Z Gastroenterol 2024; 62(10): 1718-1723
DOI: 10.1055/a-2356-7906
Übersicht

Student Ultrasound Education, Current Views and Controversies; Who Should be Teaching?

Ultraschallausbildung für Studierende, aktuelle Ansichten und Kontroversen; Wer sollte unterrichten?
1   Department of Hematology, Oncology and Palliative Care, Brandenburg an der Havel University Hospital, Brandenburg an der Havel, Germany (Ringgold ID: RIN72208)
2   Brandenburg Institute for Clinical Ultrasound (BICUS), Brandenburg Medical School Theodor Fontane, Neuruppin, Germany (Ringgold ID: RIN477107)
,
Helmut Prosch
3   Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria (Ringgold ID: RIN27271)
,
Michael Blaivas
4   Department of Medicine, University of South Carolina School of Medicine, Columbia, United States (Ringgold ID: RIN12322)
,
Anna Maria Gschmack
5   Department of Medicine, Justus Liebig University Giessen, Giessen, Germany (Ringgold ID: RIN9175)
,
Roman Hari
6   Dean's office, Medical Faculty, University of Bern, Bern, Switzerland (Ringgold ID: RIN27210)
,
Beatrice Hoffmann
7   Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, United States (Ringgold ID: RIN1859)
8   Harvard Medical School, Boston, United States (Ringgold ID: RIN1811)
,
9   Department for Internal Medicine, Krankenhaus Märkisch Oderland GmbH, Strausberg, Germany
10   Department for Internal Medicine, Krankenhaus Märkisch Oderland GmbH, Wriezen, Germany
2   Brandenburg Institute for Clinical Ultrasound (BICUS), Brandenburg Medical School Theodor Fontane, Neuruppin, Germany (Ringgold ID: RIN477107)
,
Kathleen Möller
11   Medical Department I/Gastroenterology, Sana Hospital Lichtenberg, Berlin, Germany (Ringgold ID: RIN40656)
,
Ricarda Neubauer
12   University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
Nasenien Nourkami-Tutdibi
13   Department of General Pediatrics and Neonatology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany (Ringgold ID: RIN39072)
,
Florian Recker
14   Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
Johannes Peter Ruppert
5   Department of Medicine, Justus Liebig University Giessen, Giessen, Germany (Ringgold ID: RIN9175)
,
Friederike Von Wangenheim
15   Otto von Guericke University Magdeburg, Magdeburg, Germany (Ringgold ID: RIN9376)
,
Johannes Weimer
16   Rudolf Frey Teaching Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany (Ringgold ID: RIN39068)
,
Susan Campbell Westerway
17   School of Dentistry & Medical Sciences, Charles Sturt University, Bathurst, Australia (Ringgold ID: RIN1109)
,
Constantinos Zervides
18   CZMH Limassol Medical Physics and Dosimetry Services Ltd, Lemesos, Cyprus
,
19   Allgemeine Innere Medizin (DAIM) Kliniken Beau Site, Salem und Permanence, Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland
› Author Affiliations

Abstract

Acquiring diagnostic ultrasound competencies and skills is crucial in modern health care, and achieving the practical experience is vital in developing the necessary anatomy interpretation and scan acquisition skills. However, traditional teaching methods may not be sufficient to provide hands-on practice, which is essential for this skill acquisition. This paper explores various modalities and instructors involved in ultrasound education to identify the most effective approaches. The field of ultrasound instruction is enriched by the diverse roles of physicians, anatomists, peer tutors, and sonographers. All these healthcare professionals can inspire and empower the next generation of ultrasound practitioners with continuous training and support. Physicians bring their clinical expertise to the table, while anatomists enhance the understanding of anatomical knowledge through ultrasound integration. Peer tutors, often medical students, provide a layer of social congruence and motivation to the learning process. Sonographers provide intensive practical experience and structured learning plans to students. By combining different instructors and teaching methods, success can be achieved in ultrasound education. An ultrasound curriculum organized by experts in the field can lead to more efficient use of resources and better learning outcomes. Empowering students through peer-assisted learning can also ease the burden on faculty. Every instructor must receive comprehensive didactic training to ensure high-quality education in diagnostic ultrasound.

