Pilot Point-of-Care Ultrasound Curriculum at Harvard Medical School: Early Experience

Overview

Journal West J Emerg Med

Specialty Emergency Medicine

Date 2016 Nov 12

PMID 27833681

Citations 52

Authors

Joshua S Rempell

Fidencio Saldana

Donald DiSalvo

Navin Kumar

Michael B Stone

Wilma Chan

Jennifer Luz

Vicki E Noble

Andrew Liteplo

Heidi Kimberly

Minna J Kohler

Affiliations

Soon will be listed here.

Abstract

Introduction: Point-of-care ultrasound (POCUS) is expanding across all medical specialties. As the benefits of US technology are becoming apparent, efforts to integrate US into pre-clinical medical education are growing. Our objective was to describe our process of integrating POCUS as an educational tool into the medical school curriculum and how such efforts are perceived by students.

Methods: This was a pilot study to introduce ultrasonography into the Harvard Medical School curriculum to first- and second-year medical students. Didactic and hands-on sessions were introduced to first-year students during gross anatomy and to second-year students in the physical exam course. Student-perceived attitudes, understanding, and knowledge of US, and its applications to learning the physical exam, were measured by a post-assessment survey.

Results: All first-year anatomy students (n=176) participated in small group hands-on US sessions. In the second-year physical diagnosis course, 38 students participated in four sessions. All students (91%) agreed or strongly agreed that additional US teaching should be incorporated throughout the four-year medical school curriculum.

Conclusion: POCUS can effectively be integrated into the existing medical school curriculum by using didactic and small group hands-on sessions. Medical students perceived US training as valuable in understanding human anatomy and in learning physical exam skills. This innovative program demonstrates US as an additional learning modality. Future goals include expanding on this work to incorporate US education into all four years of medical school.

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References

Shapiro R, Ko P, Jacobson S . A pilot project to study the use of ultrasonography for teaching physical examination to medical students. Comput Biol Med. 2002; 32(6):403-9. DOI: 10.1016/s0010-4825(02)00033-1. View

Arger P, Schultz S, Sehgal C, Cary T, Aronchick J . Teaching medical students diagnostic sonography. J Ultrasound Med. 2005; 24(10):1365-9. DOI: 10.7863/jum.2005.24.10.1365. View

Bahner D, Adkins E, Hughes D, Barrie M, Boulger C, Royall N . Integrated medical school ultrasound: development of an ultrasound vertical curriculum. Crit Ultrasound J. 2013; 5(1):6. PMC: 3701608. DOI: 10.1186/2036-7902-5-6. View

Barloon T, Brown B, Abu-Yousef M, Ferguson K, Schweiger G, Erkonen W . Teaching physical examination of the adult liver with use of real-time sonography. Acad Radiol. 1998; 5(2):101-3. DOI: 10.1016/s1076-6332(98)80129-3. View

Afonso N, Amponsah D, Yang J, Mendez J, Bridge P, Hays G . Adding new tools to the black bag--introduction of ultrasound into the physical diagnosis course. J Gen Intern Med. 2010; 25(11):1248-52. PMC: 2947631. DOI: 10.1007/s11606-010-1451-5. View

Dinh V, Frederick J, Bartos R, Shankel T, Werner L . Effects of ultrasound implementation on physical examination learning and teaching during the first year of medical education. J Ultrasound Med. 2014; 34(1):43-50. DOI: 10.7863/ultra.34.1.43. View

Kobal S, Trento L, Baharami S, Tolstrup K, Naqvi T, Cercek B . Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol. 2005; 96(7):1002-6. DOI: 10.1016/j.amjcard.2005.05.060. View

Yoo M, Villegas L, Jones D . Basic ultrasound curriculum for medical students: validation of content and phantom. J Laparoendosc Adv Surg Tech A. 2005; 14(6):374-9. DOI: 10.1089/lap.2004.14.374. View

Syperda V, Trivedi P, Melo L, Freeman M, Ledermann E, Smith T . Ultrasonography in preclinical education: a pilot study. J Am Osteopath Assoc. 2008; 108(10):601-5. View

10.

DeCara J, Kirkpatrick J, Spencer K, Ward R, Kasza K, Furlong K . Use of hand-carried ultrasound devices to augment the accuracy of medical student bedside cardiac diagnoses. J Am Soc Echocardiogr. 2005; 18(3):257-63. DOI: 10.1016/j.echo.2004.11.015. View

11.

Bahner D, Royall N . Advanced ultrasound training for fourth-year medical students: a novel training program at The Ohio State University College of Medicine. Acad Med. 2012; 88(2):206-13. DOI: 10.1097/ACM.0b013e31827c562d. View

12.

Shmueli H, Burstein Y, Sagy I, Perry Z, Ilia R, Henkin Y . Briefly trained medical students can effectively identify rheumatic mitral valve injury using a hand-carried ultrasound. Echocardiography. 2013; 30(6):621-6. DOI: 10.1111/echo.12122. View

13.

Kessler C, Bhandarkar S . Ultrasound training for medical students and internal medicine residents--a needs assessment. J Clin Ultrasound. 2010; 38(8):401-8. DOI: 10.1002/jcu.20719. View

14.

Hoppmann R, Rao V, Poston M, Howe D, Hunt P, Fowler S . An integrated ultrasound curriculum (iUSC) for medical students: 4-year experience. Crit Ultrasound J. 2011; 3(1):1-12. PMC: 3064888. DOI: 10.1007/s13089-011-0052-9. View

15.

Butter J, Grant T, Egan M, Kaye M, Wayne D, Carrion-Carire V . Does ultrasound training boost Year 1 medical student competence and confidence when learning abdominal examination?. Med Educ. 2007; 41(9):843-8. DOI: 10.1111/j.1365-2923.2007.02848.x. View

16.

Gogalniceanu P, Sheena Y, Kashef E, Purkayastha S, Darzi A, Paraskeva P . Is basic emergency ultrasound training feasible as part of standard undergraduate medical education?. J Surg Educ. 2010; 67(3):152-6. DOI: 10.1016/j.jsurg.2010.02.008. View

17.

Solomon S, Saldana F . Point-of-care ultrasound in medical education--stop listening and look. N Engl J Med. 2014; 370(12):1083-5. DOI: 10.1056/NEJMp1311944. View

18.

Angtuaco T, Hopkins R, DuBose T, Bursac Z, Angtuaco M, Ferris E . Sonographic physical diagnosis 101: teaching senior medical students basic ultrasound scanning skills using a compact ultrasound system. Ultrasound Q. 2007; 23(2):157-60. DOI: 10.1097/01.ruq.0000263847.00185.28. View

19.

Bahner D, Goldman E, Way D, Royall N, Liu Y . The state of ultrasound education in U.S. medical schools: results of a national survey. Acad Med. 2014; 89(12):1681-6. DOI: 10.1097/ACM.0000000000000414. View

20.

Moore C, Copel J . Point-of-care ultrasonography. N Engl J Med. 2011; 364(8):749-57. DOI: 10.1056/NEJMra0909487. View