scholarly journals Use of an online ultrasound simulator to teach the basic psychomotor skills to medical students during the initial COVID-19 breakdown (Preprint)

10.2196/31132 ◽  
2021 ◽  
Author(s):  
Jean-Yves Meuwly ◽  
Katerina Mandralis ◽  
Estelle Tenisch ◽  
Giuseppe Gullo ◽  
Pierre Frossard ◽  
...  
2021 ◽  
Author(s):  
Jean-Yves Meuwly ◽  
Katerina Mandralis ◽  
Estelle Tenisch ◽  
Giuseppe Gullo ◽  
Pierre Frossard ◽  
...  

BACKGROUND Teaching medical ultrasound (US) has gained in popularity in medical schools. Hands-on workshops are an essential part of teaching. The lockdown induced by COVID-19 kept our medical school from conducting these workshops. OBJECTIVE The aim of this paper is to describe an alternative method we used to allow our students to acquire the essential psychomotor skills requisite to produce US images. METHODS Our students should study online US courses. After this study, they had to practice exercises on a virtual simulator, using the mouse of their computer to control a simulated transducer. We measured the precision reached at the completion of simulation exercises. Before and after completion of the courses and simulator’s exercises, students had to complete a questionnaire dedicated to psychomotor skills. A general evaluation questionnaire was also submitted. RESULTS One hundred and ninety three students returned the pre-course questionnaire. One hundred and eighty four performed all the simulator exercises and 181 answered the post-course questionnaire. One hundred and ninety general evaluation questionnaires were sent and 136 returned (76%). The average pre-course score was 4.23 (SD 2.14), after exercising, the average post-course score was 6.36 (SD 1.82), with a significant improvement (p< .001). The post-course score was related to the accuracy with which the simulator exercises were performed (Spearman's rho 0.2664, p< 0.01). Nearly two-thirds (62.6%) of the students said they enjoyed working on the simulator. Seventy-nine (58.0%) students felt that they had achieved the course's objective of reproducing ultrasound images. Inadequate connection speed had been a problem for 40.2% of students. CONCLUSIONS The integration of an online simulator for the practical learning of US in remote mode has allowed substantial acquisitions in the psychomotor field of US diagnosis. Despite the absence of workshops, the students were able to learn and practice how to handle an US probe in order to reproduce standard images. CLINICALTRIAL Not considered as a RCT by our ethics committee (Req-2021-00589)


Author(s):  
Shammah A A ◽  
Abdullah M Bani Yousef ◽  
Ahmed Ali Khalid ◽  
Nasser B H ◽  
Hisham Karar

Background: The role of intubation is practiced in most respectful universities for many medical students, especially the paramedic and anesthesia students through controlled anesthesia simulation labs. Aim: The study aims to evaluate the learning outcomes of various types of intubation for paramedic and anesthesia students before and after studying two courses of airway management in the department of clinical technology. Methods: A model for measuring, comparing, and analyzing the fields of knowledge about skills and experiences obtained by the students is prepared. Students are enrolled from the emergency medical service and the anesthesia department of clinical sciences at the Faculty of Applied Medical Sciences at Umm Al-Qura University in Makkah Al-Mukarramah. Results: Psychomotor skills were the most important domain among students in EMS department, followed by airway compromise knowledge, intention or attitude, and effective communication.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Jang Sun Lim ◽  
Sanghun Lee ◽  
Han Ho Do ◽  
Kyu Ho Oh

Objectives. Lung ultrasonography (LUS) is a useful examination to identify lung problems. Unfortunately, there are currently no LUS educational programs for medical students. We designed a brief LUS training course for medical students during the ED rotation. The purpose of training was improving cognitive and psychomotor learning domains, knowledge of ultrasound, knowledge of LUS, image acquisition, and image interpretation. Methods. Forty students in their fourth year of medical school were enrolled in this study. Student achievement was evaluated through examinations of cognitive and psychomotor skills. A survey was administered following the training. Results. The average test result was 42.1 ± 13.7 before training and 82.6 ± 10.7 after training. With respect to the assessment of LUS performance, the acceptable rates for right and left anterior chest wall scanning and right and left posterolateral scanning were 95%, 97.5%, 92.5%, and 100%, respectively. The students felt a high level of confidence in their ability to administer LUS to patients after training and they agreed that inclusion of LUS training in the medical school curriculum is necessary. Conclusion. This study showed that, among the medical students without ultrasound experience, limited LUS education to improve their knowledge, image acquisition, and interpretation ability was successful.


