Point-of-care Head and Neck Sonography for Clinical Problem-solving: Impact of One-day Training Sessions on Medical Student Education.

TitlePoint-of-care Head and Neck Sonography for Clinical Problem-solving: Impact of One-day Training Sessions on Medical Student Education.
Publication TypeJournal Article
Year of Publication2018
AuthorsFriedman L, Situ-LaCasse E, Acuña J, Amini R, Irving SC, Stolz LA, Sterling R, Jung C, Sanders AB, Adhikari S
JournalCureus
Volume10
Issue12
Paginatione3740
Date Published2018 Dec 17
ISSN Number2168-8184
Abstract

Introduction The curriculum for medical student education is continuously evolving to emphasize knowledge acquisition with critical problem-solving skills. Medical schools have started to implement curricula to teach point-of-care ultrasound skills. To our knowledge, the expansion into head and neck sonography for medical student education is novel and has never been studied. Our objective was to determine the feasibility of implementing point-of-care head and neck sonography and critical problem-solving instruction for medical student education. Methods This was a cross-sectional study enrolling third-year medical students with minimal prior ultrasound experience. A one-day educational curriculum focusing on the use of head and neck ultrasound for clinical problem-solving was integrated into one of the week-long intersessions. The components of point-of-care ultrasound workshop included asynchronous learning, one-hour didactic lecture, followed by a pre-test assessment, then a one-day hands-on workshop, and finally a post-test assessment administered at the end of the training session. Results A total of 123 subjects participated in this study. Ninety-one percent completed the questionnaire prior to the workshop and 83% completed the post-test questionnaire. The level of comfort with using an ultrasound system significantly increased from 31% to 92%. Additionally, the comfort level in interpreting ultrasound images also significantly increased from 21% to 84%. Eighty-nine percent (95% CI, 86%-97%) had an interest in learning ultrasound and would enroll in an optional ultrasound curriculum if given the opportunity. Knowledge of specific ultrasound applications also increased from 60% (after asynchronous learning and lectures) to 95% (after additional hands-on sonographic training). Conclusion At our institution, we successfully integrated point-of-care head and neck sonography and critical problem-solving instruction for medical student education.

DOI10.7759/cureus.3740
Alternate JournalCureus
PubMed ID30800550
PubMed Central IDPMC6384049
Faculty Reference: 
Josie G. Acuña, MD
Srikar Adhikari, MD, MS, FACEP
Richard Amini, MD
Arthur B. Sanders, MD, MHA, FACEP, FACP
Elaine Situ-LaCasse, MD
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