Zusammenfassung

Der Erwerb diagnostischer Ultraschallkompetenzen und -fähigkeiten ist im modernen Gesundheitswesen von entscheidender Bedeutung. Praktische Erfahrungen sind für die Entwicklung der notwendigen Fähigkeiten zur Interpretation der Anatomie und zur Erfassung von Auffälligkeiten unerlässlich. Herkömmliche Lehrmethoden reichen möglicherweise nicht aus, um diese praktischen Fähigkeiten zu vermitteln. In diesem Beitrag werden verschiedene an der Ultraschallausbildung beteiligte Lehrgruppen untersucht, um effektive Lehrmethoden zu ermitteln. Die Ultraschallausbildung wird durch verschiedene Berufsgruppen in Lehrrollen wie Ärzten, Anatomen, Peer-Tutoren und Sonographers bereichert. Alle diese Akteure können die nächste Generation von Ultraschallanwendern durch kontinuierliche Schulung und Unterstützung inspirieren und befähigen. Ärzte bringen ihr klinisches Fachwissen ein, während Anatomen das Verständnis für anatomisches Wissen durch die Integration des Ultraschalls verbessern. Peer-Tutoren sorgen für soziale Kongruenz und Motivation im Lernprozess. Sogenannte Sonographer bieten den Studierenden praktische Erfahrungen und strukturierte Lehrpläne. Durch die Kombination verschiedener an der Ausbildung beteiligter Berufsgruppen und Lehrmethoden kann ein größtmöglicher Lernerfolg erzielt werden. Ein Lehrplan, der von Spezialisten auf dem jeweiligen Gebiet strukturiert und organisiert wird, kann zu einer effizienteren Nutzung der Ressourcen und besseren Lernergebnissen führen. Die Befähigung der Studierenden durch peer-gestützte Lehre kann auch zu einer Entlastung der akademischen Lehrkräfte führen. Es ist von hoher Wichtigkeit. dass jeder Ausbilder eine umfassende didaktische Ausbildung erhält.



Publication History

Received: 01 April 2024

Accepted after revision: 23 June 2024

Article published online:
29 July 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
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  • References

