Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study

Abstract Background Ultrasound is one of the most important imaging techniques in clinical medicine with unique advantages. Skills in ultrasound imaging are very usefull for physicians including novices and thus also mandated by the Task Force “National Competence-Based Learning Objectives for Under...

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Main Authors: Nora Celebi, Jan Griewatz, Nisar P. Malek, Sarah Krieg, Toni Kuehnl, Reinhold Muller, Jan Pauluschke-Fröhlich, Ines Debove, Reimer Riessen, Stephan Zipfel, Eckhart Fröhlich
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-019-1611-1
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author Nora Celebi
Jan Griewatz
Nisar P. Malek
Sarah Krieg
Toni Kuehnl
Reinhold Muller
Jan Pauluschke-Fröhlich
Ines Debove
Reimer Riessen
Stephan Zipfel
Eckhart Fröhlich
author_facet Nora Celebi
Jan Griewatz
Nisar P. Malek
Sarah Krieg
Toni Kuehnl
Reinhold Muller
Jan Pauluschke-Fröhlich
Ines Debove
Reimer Riessen
Stephan Zipfel
Eckhart Fröhlich
author_sort Nora Celebi
collection DOAJ
description Abstract Background Ultrasound is one of the most important imaging techniques in clinical medicine with unique advantages. Skills in ultrasound imaging are very usefull for physicians including novices and thus also mandated by the Task Force “National Competence-Based Learning Objectives for Undergraduate Medical Education” (NKLM) in Germany and as well as by the German Ultrasound Society (Deutsche Gesellschaft für Ultraschall in der Medizin, DEGUM). Since ultrasound is best learned hands-on in very small supervised groups, we developed and implemented a comprehensive ultrasound-curriculum for all undergraduate medical students of our faculty using a peer-teaching concept. Methods We used Kern‘s six-step model of curricular development comprising (1) problem identification and general needs assessment, (2) needs assessment of the targeted learners, (3) goals and objectives, (4) educational stategies, (5) implementation, and (6) evaluation and feedback. Results The developed curriculum covers basic ultrasound of the abdomen and the throat, eFAST (Extended Focused Assessment with Sonography for Trauma), lung-ultrasound, FEEL (Focused Echocardiography in Emergency Life Support) and compression duplex sonography of the thigh deep vein system. All 5th year medical students receive a 90 min lecture on ultrasound basics by a faculty member and then a 12.5 h hands-on course divided into three sessions with one student tutor for every 4 students. The students are provided with a script (PDF-File) that covers all the learning goals, including example images of pathologies. The student tutors are trained during a 1 week ultrasound course and a 21-day rotation through seven different ultrasound laboratories. In addition, they undergo a standardized 1.5 day didactical training. Prior to the implementation for all students, the overall course was tested on 27 volunteer students. These students rated (on a 6-point Likert scale from 1 = excellent to 6 = very poor) the satisfaction with the student tutors and the faculty members as 1.4 ± .9 (mean ± stddev) and 1.3 ± .5 respectively. Conclusion A comprehensive ultrasound curriculum for all undergraduate medical students using a peer-teaching concept is feasible. Further studies are needed to evaluate in detail the learning outcomes for students and student tutors.
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spelling doaj.art-ae46844c73514747a1ddcd13fadc1b3e2022-12-22T00:29:21ZengBMCBMC Medical Education1472-69202019-05-011911810.1186/s12909-019-1611-1Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility studyNora Celebi0Jan Griewatz1Nisar P. Malek2Sarah Krieg3Toni Kuehnl4Reinhold Muller5Jan Pauluschke-Fröhlich6Ines Debove7Reimer Riessen8Stephan Zipfel9Eckhart Fröhlich10PHV Dialysis Center WaiblingenEberhard-Karls University, Competence Centre for University Teaching in MedicineDepartment of Internal Medicine I (Gastroenterology, Hepatology, Infectious Diseases), University Hospital TübingenMedical Faculty, Eberhard-Karls UniversityMedical Faculty, Eberhard-Karls UniversityProfessorial Research Fellow AITHM, James Cook UniversityDepartment of Gynecology, University Hospital TübingenDepartment of Neurology, InselspitalDepartment of Internal Medicine, Intensive Care Unit, University Hospital TübingenDepartment of Internal Medicine VI (Psychosomatic medicine), University Hospital TübingenDepartment of Internal Medicine I (Gastroenterology, Hepatology, Infectious Diseases), University Hospital TübingenAbstract Background Ultrasound is one of the most important imaging techniques in clinical medicine with unique advantages. Skills in ultrasound imaging are very usefull for physicians including novices and thus also mandated by the Task Force “National Competence-Based Learning Objectives for Undergraduate Medical Education” (NKLM) in Germany and as well as by the German Ultrasound Society (Deutsche Gesellschaft für Ultraschall in der Medizin, DEGUM). Since ultrasound is best learned hands-on in very small supervised groups, we developed and implemented a comprehensive ultrasound-curriculum for all undergraduate medical students of our faculty using a peer-teaching concept. Methods We used Kern‘s six-step model of curricular development comprising (1) problem identification and general needs assessment, (2) needs assessment of the targeted learners, (3) goals and objectives, (4) educational stategies, (5) implementation, and (6) evaluation and feedback. Results The developed curriculum covers basic ultrasound of the abdomen and the throat, eFAST (Extended Focused Assessment with Sonography for Trauma), lung-ultrasound, FEEL (Focused Echocardiography in Emergency Life Support) and compression duplex sonography of the thigh deep vein system. All 5th year medical students receive a 90 min lecture on ultrasound basics by a faculty member and then a 12.5 h hands-on course divided into three sessions with one student tutor for every 4 students. The students are provided with a script (PDF-File) that covers all the learning goals, including example images of pathologies. The student tutors are trained during a 1 week ultrasound course and a 21-day rotation through seven different ultrasound laboratories. In addition, they undergo a standardized 1.5 day didactical training. Prior to the implementation for all students, the overall course was tested on 27 volunteer students. These students rated (on a 6-point Likert scale from 1 = excellent to 6 = very poor) the satisfaction with the student tutors and the faculty members as 1.4 ± .9 (mean ± stddev) and 1.3 ± .5 respectively. Conclusion A comprehensive ultrasound curriculum for all undergraduate medical students using a peer-teaching concept is feasible. Further studies are needed to evaluate in detail the learning outcomes for students and student tutors.http://link.springer.com/article/10.1186/s12909-019-1611-1Medical studentSonographyUltrasoundUndergraduatePeer teachingImplementation
spellingShingle Nora Celebi
Jan Griewatz
Nisar P. Malek
Sarah Krieg
Toni Kuehnl
Reinhold Muller
Jan Pauluschke-Fröhlich
Ines Debove
Reimer Riessen
Stephan Zipfel
Eckhart Fröhlich
Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
BMC Medical Education
Medical student
Sonography
Ultrasound
Undergraduate
Peer teaching
Implementation
title Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
title_full Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
title_fullStr Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
title_full_unstemmed Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
title_short Development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students – a feasibility study
title_sort development and implementation of a comprehensive ultrasound curriculum for undergraduate medical students a feasibility study
topic Medical student
Sonography
Ultrasound
Undergraduate
Peer teaching
Implementation
url http://link.springer.com/article/10.1186/s12909-019-1611-1
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