Integrating Basic and Clinical Sciences Using Point-of-Care Renal Ultrasound for Preclerkship Education.
Integrating Basic and Clinical Sciences Using Point-of-Care Renal Ultrasound for Preclerkship Education.
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DOI：
10.15766/mep_2374-8265.11037
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发表时间：
2020-12-09
影响因子：
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通讯作者：
Lamba S
中科院分区：
文献类型：
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作者：
Alerhand S;Choi A;Ostrovsky I;Chen S;Ramdin C;Laboy M;Lamba S
床旁超声 (POCUS) 是床边临床护理的宝贵资产。本科医学教育越来越多地使用 POCUS 作为辅助工具，以综合方式教授解剖学、病理生理学和体检。许多医学院在实习前以基于器官系统的形式教授内容。 POCUS 教学可以非常有效地针对特定器官系统进行定制。尽管存在广义超声教育的试点课程，但很少使用 POCUS 教授基于器官系统的内容。为了弥补这一差距，我们设计并实施了一个集成的 POCUS 模块，以补充肾脏课程中的解剖学、病理生理学和体检教学。该模块包括 (1) 30 分钟的教学讲座，向学生介绍肾脏超声技术和图像解释，以及 (2) 实用的动手技能课程。模块前和模块后调查评估了课程的有效性和影响。共有 31 名一年级医学生完成了 POCUS 肾脏课程。大多数人报告该模块积极影响了他们对肾脏病理生理学和体检的理解。他们还报告称，使用 POCUS 检测肾脏病理并做出临床决策的信心增强。在医学院第一年实施POCUS课程补充肾脏系统概念的综合教学是可行的，学生也认为POCUS教学很有价值。 POCUS 为教育工作者提供了另一种工具，将基础科学和临床科学与早期医学院的相关临床技能实践相结合。
Point-of-care ultrasound (POCUS) is a valuable asset in bedside clinical care. Undergraduate medical education is increasingly using POCUS as an adjunct tool for teaching anatomy, pathophysiology, and physical exam in an integrated manner. Many medical schools teach content in an organ systems–based format in the preclerkship years. POCUS teaching can be very effectively tailored to specific organ systems. Though pilot curricula for generalized ultrasound education exist, few teach organ systems–based content using POCUS. To address this gap, we designed and implemented an integrated POCUS module to supplement anatomy, pathophysiology, and physical exam teaching in the renal course. The module consisted of (1) a 30-minute didactic lecture introducing students to renal ultrasound technique and image interpretation and (2) a practical hands-on skills session. Pre- and postmodule surveys assessed the efficacy and impact of the curriculum. A total of 31 first-year medical students completed the POCUS renal curriculum. A majority reported that the module positively affected their understanding of renal pathophysiology and the physical exam. They also reported increased confidence in using POCUS to detect renal pathology and make clinical decisions. It was feasible to implement a POCUS curriculum to supplement integrated teaching of renal system concepts in the first year of medical school, and students found POCUS teaching valuable. POCUS provides educators with another tool to integrate basic and clinical sciences with hands-on relevant clinical skills practice in early medical school years.