  • 1 Dietrich CF, Hoffmann B, Abramowicz J. et al. Medical Student Ultrasound Education: A WFUMB Position Paper, Part I. Ultrasound Med Biol 2019; 45: 271-281
  • 2 Nicholls D, Sweet L, Westerway SC. et al. The key to using a learning or skill acquisition plan. Australas J Ultrasound Med 2014; 17: 141-145
  • 3 Nicholls D, Sweet L, Muller A. et al. A model to teach concomitant patient communication during psychomotor skill development. Nurse Educ Today 2018; 60: 121-126
  • 4 Dietrich CF, Sirli RL, Barth G. et al. Student ultrasound education – current views and controversies. Ultraschall Med 2024;
  • 5 Knobe M, Münker R, Sellei RM. et al. Peer teaching: a randomised controlled trial using student-teachers to teach musculoskeletal ultrasound. Med Educ 2010; 44: 148-155
  • 6 Olaussen A, Reddy P, Irvine S. et al. Peer-assisted learning: time for nomenclature clarification. Med Educ Online 2016; 21: 30974
  • 7 Wolf R, Geuthel N, Gnatzy F. et al. Undergraduate ultrasound education at German-speaking medical faculties: a survey. GMS J Med Educ 2019; 36: Doc34
  • 8 König S, Stieger P, Sippel S. et al. Train-the-Trainer: Professionalisation of Didactics in Daily Clinical Routine – the Personal Perception of Clinical Teaching Staff with Respect to Didactic Competence and the Framework Conditions of Teaching. Zentralbl Chir 2019; 144: 551-559
  • 9 Notheisen T, Seibel A, Eichholz R. et al. Concept of a module “Train the Trainer” for the DGAI learning system “Anaesthesia Focussed Sonography”. Anasthesiologie und Intensivmedizin 2013; 54: 80-87
  • 10 Scaramelli E, Roletto A, Bonfitto GR. et al. How to run successful tutor-training programs for radiographers: A systematic review and considerations for future perspectives. J Med Imaging Radiat Sci 2024;
  • 11 Kefala-Karli P, Sassis L, Sassi M. et al. Introduction of ultrasound-based living anatomy into the medical curriculum: a survey on medical students’ perceptions. Ultrasound J 2021; 13: 47
  • 12 Smith CF, Barfoot S. Implementation of Ultrasound in Anatomy Education. Adv Exp Med Biol 2021; 1317: 111-130
  • 13 Doomernik DE, van Goor H, Kooloos JGM. et al. Longitudinal retention of anatomical knowledge in second-year medical students. Anat Sci Educ 2017; 10: 242-248
  • 14 Holda MK, Stefura T, Koziej M. et al. Alarming decline in recognition of anatomical structures amongst medical students and physicians. Ann Anat 2019; 221: 48-56
  • 15 Kooloos JGM, Bergman EM, Scheffers M. et al. The Effect of Passive and Active Education Methods Applied in Repetition Activities on the Retention of Anatomical Knowledge. Anat Sci Educ 2020; 13: 458-466
  • 16 Smith JP, Kendall JL, Royer DF. Improved medical student perception of ultrasound using a paired anatomy teaching assistant and clinician teaching model. Anat Sci Educ 2018; 11: 175-184
  • 17 Kameda T, Taniguchi N, Konno K. et al. Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University. J Med Ultrason (2001) 2022; 49: 217-230
  • 18 Merz E, Evans DH, Dong Y. et al. History of ultrasound in obstetrics and gynaecology from 1971 to 2021 on occasion of the 50 years anniversary of EFSUMB. Med Ultrason 2022;
  • 19 Dietrich CF, Bolondi L, Duck F. et al. History of Ultrasound in Medicine from its birth to date (2022), on occasion of the 50 Years Anniversary of EFSUMB. A publication of the European Federation of Societies for Ultrasound In Medicine and Biology (EFSUMB), designed to record the historical development of medical ultrasound. Med Ultrason 2022; 24: 434-450
  • 20 Prosch H, Radzina M, Dietrich CF. et al. Ultrasound Curricula of Student Education in Europe: Summary of the Experience. Ultrasound Int Open 2020; 6: E25-E33
  • 21 Perkins GD, Hulme J, Bion JF. Peer-led resuscitation training for healthcare students: a randomised controlled study. Intensive Care Med 2002; 28: 698-700
  • 22 Bapuji R, Eagles D, Ferreira N. et al. Comparison of peer-assisted learning with expert-led learning in medical school ultrasound education: a systematic review and meta-analysis. CJEM 2024; 26: 188-197
