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

Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University.
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本科医学教育的超声检查:吉奇医科大学实施的全面审查和教育计划。

DOI:
10.1007/s10396-021-01178-z
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发表时间:
2022-04
期刊:
Journal of medical ultrasonics (2001)
影响因子:
--
通讯作者:
Itoh K
Itoh K
中科院分区:
其他
文献类型:
--
作者:
Kameda T;Taniguchi N;Konno K;Koibuchi H;Omoto K;Itoh K

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由于便携式超声系统的发展和越来越多的证据表明其广泛的实用性,床旁超声的概念已被广泛接受。因此,有理由建议在本科医学教育中包括使用这种方式的培训。超声检查培训有助于医学生学习解剖学和生理学等基础学科,提高他们的体检技能,并获得诊断和程序技能。技术进步,如模拟器,负担得起的手持设备,和远程超声系统可以促进本科超声教育。一些报告表明,一些医学院已将超声培训纳入其本科医学课程。日本智医大学一直在为医学生提供超声教育,以履行其为农村地区提供医疗保健的部分使命。超声教育垂直整合到课程似乎是合理的,以确保技能的保留和提高。然而,一些问题阻碍了超声纳入医学教育,包括缺乏训练有素的教师,需要招募人体模型,征用超声机器进行培训,以及课程空间有限;提出的解决方案包括同伴教学、学生作为训练有素的模拟患者、开发更实惠的手持设备以及可访问电子学习平台的翻转课堂方法,分别应通过多学科和自下而上的学生发起的方法来制定课程。制定有关里程碑和课程的国家和国际共识,可以促进超声培训纳入国家一级的本科医学教育。
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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