Abstract
Background
While there is an increasing interest in incorporating ultrasound in undergraduate medical education and the use of student tutors in conveying this medical skill to assist faculty members, little is known about undergraduate ultrasound teaching in obstetrics and gynecology.
Methods
After a 3 week training of the student tutors, the student tutors joined an undergraduate ultrasound educational program to teach practical round students. After being certified, the student tutors organized a pre-test, gave a presentation about ultrasound, and then supervised the hands on ultrasound course under faculty staff supervision for round students. Finally, the practical round students had to answer a post-test with image recognition. The practical round students had to evaluate the course using a Likert scale.
Results
111 students joined this ultrasound course. The objective theoretical and practical multiple-choice questions’ (MCQ) test showed a statistically significant improvement (50 vs. 90%, p < 0.05). The practical round students expressed a high acceptance (Likert 1.7) and subjective medical skill learning (Likert 1.8). The students also positively graded the student tutors (Likert 1.3).
Conclusion
Student tutor-based undergraduate obstetrical and gynecological ultrasound course is a useful method to teach a medical skill and is well accepted by students.
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References
American Institute of Ultrasound in Medicine and American College of Obstetricians and Gynecologists (2014) AIUM practice guideline for the performance of ultrasound of the female pelvis. J Ultrasound Med 33(6):1122–1130. https://doi.org/10.7863/ultra.33.6.1122
DEGUM Mehrstufenkonzept & Zertifizierung. https://www.degum.de/sektionen/radiologie/mehrstufenkonzept-zertifizierung.html. Accessed 21 Oct 2017
Green J, Kahan M, Wong S (2015) Obstetric and gynecologic resident ultrasound education project. J Ultrasound Med 34(9):1583–1589. https://doi.org/10.7863/ultra.15.14.10067
Hoppmann RA, Rao VV, Bell F, Poston MB, Howe DB, Riffle S, Harris S, Riley R, McMahon C, Wilson LB, Blanck E, Richeson NA, Thomas LK, Hartman C, Neuffer FH, Keisler BD, Sims KM, Garber MD, Shuler CO, Blaivas M, Chillag SA, Wagner M, Barron K, Davis D, Wells JR, Kenney DJ, Hall JW, Bornemann PH, Schrift D, Hunt PS, Owens WB, Smith RS, Jackson AG, Hagon K, Wilson SP, Fowler SD, Catroppo JF, Rizvi AA, Powell CK, Cook T, Brown E, Navarro FA, Thornhill J, Burgis J, Jennings WR, McCallum JB, Nottingham JM, Kreiner J, Haddad R, Augustine JR, Pedigo NW, Catalana PV (2015) The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience. Crit Ultrasound J 7(1):18. https://doi.org/10.1186/s13089-015-0035-3
Nikendei C, Huber J, Stiepak J, Huhn D, Lauter J, Herzog W, Jünger J, Krautter M (2014) Modification of Peyton’s four-step approach for small group teaching—a descriptive study. BMC Med Educ 14:68–68. https://doi.org/10.1186/1472-6920-14-68
Elizondo-Omaña RE, Morales-Gómez JA, Morquecho-Espinoza O, Hinojosa-Amaya JM, Villarreal-Silva EE, García-Rodríguez MdlA, Guzmán-López S (2010) Teaching skills to promote clinical reasoning in early basic science courses. Anat Sci Educ 3(5):267–271
Hoppmann R, Harper S, Harris S, Howe D, Poston MB, Rao V, Riffle S, Riley R (2014) Ultrasound: a core clinical competency for medical students. J S C Med Assoc 110:54–57
Hoppmann R, Cook T, Hunt P, Fowler S, Paulman L, Wells J, Richeson N, Thomas L, Wilson B, Neuffer F, McCallum J, Smith S (2006) Ultrasound in medical education: a vertical curriculum at the University of South Carolina School of Medicine. J S C Med Assoc 102:330–334
Hamza A, Solomayer E-F, Takacs Z, Juhasz-Boes I, Joukhadar R, Radosa JC, Mavrova R, Marc W, Volk T, Meyberg-Solomayer G (2016) Introduction of basic obstetrical ultrasound screening in undergraduate medical education. Arch Gynecol Obstet 294(3):479–485. https://doi.org/10.1007/s00404-015-4002-9
Blackstock U, Munson J, Szyld D (2015) Bedside ultrasound curriculum for medical students: report of a blended learning curriculum implementation and validation. J Clin Ultrasound 43(3):139–144