  • 23 Hari R, Caprez R, Dolmans D. et al. Describing Ultrasound Skills Teaching by Near-Peer and Faculty Tutors Using Cognitive Apprenticeship. Teach Learn Med 2024; 36: 33-42
  • 24 Ten Cate O, Durning S. Peer teaching in medical education: twelve reasons to move from theory to practice. Med Teach 2007; 29: 591-599
  • 25 Hofer M, Kamper L, Heussen N. et al. Influence of Clinical Expertise Between Clinician-Instructors Versus Student-Instructors on the Effectiveness of Ultrasound Courses. Ultraschall Med 2022; 43: 58-63
  • 26 Szalai C, Shehada SE, Iancu S. et al. Does the clinical experience of a tutor influence how students learn extended focused assessment with sonography for trauma: A randomized controlled trial. Med Teach 2022; 1-6
  • 27 Blohm M, Lauter J, Branchereau S. et al. “Peer-assisted learning” (PAL) in the Skills-Lab--an inventory at the medical faculties of the Federal Republic of Germany. GMS Z Med Ausbild 2015; 32: Doc10
  • 28 Celebi N, Zwirner K, Lischner U. et al. Student tutors are able to teach basic sonographic anatomy effectively – a prospective randomized controlled trial. Ultraschall Med 2012; 33: 141-145
  • 29 Garcia-Casasola G, Sanchez FJ, Luordo D. et al. Basic Abdominal Point-of-Care Ultrasound Training in the Undergraduate: Students as Mentors. J Ultrasound Med 2016; 35: 2483-2489
  • 30 Herrmann-Werner A, Gramer R, Erschens R. et al. Peer-assisted learning (PAL) in undergraduate medical education: An overview. Z Evid Fortbild Qual Gesundhwes 2017; 121: 74-81
  • 31 Kuhl M, Wagner R, Bauder M. et al. Student tutors for hands-on training in focused emergency echocardiography--a randomized controlled trial. BMC Med Educ 2012; 12: 101
  • 32 Nourkami-Tutdibi N, Hofer M, Zemlin M. et al. TEACHING MUST GO ON: flexibility and advantages of peer assisted learning during the COVID-19 pandemic for undergraduate medical ultrasound education – perspective from the “sonoBYstudents” ultrasound group. GMS J Med Educ 2021; 38: Doc5
  • 33 Nourkami-Tutdibi N, Tutdibi E, Schmidt S. et al. Long-Term Knowledge Retention after Peer-Assisted Abdominal Ultrasound Teaching: Is PAL a Successful Model for Achieving Knowledge Retention?. Ultraschall Med 2020; 41: 36-43
  • 34 Weimer JM, Widmer N, Strelow KU. et al. Long-Term Effectiveness and Sustainability of Integrating Peer-Assisted Ultrasound Courses into Medical School-A Prospective Study. Tomography 2023; 9: 1315-1328
  • 35 Hamza A, Radosa JC, Solomayer EF. et al. Introduction of a student tutor-based basic obstetrical ultrasound screening in undergraduate medical education. Arch Gynecol Obstet 2019; 300: 59-66
  • 36 Recker F, Barth G, Lo H. et al. Students’ Perspectives on Curricular Ultrasound Education at German Medical Schools. Front Med (Lausanne) 2021; 8: 758255
  • 37 Loda T, Erschens R, Nikendei C. et al. Qualitative analysis of cognitive and social congruence in peer-assisted learning – The perspectives of medical students, student tutors and lecturers. Med Educ Online 2020; 25: 1801306
  • 38 Schmidt HG, Moust JH. What makes a tutor effective? A structural-equations modeling approach to learning in problem-based curricula. Acad Med 1995; 70: 708-714
  • 39 Ten Cate O, Durning S. Dimensions and psychology of peer teaching in medical education. Med Teach 2007; 29: 546-552
  • 40 Celebi N, Griewatz J, Ilg M. et al. Three different ways of training ultrasound student-tutors yield significant gains in tutee’s scanning-skills. GMS J Med Educ 2019; 36: Doc77
  • 41 Hari R, Kalin K, Birrenbach T. et al. Near-peer compared to faculty teaching of abdominal ultrasound for medical students – A randomized-controlled trial. Ultraschall Med 2023;
  • 42 Nicholls D, Sweet L, Muller A. et al. Teaching psychomotor skills in the twenty-first century: Revisiting and reviewing instructional approaches through the lens of contemporary literature. Med Teach 2016; 38: 1056-1063
  • 43 Nicholls D, Sweet L, Skuza P. et al. Sonographer Skill Teaching Practices Survey: Development and initial validation of a survey instrument. Australas J Ultrasound Med 2016; 19: 109-117