2000 ◽  
Vol 28 (2) ◽  
pp. 550-554 ◽  
Author(s):  
Paul L. Rogers ◽  
Herbert Jacob ◽  
Edward A. Thomas ◽  
Michael Harwell ◽  
Robert L. Willenkin ◽  
...  

Author(s):  
Michael El Boghdady ◽  
Beatrice Marianne Ewalds-Kvist

AbstractSurgery is known to be a craft profession requiring individuals with specific innate aptitude for manipulative skills, and visuospatial and psychomotor abilities. The present-day selection process of surgical trainees does not include aptitude testing for the psychomotor and manual manipulative skills of candidates for required abilities. We aimed to scrutinize the significance of innate aptitudes in surgical practice and impact of training on skills by systematically reviewing their significance on the surgical task performance. A systematic review was performed in compliance with PRISMA guidelines. An initial search was carried out on PubMed/Medline for English language articles published over 20 years from January 2001 to January 2021. Search strategy and terms to be used included ‘aptitude for surgery’, ‘innate aptitude and surgical skills, ‘manipulative abilities and surgery’, and ‘psychomotor skills and surgery’. MERSQI score was applied to assess the quality of quantitatively researched citations. The results of the present searches provided a total of 1142 studies. Twenty-one studies met the inclusion criteria out of which six citations reached high quality and rejected our three null hypothesis. Consequently, the result specified that all medical students cannot reach proficiency in skills necessary for pursuing a career in surgery; moreover, playing video games and/or musical instruments does not promote skills for surgery, and finally, there may be a valid test with predictive value for novices aspiring for a surgical career. MERSQI mean score was 11.07 (SD = 0.98; range 9.25–12.75). The significant findings indicated that medical students with low innate aptitude cannot reach skills necessary for a competent career in surgery. Training does not compensate for pictorial-skill deficiency, and a skill is needed in laparoscopy. Video-gaming and musical instrument playing did not significantly promote aptitude for microsurgery. The space-relation test has predictive value for a good laparoscopic surgical virtual-reality performance. The selection process for candidates suitable for a career in surgery requests performance in a simulated surgical environment.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Situ-LaCasse ◽  
Josie Acuña ◽  
Dang Huynh ◽  
Richard Amini ◽  
Steven Irving ◽  
...  

Abstract Background Point-of-care ultrasound is becoming a ubiquitous diagnostic tool, and there has been increasing interest to teach novice practitioners. One of the challenges is the scarcity of qualified instructors, and with COVID-19, another challenge is the difficulty with social distancing between learners and educators. The purpose of our study was to determine if ultrasound-naïve operators can learn ultrasound techniques and develop the psychomotor skills to acquire ultrasound images after reviewing SonoSim® online modules. Methods This was a prospective study evaluating first-year medical students. Medical students were asked to complete four SonoSim® online modules (aorta/IVC, cardiac, renal, and superficial). They were subsequently asked to perform ultrasound examinations on standardized patients utilizing the learned techniques/skills in the online modules. Emergency Ultrasound-trained physicians evaluated medical students’ sonographic skills in image acquisition quality, image acquisition difficulty, and overall performance. Data are presented as means and percentages with standard deviation. All P values are based on 2-tailed tests of significance. Results Total of 44 medical students participated in the study. All (100%) students completed the hands-on skills evaluation with a median score of 83.7% (IQR 76.7–88.4%). Thirty-three medical students completed all the online modules and quizzes with median score of 87.5% (IQR 83.8–91.3%). There was a positive association between module quiz performance and the hands-on skills performance (R-squared = 0.45; p < 0.001). There was no statistically significant association between module performance and hands-on performance for any of the four categories individually. In all four categories, the evaluators’ observation of the medical students’ difficulty obtaining views correlated with hands-on performance scores. Conclusions Our study findings suggest that ultrasound-naïve medical students can develop basic hands-on skills in image acquisition after reviewing online modules.


