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Point-of-care ultrasound augments physical examination learning by undergraduate medical students.

Authors :
Chun Ka Wong
JoJo Hai
Kwong Yue Eric Chan
Ka Chun Un
Mi Zhou
Duo Huang
Yang Yang Cheng
Wen Hua Li
Li Xue Yin
Wen Sheng Yue
Hung Fat Tse
Yeung, Pauline
Pok Siu Yip
Kam Sheung Li, Vivian
Chan, Arren
Cheung, Michelle
Chi Wai Cheung
Chu Pak Lau
Chung Wah Siu
Wong, Chun Ka
Source :
Postgraduate Medical Journal; Jan2021, Vol. 97 Issue 1143, p10-15, 6p
Publication Year :
2021

Abstract

<bold>Background: </bold>Little is known about the impact of the provision of handheld point-of-care ultrasound (POCUS) devices on physical examination skills of medical students.<bold>Methods: </bold>We describe an educational initiative that comprised a POCUS workshop followed by allocation of a POCUS device to medical students for use over the subsequent 8 weeks. They were encouraged to scan patients and correlate their physical examination findings. A mobile instant messaging group discussion platform was set to provide feedback from instructors. Physical examination skills were assessed by means of clinical examination.<bold>Results: </bold>210 final-year medical students from the University of Hong Kong participated in the programme. 46.3% completed the end of programme electronic survey: 74.6% enjoyed using the POCUS device, 50.0% found POCUS useful to validate physical examination findings and 47.7% agreed that POCUS increased their confidence with physical examination. 93.9% agreed that the programme should be incorporated into the medical curriculum and 81.9% would prefer keeping the device for longer time from 16 weeks (45.6%) to over 49 weeks (35.3%). Medical students who participated in the POCUS programme had a higher mean score for abdominal examination compared with those from the previous academic year with no POCUS programme (3.65±0.52 vs 3.21±0.80, p=0.014), but there was no statistically significant difference in their mean score for cardiovascular examination (3.62±0.64 vs 3.36±0.93, p=0.203).<bold>Conclusion: </bold>The POCUS programme that included provision of a personal handheld POCUS device improved students' attitude, confidence and ability to perform a physical examination. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00325473
Volume :
97
Issue :
1143
Database :
Complementary Index
Journal :
Postgraduate Medical Journal
Publication Type :
Academic Journal
Accession number :
147707776
Full Text :
https://doi.org/10.1136/postgradmedj-2020-137773