Effect of Ultrasonography on Student Learning of Shoulder Anatomy and Landmarks

Vries, Kristen D. de; Brown, Rebecca; Mazzie, Joseph P.; Jung, Min-Kyung; Yao, Sheldon; Terzella, Michael J.

doi:10.7556/jaoa.2018.006

Cited by 11 publications

(14 citation statements)

References 8 publications

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“…Our findings are consistent with those of other recent studies of MSK US in medical education. de Vries et al evaluated first‐year medical students at an osteopathic medical school and found that students with MSK US experience along with traditional anatomic instruction had greater levels of confidence and accuracy in evaluating anatomic landmarks of the shoulder. Woods et al also evaluated the use of US for improving the palpation skills of physicians in training and found that after US instruction on the skill of locating the long‐head biceps tendon, the accuracy of palpating the tendon improved from 20% to 52%.…”

Section: Discussionmentioning

confidence: 99%

Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Walrod

Boucher

Conroy

et al. 2018

J of Ultrasound Medicine

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Objectives Our purpose was to determine whether ultrasound (US)‐aided instruction and practice on musculoskeletal anatomy would improve first‐year medical students’ ability to locate and identify specific soft tissue structures by unaided palpation in the upper and lower extremities of healthy human models. Methods This study was a randomized crossover design with 49 first‐year medical students randomly assigned to 1 of 2 groups. Each group was provided expert instruction and hands‐on practice using US to scan and study soft tissue structures. During session 1, group A learned the anatomy of the upper extremities, whereas group B learned the lower. Students were then tested on their proficiency in locating 4 soft tissue structures (2 upper and 2 lower extremities) through palpation of a human model. During session 2, group A learned lower extremities, and group B learned upper. At the end of session 2, students repeated the assessment. Results After the first instructional session, neither group performed significantly better on identifying and locating the soft tissue landmarks they learned aided by US. After the second instructional session, however, scores for both groups increased approximately 20 percentage points, indicating that both groups performed significantly better on palpating and identifying both the upper and lower extremity soft tissue landmarks (Cohen d = 0.89 and 0.82, respectively). Conclusions Time and practice viewing soft tissue structures with US assistance seems to have a “palpation‐with‐eyes” effect that improves students’ abilities to correctly locate, palpate, and identify limb‐specific soft tissue structures once the US assistance is removed.

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Section: Discussionmentioning

confidence: 99%

Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Walrod

Boucher

Conroy

et al. 2018

J of Ultrasound Medicine

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“…Through additional ultrasound sessions, we also hope to not only increase confidence in those who are less confident but also to increase student confidence in physical exam maneuvers [24,25]. Anatomy, physical examination skills, and confidence in sonography can all be addressed through additional didactic and hand-on ultrasound sessions.…”

Section: Total N 18mentioning

confidence: 99%

Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Nausheen

Young

Brazil

et al. 2020

Ultrasound Int Open

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Determine the confidence level and ability of first year medical students to identify abdominal structures using a wireless portable ultrasound scanner.The students were assessed for their confidence and ability to perform abdominal ultrasound. The 5-point Likert survey included questions on their perception about ultrasound as a resource for learning anatomy, physical examination skills, and the quality of the pre-session instructions. Data was also recorded by the faculty about the students’ ultrasound skills and confidence. Goodman and Kruskal's gamma was used to demonstrate an association between the students’ ability to identify the structures and the self-reported student confidence level. Most of the students had confidence and were able to identify the liver, kidney, and urinary bladder, while almost half of them needed faculty help them to identify the inferior vena cava and aorta. The spleen and gall bladder were the most difficult to locate even for the very confident students. The perception of supervising faculty was that the confidence level was low in most of the students and only 13–20% of students felt “very confident” about performing ultrasound. Almost 37% needed encouragement and support and almost 10% of the students were not willing to try to locate difficult organs. Some students started locating the ureteric jet and portal vein. Most of the students agreed that ultrasound is an excellent resource for learning anatomy and physical examination skills. All students suggested having more ultrasound sessions. Most of the students feel confident about performing ultrasound and they perceive that ultrasound can enhance their basic sciences and physical examination skills.

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“…The results of the scoring data analysis showed a signi cant improvement in the accuracy of palpation, rather than speed, leading to an increase in the overall score. By using US images, students can learn the palpation technique by obtaining visual feedback 5,13 . This might be one of the reasons why the students recruited in our study obtained more accurate palpation skills for each landmark.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, systematic learning courses for improving palpation skills using US images have been developed to take advantage of the US images recently 10 . There has also been an increasing number of interventional studies on the usefulness of US imaging as a tool to improve the palpation skills of medical students or residents [11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Ultrasound-Guided Palpation Intervention for Palpation Skill Training: A Single-Blind, Parallel Group, Randomised Controlled Trial

Kitagawa

Aoki

Sugimoto

et al. 2021

Preprint

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Although there are increasing reports on the usefulness of sonopalpation with ultrasound imaging, many previous studies have reported interventions without a control group. This single-blind, parallel group randomised controlled trial aimed to determine whether educational instruction with sonopalpation for medical students has a superior effect on skill improvement than traditional instruction without ultrasonography. Twenty-nine medical students participated in the study and were randomised using block randomisation into an ultrasound imaging group (n = 15) and a control group (n = 14). Then, they underwent three training sessions focusing on the shoulder joint. Participants underwent a scoring assessment of their palpation skills at pre-intervention, post-intervention, and follow-up 3 months after training. The raters were blinded to the subjects’ group. The Friedman and Mann–Whitney U tests were used for data analysis. The intervention group showed a significant increase in scores at post-intervention and at the 3-month follow-up when compared with the pre-intervention group (p < 0.05); the effect sizes were large (0.849 and 0.849, respectively). A comparison of the scores at different time points after the intervention at the 3-month follow-up revealed that there was no significant difference between the groups. Education using ultrasound images may improve the sonopalpation skills of medical students.

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Effect of Ultrasonography on Student Learning of Shoulder Anatomy and Landmarks

Abstract: Ultrasonography in the preclinical curriculum may improve medical students' confidence in and accuracy of palpation.

Cited by 11 publications

References 8 publications

Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Beyond Bones: Assessing Whether Ultrasound‐Aided Instruction and Practice Improve Unassisted Soft Tissue Palpation Skills of First‐Year Medical Students

Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

Evaluation of an Ultrasound-Guided Palpation Intervention for Palpation Skill Training: A Single-Blind, Parallel Group, Randomised Controlled Trial

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