EFSUMB Statement on Medical Student Education in Ultrasound [long version]

Cantisani, Vito; Dietrich, C. F.; Badea, Radu; Dudea, Sorin M; Prosch, Helmut; Cerezo, E.; Nuernberg, Dieter; Serra, Andreas L.; Sidhu, Paul S.; Radziņa, Maija; Piscaglia, Fabio; Nielsen, Michael Bachmann; Ewertsen, Caroline; Săftoiu, Adrian; Calliada, Fabrizio; Gilja, Odd Helge

doi:10.1055/s-0035-1569413

Cited by 64 publications

(80 citation statements)

References 36 publications

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“…These discursive rationales are increasingly repeated by advocates of integrating ultrasound into UME, contributing to the legitimacy of the position. Two institutional bodies have issued policy statements in support of widespread ultrasound integration . Across North America and worldwide, medical schools are implementing ultrasound‐integrated curricula, encouraged by the publication of ‘ultrasound competencies’ .…”

Section: Discussionmentioning

confidence: 99%

“…Two institutional bodies have issued policy statements in support of widespread ultrasound integration. 53,92 Across North America and worldwide, medical schools are implementing ultrasound-integrated curricula, encouraged by the publication of 'ultrasound competencies'. 93 The incorporation of ultrasound in UME would require financial investment (for the purchase and maintenance of ultrasound machines), and temporal sacrifices (a reduction in the time available for other topics in the curriculum).…”

Section: Rationale 3: Ultrasound Improves Medical Students' Diagnostimentioning

confidence: 99%

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Ultrasound in undergraduate medical education: a systematic and critical review

et al. 2017

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IntroductionPoint-of-care ultrasound (POCUS) use in clinical care is growing rapidly, and advocates have recently proposed the integration of ultrasound into undergraduate medical education (UME). The evidentiary basis for this integration has not been evaluated critically or systematically. In this study, we conducted a critical and systematic review framed by the rationales enumerated by advocates of ultrasound in UME in academic publications. MethodsThis research was conducted in two phases. First, the dominant discursive rationales for the integration of ultrasound in UME were identified using techniques from Foucauldian critical discourse analysis (CDA) from an archive of 403 academic publications. We then sought empirical evidence in support of theses rationales, using a critical synthesis methodology also adapted from CDA. ResultsWe identified four dominant discursive rationales, with different levels of evidentiary support. Ultrasound was not demonstrated to improve students' understanding of anatomy. The benefit of ultrasound in teaching physical examination was inconsistent, and rests on minimal evidence. With POCUS, students' diagnostic accuracy was improved for certain pathologies, but findings were inconsistent for others. Finally, the rationale that ultrasound training in UME will improve quality of patient care was difficult to evaluate. DiscussionOur analysis has shown that the frequently repeated rationales for the integration of ultrasound in UME are not supported by a sufficient base of empirical research. The repetition of these dominant discursive rationales in academic publications legitimizes them and may preclude further primary research. Since the value of clinical ultrasound use by medical students remains unproven, educators must consider whether the associated financial and temporal costs are justified or whether more research is required.

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Section: Discussionmentioning

confidence: 99%

Section: Rationale 3: Ultrasound Improves Medical Students' Diagnostimentioning

confidence: 99%

Ultrasound in undergraduate medical education: a systematic and critical review

et al. 2017

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“…Nevertheless, minimum standards for the integration of undergraduate medical US education are needed to overcome competing interests and to encourage the dialogue between medical specialists, medical faculty members, deans and medical students. Based on the results of this study and a literature review [17], [18], [19], [28], [36], [41] we suggest a possible framework and the following milestones on the way to a longitudinal undergraduate medical US curriculum: …”

Section: Discussionmentioning

confidence: 99%

“…The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) recently promoted undergraduate medical US education within European medical faculties and formulated steps to achieve this goal [28]. …”

Section: Introductionmentioning

confidence: 99%

Undergraduate ultrasound education at German-speaking medical faculties: a survey

Wolf¹,

Geuthel

Gnatzy

et al. 2019

GMS Journal for Medical Education; 36(4):Doc34

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“…Since some skills are expected even from novice physicians [6], [7], there is a broad consent to incorporate ultrasound training into the undergraduate education [8], [9], [10]. The Task Force National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM) in Germany even mandates the teaching of ultrasound skills [http://www.nklm.de].…”

Section: Introductionmentioning

confidence: 99%