Stepwise Development of a Simulation-Based Musculoskeletal Ultrasound Curriculum for Physical Medicine and Rehabilitation Residents.

IF 1.6 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Sarahrose Jonik, Terry Brosche, Michele Favreau, Paul Haidet, Neyha G Cherin
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引用次数: 0

Abstract

Objectives: Musculoskeletal ultrasound (MSKUS) is a required part of Physical Medicine and Rehabilitation (PM&R) residency training, yet there remains a lack of standardized educational framework guiding its implementation across residency programs. While structured MSKUS curricula exist, variability in institutional resources limits generalizability. Moreover, there has been comparatively less focus on the advantages of incorporating longitudinal, simulation-based learning, which has been proven to enhance skill acquisition, clinical confidence, and patient safety. This study aims to address gaps in MSKUS curriculum by presenting the development and evaluation of a longitudinal, simulation-based MSKUS curriculum tailored to an academic PM&R residency program.

Methods: A longitudinal, simulation-based MSKUS curriculum was developed and implemented for PM&R residents at an academic institution from 2021 to 2025. The curriculum underwent iterative refinement each year in response to resident feedback, institutional needs, and evolving best practices. Core components included simulation-based scanning, near-peer instruction, standardized patients (SPs), and structured assessments aligned with progressive learning milestones. The curriculum designed was informed by Kern's six-step model and guided by Miller's Pyramid to support skill development from knowledge acquisition to clinical application.

Results: Feedback from curriculum implementation demonstrated increased clinical confidence and competence in MSKUS skill. Residents highlighted the value of active learning, clinical relevance, and peer collaboration. Iterative refinements addressed logistical barriers and aligned content with learner progression across PGY levels.

Conclusion: This simulation-based MSKUS curriculum provides an adaptable framework for PM&R residency programs. By emphasizing hands-on practice with SPs, team-based learning, and iterative feedback, it fosters skill development, mentorship, and sustainable ultrasound education applicable across diverse training environments.

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Abstract Image

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基于模拟的肌肉骨骼超声课程在物理医学和康复住院医师中的逐步发展。
目的:肌肉骨骼超声(MSKUS)是物理医学和康复(PM&R)住院医师培训的必要部分,但仍然缺乏标准化的教育框架来指导其在住院医师计划中的实施。虽然存在结构化的MSKUS课程,但机构资源的可变性限制了普遍性。此外,相对较少关注结合纵向、基于模拟的学习的优势,这已被证明可以增强技能习得、临床信心和患者安全。本研究旨在通过展示纵向的、基于模拟的MSKUS课程的开发和评估来解决MSKUS课程中的差距,该课程是为学术PM&R住院医师计划量身定制的。方法:从2021年到2025年,在某学术机构为PM&R住院医师开发并实施了一套纵向的、基于模拟的MSKUS课程。课程每年都会根据居民的反馈、机构的需求和不断发展的最佳实践进行迭代改进。核心组件包括基于模拟的扫描、近同伴指导、标准化患者(SPs)和与渐进式学习里程碑相一致的结构化评估。课程设计以Kern的六步模型为基础,以Miller的金字塔理论为指导,支持从知识获取到临床应用的技能发展。结果:课程实施的反馈表明临床对MSKUS技能的信心和能力有所提高。住院医师强调了主动学习、临床相关性和同伴合作的价值。迭代改进解决了逻辑障碍,并使内容与跨PGY级别的学习者进展保持一致。结论:这个基于模拟的MSKUS课程为PM&R住院医师项目提供了一个适应性强的框架。通过强调SPs的实践、团队学习和迭代反馈,它促进了技能发展、指导和可持续的超声教育,适用于不同的培训环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Education and Curricular Development
Journal of Medical Education and Curricular Development EDUCATION, SCIENTIFIC DISCIPLINES-
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发文量
62
审稿时长
8 weeks
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