Three different ways of training ultrasound student-tutors yield significant gains in tutee's scanning-skills

التفاصيل البيبلوغرافية
العنوان:	Three different ways of training ultrasound student-tutors yield significant gains in tutee's scanning-skills
عناروين إضافية:	Drei verschiedene Trainingsmethoden für studentische Ultraschall-Tutoren führen zu signifikanten Verbesserungen der Scan-Fähigkeiten ihrer Tutees
المؤلفون:	Celebi, N, Griewatz, J, Ilg, M, Zipfel, S, Riessen, R, Hoffmann, T, Malek, NP, Pauluschke-Fröhlich, J, Debove, I, Muller, R, Fröhlich, E
المصدر:	GMS Journal for Medical Education; VOL: 36; DOC77 /20191115/
بيانات النشر:	German Medical Science GMS Publishing House; Düsseldorf 2019-11-15
نوع الوثيقة:	Electronic Resource
مستخلص:	Aim: Many medical universities rely these days on trained student tutors to enable faculty-wide undergraduate ultrasound training. However, there is neither consensus on an optimal method nor any developed and agreed standard in the training of these student tutors. Usually internships and courses are employed which have both a specific set of advantages and disadvantages. We conducted a prospective quasi-randomized study of assess the effects of three types of tutor training on the resulting improvement in scanning skills of their tutees.Methods: Three batches of student tutors were trained by a course only (C-group), by an internship only (I-group) or by a course and an internship (CI-group). The respective gains in ultrasound scanning skills of the tutees were measured prospectively. A total 75 of the 124 5th year medical students (60.5%) who attended the mandatory ultrasound course completed both pre- and post-exams on a voluntary basis. Within a limit of eight minutes and three images, they were asked to depict and label a maximum of 14 anatomical structures. Two blinded raters independently awarded two points for each label with an identifiable structure and one point for each label with a possibly identifiable structure.Results: In all three groups, the tutees improved significantly by more than doubling their pre-score results and comparably (Gains: C-group 9.19±5.73 points, p<.0001, I-group 9.77±4.81 points, p<.0001, CI-group 8.97±5.49 points, p<.0001).Conclusion: Student tutors, who were trained with a course or an internship or a course and an internship could teach scanning skills to 5th year medical students very effectively and with similar success. Ziel: Viele medizinische Universitäten bieten heutzutage mit der Hilfe von ausgebildeten studentischen Tutoren eine fakultätsweite Ultraschall-Grundausbildung an. Es gibt jedoch weder einen Konsens über eine optimale Methode noch einen verbindlichen Standard für die Ausbildung dieser studentischen Tutoren. In der Regel werden zur Ausbildung Praktika und Kurse eingesetzt, die sowohl spezifische Vor- als auch Nachteile aufweisen.Wir führten eine prospektive, quasi-randomisierte Studie durch, um die Auswirkungen von drei Arten von Tutorentraining auf die daraus resultierende Verbesserung der Scanfähigkeiten ihrer Tutees zu bewerten.Methoden: Drei Gruppen studentischer Tutoren wurden nur durch einen Kurs (K-Gruppe), nur durch eine Famulatur (F-Gruppe) oder durch einen Kurs und eine Famulatur (KF-Gruppe) geschult. Die jeweiligen Zuwächse an Scanfähigkeiten der Tutees wurden prospektiv gemessen. 75 der 124 Medizinstudenten im fünften Studienjahr (60,5%), die den curricularen Ultraschallkurs besuchten, haben sowohl den Vor- als auch den Nachtest auf freiwilliger Basis absolviert. Innerhalb von acht Minuten sollten maximal 14 anatomische Strukturen in drei Bildern dargestellt und beschriftet werden. Zwei verblindete Bewerter vergaben unabhängig voneinander zwei Punkte für jede sicher identifizierbare Struktur und einen Punkt für jede möglicherweise identifizierbare Struktur.Ergebnisse: In allen drei Gruppen verbesserten sich die Tutees signifikant, indem sie ihre Ergebnisse von vor dem Unterricht mehr als verdoppelten (Zuwachs: K-Gruppe 9,19±5,73 Punkte, p<0,0001; F-Gruppe 9,77±4,81 Punkte, p<0,0001; KF-Gruppe 8,97±5,49 Punkte, p<0,0001).Fazit: Studentische Tutoren, die mit einem Kurs oder einer Famulatur oder einem Kurs und einer Famulatur geschult wurden, konnten Medizinstudenten im 5. Jahr sehr effektiv und mit vergleichbarem Erfolg Scanfähigkeiten vermitteln.