Ng C, Tsung JW (2015) Avoiding computed tomography scans by using point-of-care ultrasound when evaluating suspected pediatric renal colic. J Emerg Med 49:165–171
Solomon SD, Saldana F (2014) Point-of-care ultrasound in medical education—stop listening and look. N Engl J Med. https://doi.org/10.1056/NEJMp1311944
Pawlina W, Drake R (2015) New (or not-so-new) tricks for old dogs: ultrasound imaging in anatomy laboratories. Anat Sci Educ. https://doi.org/10.1002/ase.1533
Brown B, Adhikari S, Marx J, Lander L, Todd GL (2012) Introduction of ultrasound into gross anatomy curriculum: perceptions of medical students. J Emerg Med. https://doi.org/10.1016/j.jemermed.2012.01.041
Johnson EO, Charchanti AV, Troupis TG (2012) Modernization of an anatomy class: from conceptualization to implementation. A case for integrated multimodal–multidisciplinary teaching. Anat Sci Educ 5(6):354–366
Ahn JS, French AJ, Thiessen ME, Kendall JL (2014) Training peer instructors for a combined ultrasound/physical exam curriculum. Teach Learn Med. https://doi.org/10.1080/10401334.2014.910464
Saarlandes Ud (2017) sonoBYstudents—Der Sonokurs von Studierenden für Studierende. Universitätsklinikum des Saarlandes. https://www.uniklinikum-saarland.de/einrichtungen/kliniken_institute/kinder_und_jugendmedizin/lehre/sonobystudents/. Accessed 23 Aug 2017
Norman G (2010) Likert scales, levels of measurement and the “laws” of statistics. Adv Health Sci Educ 15(5):625–632
Celebi N, Zwirner K, Lischner U, Bauder M, Ditthard K, Schürger S, Riessen R, Engel C, Balletshofer B, Weyrich P (2012) Student tutors are able to teach basic sonographic anatomy effectively–a prospective randomized controlled trial. Ultraschall in der Medizin-European Journal of Ultrasound 33(02):141–145
Hoppmann RA, Rao VV, Poston MB, Howe DB, Hunt PS, Fowler SD, Paulman LE, Wells JR, Richeson NA, Catalana PV (2011) An integrated ultrasound curriculum (iUSC) for medical students: 4-year experience. Crit Ultrasound J 3(1):1
Weyrich P, Schrauth M, Kraus B, Habermehl D, Netzhammer N, Zipfel S, Jünger J, Riessen R, Nikendei C (2008) Undergraduate technical skills training guided by student tutors—analysis of tutors' attitudes, tutees' acceptance and learning progress in an innovative teaching model. BMC Med Educ 8(1):18. https://doi.org/10.1186/1472-6920-8-18
Hoppmann R, Hunt P, Louis H et al (2011) Medical student identification of knee effusion by ultrasound. ISRN Rheumatol. 2011:874596. https://doi.org/10.5402/2011/874596
Acknowledgements
The authors of the paper would like to thank the committee of the Teach-the-Teacher program for inspiring us to improve the standard of medical education. We also would like to thank all the students for submitting their feedback that lead to the accomplishment of this work.
Funding
The study and manuscript were funded by the Department of Obstetrics and Gynecology, University of Saarland.
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AH: conceptualization, methodology and project administration, validation of data and writing of the manuscript, and qualification of the tutors. JCR: formal analysis, reviewing, and editing. E-FS: funding and supervising the project, and reviewing and editing. ZT: data curation, and reviewing and editing. IJ-B: reviewing and editing. RS: reviewing and editing. RJ: reviewing and editing. NN-T: conceptualization, reviewing and editing, and basic training of the student tutors. ET: conceptualization, reviewing and editing, and basic training of the student tutors. MZ: project administration and supervision, and reviewing and editing. GM-S: conceptualization, formal analysis, methodology, project adminstration and supervision, and reviewing and editing the manuscript.
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Hamza, A., Radosa, J.C., Solomayer, EF. et al. Introduction of a student tutor-based basic obstetrical ultrasound screening in undergraduate medical education. Arch Gynecol Obstet 300, 59–66 (2019). https://doi.org/10.1007/s00404-019-05161-5
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DOI: https://doi.org/10.1007/s00404-019-05161-5