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J Ultrasound Med. 2018 Feb 1. doi: 10.1002/jum.14551. [Epub ahead of print]

Telepresent Focused Assessment With Sonography for Trauma Examination Training Versus Traditional Training for Medical Students: A Simulation-Based Pilot Study.

Author information

1
Department of Emergency Medicine, Summa Health System, Akron, Ohio, USA.
2
Northeast Ohio Medical University, Rootstown, Ohio, USA.
3
Department of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
4
Department of Medical Education, Summa Health System, Akron, Ohio, USA.
5
Department of Surgery, Division of Trauma, Summa Health System, Akron, Ohio, USA.
6
Biostats, Inc, Canton, Ohio, USA.

Abstract

OBJECTIVES:

Telepresent education is becoming an important modality in medical education, as it provides a means for instructors to lead education sessions via videoconferencing technologies. This study aimed to compare the effectiveness of telepresent ultrasound training versus traditional in-person ultrasound training.

METHODS:

Medical student cohorts were educated by either traditional in-person instruction or telementoring on how to perform a focused assessment with sonography for trauma (FAST) examination. Effectiveness was evaluated by pre- and post-multiple-choice tests (knowledge), confidence surveys, and summative simulation scenarios (hands-on FAST simulation). Formative simulation scenario debriefings were evaluated by each student using the Debriefing Assessment for Simulation in Healthcare student version (DASH-SV).

RESULTS:

Each method of instruction had significant increases in knowledge, confidence, and hands-on FAST simulation performance (P < .05). The collective increase in knowledge was greater for the in-person group, whereas the improvement in FAST examination performance during simulations was greater for the telementored group. Confidence gains were comparable between the groups. The DASH-SV scores were significantly higher for the in-person group for each criterion; however, both methods were deemed effective via median scoring.

CONCLUSIONS:

Telepresent education is a viable option for teaching the FAST examination to medical students.

KEYWORDS:

Debriefing Assessment for Simulation in Healthcare; education; remote telementored ultrasound; teledebriefing; telementor; telepresence; telesonography

PMID:
29388234
DOI:
10.1002/jum.14551
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