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Background: Ultrasound imaging devices are becoming popular in clinical and teaching settings, but there is no systematic information on their use in medical education. We conducted a systematic review of hand-held ultrasound (HHU) devices in undergraduate medical education to delineate their role, significance, and limitations.
Methods: We searched Cochrane, PubMed, Embase, and Medline using the strategy: [(Hand-held OR Portable OR Pocket OR “Point of Care Systems”) AND Ultrasound] AND (Education OR Training OR Undergraduate OR “Medical Students” OR “Medical School”). We retained 12 articles focusing on undergraduate medical education. We summarised the patterns of HHU use, pooled and estimated sensitivity, and specificity of HHU for detection of left ventricular dysfunction.
Results: Features reported were heterogeneous: training time (1–25 hours), number of students involved (1-an entire cohort), number of subjects scanned (27–211), and type of learning (self-directed vs. traditional lectures + hands-on sessions). Most studies reported cardiac HHU examinations, but other anatomical areas were examined, e.g. abdomen and thyroid. Pooled sensitivity 0.88 [95% confidence interval (CI) 0.83–0.92] and specificity 0.86 (95% CI 0.81–0.90) were high for the detection of left ventricular systolic dysfunction by students.
Conclusion: Data on HHU devices in medical education are scarce and incomplete, but following training students can achieve high diagnostic accuracy, albeit in a limited number of (mainly cardiac) pathologies. There is no consensus on protocols best-suited to the educational needs of medical students, nor data on long-term impact, decay in proficiency or on the financial implications of deploying HHU in this setting.기사명 | 저자명 | 페이지 | 원문 | 목차 |
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Associates and Prognosis of Giant Left Atrium : Single Center Experience | Hyoeun Kim, Young-Ah Park, Sung Min Choi, Hyemoon Chung, Jong-Youn Kim, Pil-Ki Min, Young Won Yoon, Byoung Kwon Lee, Bum-Kee Hong, Se-Joong Rim, Hyuck Moon Kwon, Eui-Young Choi | pp.84-90 |
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Hand-held Ultrasound Scanners in Medical Education : A Systematic Review | Victor Galusko, Mohammed Yunus Khanji, Owen Bodger, Clive Weston, John Chambers, Adrian Ionescu | pp.75-83 |
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Current Awareness and Use of the Strain Echocardiography in Routine Clinical Practices : Result of a Nationwide Survey in Korea | Ju-Hee Lee, Jae-Hyeong Park, Seung Woo Park, Woo-Shik Kim, Il Suk Sohn, Jung Yeon Chin, Jung Sun Cho, Ho-Joong Youn, Hae Ok Jung, Sun Hwa Lee, Seong-Hwan Kim, Wook-Jin Chung, Chi Young Shim, Jin-Won Jeong, Eui-Young Choi, Se-Joong Rim, Jang-Young Kim, Kye Hun Kim, Joon-Han Shin, Dae-Hee Kim, Ung Jeon, Jung Hyun Choi, Yong-Jin Kim, Seung Jae Joo, Ki-Hong Kim, Kyoung Im Cho, Goo-Yeong Cho | pp.91-97 |
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Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary Artery | Byung Gyu Kim, Sung Woo Cho, Dae Hyun Hwang, Jong Chun Nah | pp.107-109 |
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Progression of Right Ventricular Systolic Dysfunction Detected by Myocardial Deformation Imaging in Asymptomatic Preterm Children | Soo Jung Kang, Mira Kim, Seo Jung Hwang, Hyo Jin Kim | pp.98-104 |
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Streptococcus sanguinis Endocarditis Involving All Valves in a Patient with Ventricular Septal Defect | Christos Zivlas, Steve Ramcharitar, Badrinathan Chandrasekaran | pp.105-106 |
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