Pilot Project: Does formal bedside training of medical students with a FAST exam increase their knowledge and comfort level with ultrasound use in a community family medicine practice setting?

Abstract

As point of care ultrasound (PoCUS) becomes increasingly popular and a standard of care in many clinical settings, the interest for integration in medical undergraduate curriculum is also growing [1]. This project aims to assess whether formal bedside Focused Abdominal Scan for Trauma (FAST) exam training of medical students increases their knowledge and comfort with the use of bedside ultrasound in a family medicine setting at Queen’s University. Third year medical students (n=18) were recruited to participate in a training session involving a 1-hour online video and 2-hour hands-on session. Knowledge based surveys were completed before and after the training. A survey was completed 4 months after the teaching session evaluating knowledge retention, comfort, and application of skills. Student knowledge of PoCUS and FAST increased and was maintained (pre-training 56%±20%, post-training 82%±10%, p<0.001). Self-evaluation of comfort performing a FAST examination (5-point Likert scale) similarly increased post-training session (pre-training 1.4±0.8, post-training 3.8±0.9, p<0.005), but decreased 4 months later (3±1.2, p<0.005). Students in this study were unanimously interested in ultrasound training and the methods used effectively increased theoretical knowledge and comfort with use. Students did not retain their comfort levels with FAST exam 4 months after the training session, nor did they have the opportunity to utilize the skills learned. Further evidence is required to identify the applicability of these results to undergraduate curriculum development.

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

“…With growing student interest in cardiac ultrasound examination [8], multiple studies have demonstrated feasibility and benefits of integrating cardiac POCUS into the undergraduate medical education (UME) curriculum [9][10][11][12][13][14]. A comprehensive review article on cardiac POCUS in medical school education described that 12 medical schools in the United States, Canada, Norway, United Kingdom, Israel, Poland, and China have incorporated cardiac POCUS curricula [15].…”

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

“…With growing student interest in cardiac ultrasound examination [8], multiple studies have demonstrated feasibility and bene ts of integrating cardiac POCUS into the undergraduate medical education (UME) curriculum [9][10][11][12][13][14]. A comprehensive review article on cardiac POCUS in medical school education described that 12 medical schools in the United States, Canada, Norway, United Kingdom, Israel, Poland, and China have incorporated cardiac POCUS curricula [15].…”