阴道超声模拟:妇产科实习的教育效益。

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Clinical Teacher Pub Date : 2025-01-09 DOI:10.1111/tct.70019
Lindsay A. Hartup, Ariana L. Lewis, Gabriel A. Medrano
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引用次数: 0

摘要

背景:阴道超声(TVUS)是妇产科(OB/GYN)的主要成像方式;然而,它高度依赖于用户。电大对医学生的教育往往是零星的和不一致的。基于模拟的训练(SBT)是一种行之有效的创新方法,可以帮助学习者安全地提高熟练程度。方法:利用动机理论和SBT理论开发电大课程。在5个妇产科实习开始时,进行了5个2小时的教育课程,包括TVUS适应症/技术教学、TVUS模拟和病理学比赛。实习结束后,我们进行了一项包含9个问题的数字调查,评估学生在TVUS的体验和舒适度。在课程开课前完成实习或未上课的学生也接受了同样的调查。这些学生作为对照组。评价:111名参加课程的学生中有89名(80.1%)完成了实习后调查,211名未参加课程的学生中有77名(36.4%)完成了实习后调查。模拟组84名观察TVUS的学生中有27名(32.1%)在妇产科实习期间进行了TVUS手术,而对照组的学生中有13名(17.1%)进行了TVUS手术(p = 0.04)。参加TVUS课程的学生报告说,他们在妇产科实习期间观察到的TVUS有了更好的理解,OR 3.11 [1.71, 5.78] (p含义:鉴于有可能改善妇产科实习期间的教育体验,应该在本科医学教育中考虑实施TVUS模拟课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transvaginal Ultrasound Simulation: Educational Benefits on Obstetrics and Gynaecology Clerkship

Background

Transvaginal ultrasound (TVUS) is the primary imaging modality in obstetrics and gynaecology (OB/GYN); however, it is highly user dependent. TVUS education for medical students is often sporadic and inconsistent. Simulation-based training (SBT) is a well-established innovation for learners to safely develop proficiency.

Approach

A TVUS curriculum was developed using motivational theory and SBT. Five 2-h educational sessions were held at the beginning of five OB/GYN clerkships, including didactics on TVUS indications/technique, TVUS simulation and a pathology competition. A digital nine-question survey assessing students' experience and comfort level with TVUS was administered after the clerkship. Students who completed their clerkship prior to the curriculum being delivered or were not present for it were administered the same survey. These students served as the control group.

Evaluation

Eighty-nine of 111 (80.1%) students who participated in the curriculum and 77/211 (36.4%) who did not participate completed the postclerkship survey. Twenty-seven of 84 (32.1%) in the simulation group who observed a TVUS performed one during their OB/GYN clerkship compared to 13/76 (17.1%) students in the control group (p = 0.04). Students present for the TVUS curriculum reported greater understanding of the TVUS they observed during their OB/GYN clerkship, OR 3.11 [1.71, 5.78] (p < 0.001); increased comfort recognising normal anatomy, OR 6.63 [3.55, 12.74] (p < 0.001); and gynecologic pathology, OR 7.56 [4.09, 14.33] (p < 0.001), on TVUS.

Implications

Implementation of TVUS simulation curricula should be considered in undergraduate medical education given the potential to improve educational experience during the OB/GYN clerkship.

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来源期刊
Clinical Teacher
Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.90
自引率
5.60%
发文量
113
期刊介绍: The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.
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