Exploring the dynamics of ultrasound training in medical education: current trends, debates, and approaches to didactics and hands-on learning.

Susan Campbell Westerway, Roxana Sirli, Florian Recker, Michael Blaivas, Christoph Frank Dietrich, Christian Jenssen, Kathleen Möller, Yi Dong, Claudia Lucius, Constantinos Zervides, Ricarda Neubauer, Anna Maria Gschmack, Sophie-Luise Sänger, Johannes Weimer, Prats Michael Ignacio, Johannes Ruppert

Journal: BMC medical education 2024;24(1):1311

PMID: 39543551

Abstract

INTRODUCTION

Medical education, especially in ultrasound training, is undergoing significant changes. This study examines practical issues in ultrasound medical education, emphasizing state-of-the-art teaching methods, their effectiveness, and implementation challenges.

METHODS

The study analyzed advancements in ultrasound education, including randomized controlled trials comparing peer-to-peer teaching with traditional faculty-led instruction. It evaluated the effectiveness of collaborative small-group training and group size impact in simulation-based training. The study also assessed practical training components outlined in the WFUMB Position Paper Part II.

RESULTS

Findings indicate that peer-to-peer and collaborative small-group training are effective and cost-efficient. Group size did not significantly affect training outcomes. Key practical training elements, including early hands-on sessions and exposure to various equipment, substantially improved learning outcomes. Simulation tools like virtual reality (VR), augmented reality (AR), and phantoms were crucial for teaching standardized procedures and rare pathologies. Challenges identified include developing robust image acquisition skills, scarcity of qualified student tutors, and the need for reliable ultrasound skill assessment methods.

CONCLUSION

Integrating peer-to-peer teaching and advanced simulation technologies significantly advances ultrasound medical education. These methods enhance cognitive and psychomotor skills but also present challenges such as ensuring quality education and developing effective assessment methods. Future research should compare different simulation tools and establish objective ultrasound proficiency assessment criteria. Continual method evaluation and improvement are essential for effective and standardized ultrasound training, ultimately enhancing patient care and clinical outcomes.

© 2024. The Author(s).

Address: Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.; University Hospital Bonn, Bonn, Germany.; Department of Ultrasound, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.; Department of Medicine, Justus Liebig University Giessen, Giessen, Germany.; Department for Internal Medicine, Krankenhaus Märkisch Oderland, Strausberg, Germany.; Brandenburg Institute for Clinical Ultrasound (BICUS) at Brandenburg Medical University, Neuruppin, Germany.; Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany.; University of South Carolina School of Medicine, Department of Medicine, Columbia, SC, USA.; The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OH, USA.; Outpatient Department of Gastroenterology, IBD Centre Helios Hospital Berlin Buch, 13125, Berlin, Germany.; Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.; Center for Advanced Research in Gastroenterology and Hepatology, Department of Gastroenterology and Hepatology, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.; Rudolf Frey Learning Clinic, University Medical Center, Johannes Gutenberg University Mainz, 55131, Mainz, Germany.; School of Dentistry & Medical Sciences, Charles Sturt University, Bathurst, Australia.; CZMH Medical Physics and Dosimetry Services LTD., Limassol, Cyprus.; University Hospital Frankfurt Johann-Wolfgang-Geothe University Frankfurt on the Main Theodor-Stern-Kai, 760596 , Frankfurt am Main, Germany. [email protected].
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