مصطلحات الفهرس:	medical Student, ultrasound, sonography, student tutor, Medizinstudent, Ultraschall, Sonografie, Tutor, ddc: 610, article
URL:	http://nbn-resolving.de/urn:nbn:de:0183-zma0012850 http://www.egms.de/en/journals/zma/2019-36/zma001285.shtml Ahn JS, French AJ, Thiessen ME, Kendall JL. Training peer instructors for a combined ultrasound/physical exam curriculum. Teach Learn Med. 2014;26(3):292-295. DOI: 10.1080/10401334.2014.910464 Akhtar S, Theodoro D, Gaspari R, Tayal V, Sierzenski P, Lamantia J, Stahmer S, Raio C. Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference. Acad Emerg Med. 2009;16 Suppl 2:S32-36. DOI: 10.1111/j.1553-2712.2009.00589.x Bahner DP, Adkins EJ, Hughes D, Barrie M, Boulger CT, Royall NA. Integrated medical school ultrasound: development of an ultrasound vertical curriculum. Crit Ultrasound J. 2013;5(1):6. DOI: 10.1186/2036-7902-5-6 Baltarowich OH, Di Salvo DN, Scoutt LM, Brown DL, Cox CW, DiPietro MA, Glazer DI, Hamper UM, Manning MA, Nazarian LN, Neutze JA, Romero M, Stephenson JW, Dubinsky TJ. National ultrasound curriculum for medical students. Ultrasound Q. 2014;30(1):13-19. DOI: 10.1097/RUQ.0000000000000066 Blans MJ, Bosch FH. Ultrasound in acute internal medicine; time to set a European standard. Eur J Intern Med. 2017;45:51-53. DOI: 10.1016/j.ejim.2017.09.040 Cantisani V, Dietrich CF, Badea R, Dudea S, Prosch H, Cerezo E, Nuernberg D, Serra AL, Sidhu PS, Radzina M, Piscaglia F, Bachmann Nielsen M, Ewertsen C, Saftoiu A, Calliada F, Gilja OH. EFSUMB Statement on Medical Student Education in Ultrasound [long version]. Ultrasound Int Open. 2016 Mar;2(1):E2-7. DOI: 10.1055/s-0035-1569413 Celebi N, Griewatz J, Malek NP, Hoffmann T, Walter C, Muller R, Riessen R, Pauluschke-Fröhlich J, Debove I, Zipfel S, Fröhlich E. Outcomes of three different ways to train medical students as ultrasound tutors. BMC Med Educ. 2019;19:125. DOI: 10.1186/s12909-019-1556-4 Celebi N, Zwirner K, Lischner U, Bauder M, Ditthard K, Schürger S, Riessen R, Engel C, Balletshofer B, Weyrich P. Student tutors are able to teach basic sonographic anatomy effectively - a prospective randomized controlled trial. Ultraschall Med. 2012;33(2):141-145. DOI: 10.1055/s-0029-1245837 DEGUM. Arbeitsgruppe "Studierende in der DEGUM". Berlin: Deutsche Gesellschaft für Ultraschall in der Medizin e.V.; 2014. Zugänglich unter/available from: http://www.degum.de/angebote-fuer/studenten/arbeitsgruppe-studierende-der-degum.html Decara JM, Kirkpatrick JN, Spencer KT, Ward RP, Kasza K, Furlong K, Lang RM. Use of hand-carried ultrasound devices to augment the accuracy of medical student bedside cardiac diagnoses. J Am Soc Echocardiogr. 