Self-learning of cardiac ultrasound by medical students: can augmented online training improve and maintain manual POCUS skills over time?

J Ultrasound. 2024 Mar;27(1):73-80. doi: 10.1007/s40477-023-00804-5. Epub 2023 Jul 26.

Abstract

Background: The use of cardiac point of care ultra-sound is rapidly growing and so is the demand for quality POCUS teaching. POCUS teaching is usually conducted in small groups requiring much space and equipment. This study attempts to test whether providing access to an E-learning module as an adjunct to a cardiac POCUS course can increase students' image acquisition skills. This will show POCUS teaching can improve significantly without having to invest a significant amount of resources.

Methods: Medical students (N = 125) were divided into two groups and had undergone a hands-on Cardiac POCUS course before their internal clerkship. During the clerkship, members of both groups got to practice their POCUS skills in the internal wards. One group was provided with accounts to a cardiac POCUS teaching E-learning platform (eMedical Academy©). After limited time for self- practice, both groups underwent a pre-validated ultrasound examination. The two groups' test results were then compared for each POCUS view and for the total exam score.

Results: The E-learning group performed significantly better than the course-only group in the 6-min exam total score, and at acquiring the following views: parasternal long axis view, apical four-chamber view, and the inferior vena cava view.

Conclusion: E-learning platforms can be an efficient tool for improving cardiac POCUS teaching and maintaining POCUS skills. Using it as a supplement to a hands-on course provides better POCUS skills without the need of extra hands-on teaching.

Keywords: Computerized self-instruction program; Medical education; Point of Care technology; Ultrasonography.

MeSH terms

  • Echocardiography
  • Heart / diagnostic imaging
  • Humans
  • Learning
  • Students, Medical*
  • Time Factors