CC BY-NC-ND 4.0 · Ultrasound Int Open 2024; 10
DOI: 10.1055/a-2275-0702
Review

Evidence-based Ultrasound Education? – A Systematic Literature Review of Undergraduate Ultrasound Training Studies

1   Clinic of Internal Medicine III Department of Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
2   Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
1   Clinic of Internal Medicine III Department of Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
3   Department General Internal Medicine, Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland
,
2   Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
1   Clinic of Internal Medicine III Department of Oncology, Hematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
,
2   Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany (Ringgold ID: RIN39062)
› Author Affiliations

Abstract

Despite a large number of studies previously conducted on educational concepts of ultrasound teaching in medical school, various controversial issues remain. Currently, recommendations for ultrasound curricula that aim to standardize ultrasound teaching are frequently based on expert panel advice instead of relying on valid evidence-based literature. In December 2022, a systematic literature review on the subject of undergraduate ultrasound education was conducted. All ultrasound studies listed in the PubMed and Google Scholar medical databases were filtered and analyzed with respect to various aspects of their methodological conduct and curricular implementation. A total of 259 publications were considered in the data synthesis, including 145 teaching studies in the field of undergraduate ultrasound education. The latter encompassed 58 (40%) studies that did not compare their ultrasound training to a control group. Furthermore, 84 (58%) of these studies did not assess knowledge prior to the applied ultrasound training, neglecting this factor’s potential influence on study outcomes. Despite a great interest in the development and further implementation of ultrasound education during medical school, this process is still compromised by significant deficiencies in studies that have been conducted in the past. In order to provide a valid basis for curricular decisions, teaching studies should fulfill essential methodological requirements despite the multifactorial framework in which they are conducted. In the future, a guide for the design of ultrasound studies could be a useful aid for ultrasound enthusiasts and promote scientific knowledge gain.

Supplementary Material



Publication History

Received: 10 October 2023

Accepted after revision: 15 February 2024

Article published online:
26 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

Bibliographical Record
Ricarda Neubauer, Claus Juergen Bauer, Christoph F. Dietrich, Brigitte Strizek, Valentin Sebastian Schäfer, Florian Recker. Evidence-based Ultrasound Education? – A Systematic Literature Review of Undergraduate Ultrasound Training Studies. Ultrasound Int Open 2024; 10.
DOI: 10.1055/a-2275-0702
 
  • References

  • 1 Hoppmann RA, Mladenovic J, Melniker L, Badea R, Blaivas M, Montorfano M. et al. International consensus conference recommendations on ultrasound education for undergraduate medical students. Ultrasound J 2022; 14: 31
  • 2 Nicholas E, Ly AA, Prince AM, Klawitter PF, Gaskin K, Prince LA. The current status of ultrasound education in United States medical schools. J Ultrasound Med 2021; 40: 2459-2465
  • 3 Welle R, Seufferlein T, Kratzer W. [Current state of under- and postgraduate education in abdominal ultrasonography at German university hospitals. A panel study over 20 years]. Z Gastroenterol 2021; 59: 225-240
  • 4 Russell FM, Zakeri B, Herbert A. et al. The State of Point-of-Care Ultrasound Training in Undergraduate Medical Education: Findings From a National Survey. Acad Med 2022; 97: 723-727
  • 5 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
  • 6 Cantisani V, Dietrich CF, Badea R. et al. EFSUMB Statement on Medical Student Education in Ultrasound [long version]. Ultrasound Int Open 2016; 2: E2-E7
  • 7 Höhne E, Recker F, Dietrich CF, Schäfer VS. Assessment Methods in Medical Ultrasound Education. Front Med (Lausanne) 2022; 9: 871957
  • 8 Liberati A, Altman DG, Tetzlaff J. et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339: b2700
  • 9 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372: n71
  • 10 Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs: the four levels. 3rd ed. San Francisco, CA: Berrett-Koehler; 2006: 372 p.
  • 11 Tarique U, Tang B, Singh M, Kulasegaram KM, Ailon J. Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review. J Ultrasound Med 2018; 37: 69-82
  • 12 Cawthorn TR, Nickel C, O’Reilly M. et al. Development and evaluation of methodologies for teaching focused cardiac ultrasound skills to medical students. J Am Soc Echocardiogr 2014; 27: 302-309
  • 13 Thiese MS. Observational and interventional study design types; an overview. Biochem Med 2014; 24: 199-210
  • 14 Connolly P, Keenan C, Urbanska K. The trials of evidence-based practice in education: a systematic review of randomised controlled trials in education research 1980–2016. Educational Research 2018; 60: 276-291
  • 15 Frye AW, Hemmer PA. Program evaluation models and related theories: AMEE Guide No. 67. Medical Teacher 2012; 34: e288-e299
  • 16 Biesta G. WHY “WHAT WORKS” WON’T WORK: EVIDENCE-BASED PRACTICE AND THE DEMOCRATIC DEFICIT IN EDUCATIONAL RESEARCH. Educational Theory 2007; 57: 1-22
  • 17 Cremerius C, Gradl-Dietsch G, Beeres FJP. et al. Team-based learning for teaching musculoskeletal ultrasound skills: a prospective randomised trial. Eur J Trauma Emerg Surg 2021; 47: 1189-1199
  • 18 Röhrig B, Prel JBD, Blettner M. Study Design in Medical Research. Deutsches Ärzteblatt international [Internet]. 2009 [cited 2023 Sep 10]; Available from: https://www.aerzteblatt.de/10.3238/arztebl.2009.0184
  • 19 Deaton A, Cartwright N. Understanding and misunderstanding randomized controlled trials. Social Science & Medicine 2018; 210: 2-21
  • 20 Darby JA. The effects of the elective or required status of courses on student evaluations. Journal of Vocational Education & Training 2006; 58: 19-29
  • 21 Steinmetz P, Oleskevich S, Lewis J. Acquisition and Long-term Retention of Bedside Ultrasound Skills in First-Year Medical Students. J Ultrasound Med 2016; 35: 1967-1975
  • 22 Birrane J, Misran H, Creaney M, Shorten G, Nix CM. A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education. MedSciEduc 2018; 28: 45-56
  • 23 Adhikari S, Stolz L, Amini R, Blaivas M. Impact of point-of-care ultrasound on quality of care in clinical practice. RMI 2014; 7: 81-93
  • 24 Davis JJ, Wessner CE, Potts J. et al. Ultrasonography in Undergraduate Medical Education: A Systematic Review. J Ultrasound Med 2018; 37: 2667-2679
  • 25 Menegozzo CAM, Cazolari PG, Novo FDCF. et al. Prospective Analysis of Short- and Mid-term Knowledge Retention after a Brief Ultrasound Course for Undergraduate Medical Students. Clinics (Sao Paulo) 2016; 74: e1087
  • 26 Feilchenfeld Z, Dornan T, Whitehead C, Kuper A. Ultrasound in undergraduate medical education: a systematic and critical review. Med Educ 2017; 51: 366-378
  • 27 Hoffmann B, Blaivas M, Abramowicz J. et al. Medical Student Ultrasound Education, a WFUMB Position Paper, Part II. A consensus statement of ultrasound societies. Med Ultrason 2020; 22: 220-229
  • 28 Dekker I, Meeter M. Evidence-based education: Objections and future directions. Front Educ 2022; 7: 941410
  • 29 Rappaport CA, McConomy BC, Arnold NR. et al. A Prospective Analysis of Motor and Cognitive Skill Retention in Novice Learners of Point of Care Ultrasound. Crit Care Med 2019; 47: e948-e952