2005;18(3):257-263. DOI: 10.1016/j.echo.2004.11.015 Dinh VA, Dukes WS, Prigge J, Avila M. Ultrasound Integration in Undergraduate Medical Education: Comparison of Ultrasound Proficiency Between Trained and Untrained Medical Students. J Ultrasound Med. 2015;34(10):1819-1824. DOI: 10.7863/ultra.14.12045 Fagley RE, Haney MF, Beraud AS, Comfere T, Kohl BA, Merkel MJ, et al. Critical Care Basic Ultrasound Learning Goals for American Anesthesiology Critical Care Trainees: Recommendations from an Expert Group. Anesth Analg. 2015;120(5):1041-1053. DOI: 10.1213/ANE.0000000000000652 Fox JC, Cusick S, Scruggs W, Henson TW, Anderson CL, Barajas G, Zidenny A, McDonough J, Langdorf JI. Educational assessment of medical student rotation in emergency ultrasound. West J Emerg Med. 2007;8(3):84-87. Knobe M, Münker R, Sellei RM, Holschen M, Mooij SC, Schmidt-Rohlfing B, Niethard FU, Pape HC. Peer teaching: a randomised controlled trial using student-teachers to teach musculoskeletal ultrasound. Med Educ. 2010;44(2):148-155. DOI: 10.1111/j.1365-2923.2009.03557.x Kobal SL, Liel-Cohen N, Shimony S, Neuman Y, Konstantino Y, Dray EM, Horowitz I, Siegel RJ. Impact of Point-of-Care Ultrasound Examination on Triage of Patients With Suspected Cardiac Disease. Am J Cardiol. 2016;118(10):1583-1587. DOI: 10.1016/j.amjcard.2016.08.028 Kobal SL, Trento L, Baharami S, Tolstrup K, Naqvi TZ, Cercek B, Neuman Y, MIrocha J, Kar S, Forrester JS, Siegel RJ. Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol. 2005;96(7):1002-1006. DOI: 10.1016/j.amjcard.2005.05.060 Kühl M, Wagner R, Bauder M, Fenik Y, Riessen R, Lammerding-Köppel M, Gawaz M, Fateh-Moghadam S, Weyrich P, Celebi N. Student tutors for hands-on training in focused emergency echocardiography--a randomized controlled trial. BMC Med Educ. 2012;12:101. DOI: 10.1186/1472-6920-12-101 Müller R, Büttner P. A critical discussion of intraclass correlation coefficients. Statistics in Medicine. 1994;13:2465-2476. DOI: 10.1002/sim.4780132310 Shokoohi H, Boniface KS, Pourmand A, Liu YT, Davison DL, Hawkins KD, Buhumaid RE, Salimian M, Yadav K. Bedside Ultrasound Reduces Diagnostic Uncertainty and Guides Resuscitation in Patients With Undifferentiated Hypotension. Crit Care Med. 2015;43(12):2562-2569. DOI: 10.1097/CCM.0000000000001285 Tarique U, Tang B, Singh M, Kulasegaram KM, Ailon J. Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review. J Ultrasound Med. 2017;37(1):69-82. DOI: 10.1002/jum.14333
الإتاحة:	Open access content. Open access content http://creativecommons.org/licenses/by/4.0
ملاحظة:	GMS Journal for Medical Education; VOL: 36; DOC77 /20191115 English
أرقام أخرى:	DEDEU oai:oai-gms.dimdi.de:GAzma001285 1192476399
المصدر المساهم:	DEUTSCHE ZENTRALBIBLIOTHEK FUR MEDIZIN From OAIster®, provided by the OCLC Cooperative.
رقم الأكسشن:	edsoai.on1192476399
قاعدة البيانات:	OAIster

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