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Dinh VA, Lakoff D, Hess J, Bahner DP, Hoppmann R, Blaivas M, Pellerito JS, Abuhamad A, Khandelwal S. Medical Student Core Clinical Ultrasound Milestones: A Consensus Among Directors in the United States. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:421-434. [PMID: 26782162 DOI: 10.7863/ultra.15.07080] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Accepted: 10/20/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES Many medical schools are implementing point-of-care ultrasound in their curricula to help augment teaching of the physical examination, anatomy, and ultimately clinical management. However, point-of-care ultrasound milestones for medical students remain unknown. The purpose of this study was to formulate a consensus on core medical student clinical point-of-care ultrasound milestones across allopathic and osteopathic medical schools in the United States. Directors who are leading the integration of ultrasound in medical education (USMED) at their respective institutions were surveyed. METHODS An initial list of 205 potential clinical ultrasound milestones was developed through a literature review. An expert panel consisting of 34 USMED directors across the United States was used to produce consensus on clinical ultrasound milestones through 2 rounds of a modified Delphi technique, an established anonymous process to obtain consensus through multiple rounds of quantitative questionnaires. RESULTS There was a 100% response rate from the 34 USMED directors in both rounds 1 and 2 of the modified Delphi protocol. After the first round, 2 milestones were revised to improve clarity, and 9 were added on the basis of comments from the USMED directors, resulting in 214 milestones forwarded to round 2. After the second round, only 90 milestones were found to have a high level of agreement and were included in the final medical student core clinical ultrasound milestones. CONCLUSIONS This study established 90 core clinical milestones that all graduating medical students should obtain before graduation, based on consensus from 34 USMED directors. These core milestones can serve as a guide for curriculum deans who are initiating ultrasound curricula at their institutions. The exact method of implementation and competency assessment needs further investigation.
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Affiliation(s)
- Vi Am Dinh
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.).
| | - Daniel Lakoff
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - Jamie Hess
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - David P Bahner
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - Richard Hoppmann
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - Michael Blaivas
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - John S Pellerito
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - Alfred Abuhamad
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
| | - Sorabh Khandelwal
- Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); Icahn School of Medicine at Mount Sinai, New York, New York USA (D.L.); University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin USA (J.H.); The Ohio State University College of Medicine, Columbus, Ohio USA (D.P.B., S.K.); University of South Carolina School of Medicine, Columbia, South Carolina USA (R.H., M.B.); Hofstra University North Shore-LIJ School of Medicine, Hempstead, New York USA (J.S.P.); and Eastern Virginia Medical School, Norfolk, Virginia USA (A.A.)
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Chiem AT, Soucy Z, Dinh VA, Chilstrom M, Gharahbaghian L, Shah V, Medak A, Nagdev A, Jang T, Stark E, Hussain A, Lobo V, Pera A, Fox JC. Integration of Ultrasound in Undergraduate Medical Education at the California Medical Schools: A Discussion of Common Challenges and Strategies From the UMeCali Experience. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:221-233. [PMID: 26764278 DOI: 10.7863/ultra.15.05006] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2015] [Accepted: 05/26/2015] [Indexed: 06/05/2023]
Abstract
Since the first medical student ultrasound electives became available more than a decade ago, ultrasound in undergraduate medical education has gained increasing popularity. More than a dozen medical schools have fully integrated ultrasound education in their curricula, with several dozen more institutions planning to follow suit. Starting in June 2012, a working group of emergency ultrasound faculty at the California medical schools began to meet to discuss barriers as well as innovative approaches to implementing ultrasound education in undergraduate medical education. It became clear that an ongoing collaborative could be formed to discuss barriers, exchange ideas, and lend support for this initiative. The group, termed Ultrasound in Medical Education, California (UMeCali), was formed with 2 main goals: to exchange ideas and resources in facilitating ultrasound education and to develop a white paper to discuss our experiences. Five common themes integral to successful ultrasound education in undergraduate medical education are discussed in this article: (1) initiating an ultrasound education program; (2) the role of medical student involvement; (3) integration of ultrasound in the preclinical years; (4) developing longitudinal ultrasound education; and (5) addressing competency.
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Affiliation(s)
- Alan T Chiem
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.).
| | - Zachary Soucy
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Vi Am Dinh
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Mikaela Chilstrom
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Laleh Gharahbaghian
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Virag Shah
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Anthony Medak
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Arun Nagdev
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Timothy Jang
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Elena Stark
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Aliasgher Hussain
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Viveta Lobo
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - Abraham Pera
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
| | - J Christian Fox
- Olive View-UCLA Medical Center, UCLA Geffen School of Medicine, Sylmar, California USA (A.T.C.); Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA (Z.S.); Loma Linda University School of Medicine, Loma Linda, California USA (V.A.D.); University of Southern California Keck School of Medicine, Los Angeles, California USA (M.C.); Stanford University School of Medicine, Stanford, California USA (L.G., V.L.); University of California San Diego School of Medicine, San Diego, California USA (V.S., A.M.); Highland General Hospital, University of California San Francisco School of Medicine, Oakland, California USA (A.N.); Harbor-UCLA Medical Center, UCLA Geffen School of Medicine, Los Angeles, California USA (T.J., A.H.); UCLA Geffen School of Medicine, Los Angeles, California USA (E.S.); Touro University College of Medicine, San Francisco, California USA (A.P.); and University of California Irvine School of Medicine, Irvine, California USA (J.C.F.)
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