2015 ◽  
Vol 2 (4) ◽  
pp. 54-61
Author(s):  
BKM Goud ◽  
S. Begam ◽  
B. Zaki ◽  
S. Haridas

INTRODUCTION: Health educators and accrediting bodies have defined objectives and competencies that medical students need to acquire to become a safe doctor. The present study was done to determine the student perception and satisfaction regarding OSPE as an assessment method of laboratory practical sessions in Biochemistry.  MATERIAL AND METHODS: During OSPE sessions hundred MBBS first year students were divided into 3 different batches. These students were asked to rotate around 10 different working stations. Each station designed to complete a task comfortably within 5 minutes. One or two rest stations of 5 minutes are given at end or in between to complete the unfinished writing work. All the students perform the same task in the same time frame. Institutional research and effectiveness office (IRO) gets the student feedbacks on OSPE will inevitably result in the refinement of the OSPE as a tool for learning and evaluation.  RESULTS: The study showed that 96.5% students agreed that OSPE questions were linked to the curriculum and 93% of students felt objectives were clear. Eight eight percent students perceived that OSPE covered a wide range of learning outcomes. Ninety five percent felt relevant psychomotor skills were assessed using agreed check list. An 86% and 81% of student perceived that it was conducted fairly and is unbiased. In terms of stress we got mixed response as 50.5% percent of students perceived OSPE to be less stressful and other half felt stressful. Seventy two percent of students agreed OSPE preparation facilitated team work. Ninety percent strongly agreed that exam scores are better and 83% said it is easier to pass. Fifty four percent of the students felt that the time given was too short; especially for procedure stations. Ninety six percent of students felt OSPE should be an integral part of assessment tool for the Biochemistry practical's.  CONCLUSION: The current study showed several advantages of OSPE as an objective, structured, unbiased, fair, valid and reliable assessment method. In view of the tremendous advantages, OSPE should be included in summative evaluation to improve student's clinical competence.DOI: http://dx.doi.org/10.3126/jucms.v2i4.12071 Journal of Universal College of Medical Sciences (2014) Vol.02 No.04 Issue 08Page: 54-61


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Sami Alnassar ◽  
Aljoharah Nasser Alrashoudi ◽  
Mody Alaqeel ◽  
Hala Alotaibi ◽  
Alanoud Alkahel ◽  
...  

2007 ◽  
Vol 27 (2) ◽  
pp. 117-127 ◽  
Author(s):  
Charles W. Sanders ◽  
Mark Sadoski ◽  
Richard M. Wasserman ◽  
Robert Wiprud ◽  
Mark English ◽  
...  

Effective and efficient techniques to teach basic clinical skills are much needed in medical education. Many of these skills are psychomotor, and mental imagery rehearsal has been effective in learning psychomotor skills in many fields. We conducted a fully randomized experiment to determine if mental imagery rehearsal was effective compared with physical practice in learning venipuncture (blood drawing) skills by medical students. All participants first received a lecture-demonstration on venipuncture and 30 minutes of guided physical practice on artificial plastic arms. One treatment group received an additional 30 minutes of such practice. Another treatment group received a 30-minute session of guided imagery. A control group received no additional training. Both treatment groups demonstrated improved performance on a live venipuncture compared to the control group and did not significantly differ from each other. Hence, imagery rehearsal offers a very cost-effective method of learning this basic clinical skill.


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