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Use of gelatin puzzle phantoms to teach medical students isolated ultrasound transducer movements and fundamental concepts

机译:使用明胶拼图教导医学生孤立超声传感器运动和基本概念

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Psychomotor skills related to the use of medical ultrasound are a fundamental, but often overlooked component of this ubiquitous medical imaging technology. Although discussions of image production/orientation, sonographic planes, and imaging/scanning techniques are common in existing literature, these discussions rarely address practical skills related to these basic concepts. The cognitive load of transducer movements and machine operation, in conjunction with learning the ultrasound representation of anatomy, may overwhelm a novice learner. Our goal was to develop and evaluate a set of ultrasound puzzle phantoms for students to use as they learn isolated, specific transducer movements and sonographic concepts. We intentionally created phantoms that contain objects that are likely familiar to students to reduce the cognitive load associated with simultaneously learning the ultrasound interpretation of anatomy. This preliminary evaluation of our novel, homemade, gelatin ultrasound puzzle phantoms was performed using pretests and posttests obtained by scanning an assessment phantom, and student questionnaires. Two phases of training and testing occurred with feedback from Phase 1 allowing for refinement of the puzzles and techniques for testing. Skills taught and evaluated included probe rotation, depth assessment, sliding, and tilting. Twenty-eight students attended the Phase 1 training session with positive trends in students’ abilities to use rotation, sliding, and tilting to answer questions, while only depth showed statistically significant improvements (p?=?0.021). Overall students agreed the experience a productive use of time (86%), was beneficial (93%), and would recommend to others (93%). Fifteen (54%) students returned 3 months later. There was no significant decay in skills obtained from the prior training session. In Phase 2, 134 medical students participated, and 76 (57%) completed an online questionnaire. A majority of students agreed they had a better understanding of rotation (83%), depth (80%), sliding (88%) and tilting (55%). Similar to Phase 1, many students (75%) felt the experience was beneficial. This preliminary study gave us insight into student opinions, as well as information to guide future scalability and development of additional ultrasound puzzle phantoms to aid in medical student education of isolated transducer movements and sonographic concepts prior to imaging human anatomy.
机译:与使用医用超声有关的精神电机技能是一种基本的,而且经常被忽视的这种无处不在的医学成像技术。尽管对现有文献中的图像生产/方向,超声波平面和成像/扫描技术的讨论,但这些讨论很少解决与这些基本概念有关的实用技能。换能器运动和机器操作的认知载荷与学习解剖学的超声表示,可能会压倒新手学习者。我们的目标是为学生开发和评估一组超声拼图幻影,因为他们学习孤立,具体的传感器运动和超声概念。我们故意创造了包含对学生熟悉的物体的幻影,以减少与同时学习解剖学超声解释相关的认知载荷。使用通过扫描评估幻影和学生问卷获得的预测试和后塔进行这种新颖的自制的初步评估。两相的训练和测试发生,来自阶段1的反馈,允许改进谜题和测试技术。教授和评估的技能包括探针旋转,深度评估,滑动和倾斜。二十八名学生参加了第1阶段培训课程,竞争趋势与学生使用旋转,滑动和倾斜以回答问题的积极趋势,同时只有深度显示出统计上显着的改进(P?= 0.021)。总体学生同意经验丰富地使用时间(86%),有益(93%),并向其他人推荐(93%)。十五(54%)学生3个月后返回。从事事先培训课程获得的技能没有显着衰减。在第2阶段,参加了134名医学生,76名(57%)完成了一个在线问卷。大多数学生都同意他们更好地了解旋转(83%),深度(80%),滑动(88%)和倾斜(55%)。类似于第1阶段,许多学生(75%)认为经验是有益的。这项初步研究给了我们对学生意见的洞察力,以及引导未来的可扩展性和额外的超声拼图幻影的信息,以帮助在成像人解剖学之前辅助分离的传感器运动和超声概念的医学学生教育。

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