learn to use ultrasound. Results The literature search yielded 593 articles, of which 128 met the inclusion criteria. Studies that met the inclusion criteria were sub-categorised under the following headings: those that described or evaluated an ultrasound curriculum, those that employed ultrasound as a means of teaching another topic in the curriculum (i.e., anatomy, physical examination, physiology, invasive procedures), those that investigated the learning curve of ultrasound education and those that employed adjuncts or peer mentoring to teach ultrasound. Conclusions The reviewed literature indicates that the integration of ultrasound in undergraduate medical education is both feasible and beneficial to medical students. This article is intended to inform medical educators aiming to integrate ultrasound into their medical school curricula.

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“…a minimum of 150 supervised scans) [38]. Training programmes for FCU range from 2 h to over 3 months [4,6,36,39,40]. It is important to note that even cardiology fellows are not proficient if no specific training is provided [19].…”

Section: Protocol Of Image Acquisition and Training Scheme For Non-exmentioning

confidence: 98%

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Mirabel

Celermajer²,

Beraud

et al. 2015

Archives of Cardiovascular Diseases

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Focused cardiac ultrasound (FCU) has emerged in recent years and has created new possibilities in the clinical assessment of patients both in and out of hospital. The increasing portability of echocardiographic devices, with some now only the size of a smartphone, has widened the spectrum of potential indications and users, from the senior cardiologist to the medical student. However, many issues still need to be addressed, especially the acknowledgment of the advantages and limitations of using such devices for FCU, and the extent of training required in this rapidly evolving field. In recent years, an increasing number of studies involving FCU have been published with variable results. This review outlines the evidence for the use of FCU with pocket-echo to address specific questions in daily clinical practice.

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Brief Group Training of Medical Students in Focused Cardiac Ultrasound May Improve Diagnostic Accuracy of Physical Examination

Cited by 59 publications

References 28 publications

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

The feasibility and efficacy of implementing a focused cardiac ultrasound course into a medical school curriculum

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

Pocket-sized focused cardiac ultrasound: Strengths and limitations

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