Ultrasound performed by medical students in Guatemala, Is it possible?

Authors

DOI:

https://doi.org/10.36958/sep.v7i1.247

Keywords:

ultrasound, medical students, limitation

Abstract

OBJECTIVE: this study aims to assess the potential for integrating ultrasound (US) training into the curriculum for sixth-year medical students at the Facultad de Ciencias Medicas, Universidad de San Carlos de Guatemala (USAC). METHODOLOGY: the research involved a comprehensive review and analysis of existing literature on the topic of ultrasound education in medical schools. RESULTS: the findings suggested a significant need for introducing a radiology course at the Facultad de Ciencias Medicas. Several studies highlight the growing importance of ultrasound in undergraduate medical education, referring to it as “the new stethoscope” of the 21st century. However, there are two primary challenges for implementing ultrasound training: the lack of equipment and the absence of a basic ultrasound course in the curriculum. Although, utilizing ultrasound for diagnostic purposes may require more training time than available in a medical student’s schedule, there is potential for focused training, particularly in obstetrics, which would be beneficial in rural settings. CONCLUSIONS: despite the current obstacles, it’s feasible to include ultrasound training in the medical curriculum at USAC. By incorporating a basic ultrasound course into the competencies expected of final-year medical students, USAC can take the first step toward embracing this valuable tool in medical education.

Downloads

Download data is not yet available.

References

Andrade, D. S., & Celi, S. S. (2023). Ultrasonido en la formación médica general, una necesidad pedagógica imprescindible. Gaceta Médica Boliviana, 46(1), 125–126. https://doi.org/10.47993/gmb.v46i1.620 DOI: https://doi.org/10.47993/gmb.v46i1.620

Cohen, K., Kidd, J., Schiller, E., Kantorowska, A., Kinzler, W. & Chavez, M. (2023). Obstetric-Focused POCUS Training for Medical Students. POCUS journal, 8(2), 109–112. https://doi.org/10.24908/pocus.v8i2.16316 DOI: https://doi.org/10.24908/pocus.v8i2.16316

Collins, K., Collins, C. and Kothari, A. (2019). Point-of-care ultrasound in obstetrics. Australasian Journal of Ultrasound in Medicine, 22(1), 32-39. https://doi.org/10.1002/ajum.12133 DOI: https://doi.org/10.1002/ajum.12133

Dietrich, C., Hoffmann, B., Abramowicz, J., Badea, R., Braden, B., Cantisani, V., Chammas, M., Cui, X., Dong, Y., Gilja, O., Hari, R., Nisenbaum, H., Nicholls, D., Nolsoe, C., Nürnberg, D., Prosch, H., Radzina, M., Recker, F., Sachs, A.,… Blaivas, M. (2019). Medical Student Ultrasound Education: A WFUMB Position Paper, Part I. Ultrasound in Medicine and Biology, 45(2), 271-81. https://doi.org/10.1016/j.ultrasmedbio.2018.09.017 DOI: https://doi.org/10.1016/j.ultrasmedbio.2018.09.017

Feilchenfeld, Z., Dornan, T., Whitehead, C. & Kuper, A. (2017). Ultrasound in undergraduate medical education: a systematic and critical review. Medical Education, 51(4), 366–378. https://doi.org/10.1111/medu.13211 DOI: https://doi.org/10.1111/medu.13211

Fodor, D., Badea, R., Poanta, L., Dumitrascu, D. L., Buzoianu, A. D., & Mircea, P. A. (2012). The use of ultrasonography in learning clinical examination - a pilot study involving third year medical students. Medical ultrasonography, 14(3), 177–181. https://doi.org/10.11152/mu.2013.2066.143.df177 DOI: https://doi.org/10.11152/mu.2013.2066.143.df177

Gillman, L. M. & Kirkpatrick, A. W. (2012). Portable bedside ultrasound: the visual stethoscope of the 21st century. Scandinavian journal of trauma, resuscitation and emergency medicine, 20, 18. https://doi.org/10.1186/1757-7241-20-18 DOI: https://doi.org/10.1186/1757-7241-20-18

Ginsburg, A. S., Liddy, Z., Khazaneh, P. T., May, S. & Pervaiz, F. (2023). A survey of barriers and facilitators to ultrasound use in low- and middle-income countries. Scientific Reports, 13, 3322. https://doi.org/10.1038/s41598-023-30454-w DOI: https://doi.org/10.1038/s41598-023-30454-w

Herlambang, H., Fitri, A. D., Shafira, N. N., Elfiani, E., Puspasari, A. & Tarawifa, S. (2020). The Development of the Basic Obstetric Ultrasound Learning Media for Undergraduate Medical Students. Indonesian Research Journal in Education, 4(1), 263-272. https://doi.org/10.22437/irje.v4i1.9423 DOI: https://doi.org/10.22437/irje.v4i1.9423

Hertzberg, B. S., Kliewer, M. A., Bowie, J. D., Carroll, B. A., DeLong, D. H., Gray, L. & Nelson, R. C. (2000). Physician training requirements in sonography: how many cases are needed for competence?. AJR. American journal of roentgenology, 174(5), 1221–1227. https://doi.org/10.2214/ajr.174.5.1741221 DOI: https://doi.org/10.2214/ajr.174.5.1741221

Izquierdo-Condoy, J. S., Simbaña-Rivera, K., Nati-Castillo, H. A., Cassa Macedo, A., Cardozo Espínola, C. D., Vidal Barazorda, G. M., Palazuelos-Guzmán, I., Trejo García, B., Carrington, S. J., & Ortiz-Prado, E. (2023). How much do Latin American medical students know about radiology? Latin-American multicenter cross-sectional study. Medical education online, 28(1), 2173044. https://doi.org/10.1080/10872981.2023.2173044 DOI: https://doi.org/10.1080/10872981.2023.2173044

Kameda, T., Taniguchi, N., Konno, K., Koibuchi, H., Omoto, K. & Itoh, K. (2022). Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University. Journal of Medical Ultrasonics, 49, 217–230. https://doi.org/10.1007/s10396-021-01178-z DOI: https://doi.org/10.1007/s10396-021-01178-z

Lee, E., Ding, J., Rubio-Brioso, X., Chang, E., Crabtree, J. & Pathy, S. (2023). Standardized simulation-based obstetrics ultrasound curriculum increases medical students’ knowledge and bridges the gap from classroom to clinical ultrasound classroom to clinical ultrasound. Poster presented at Yale Medical School. New Haven, CT USA. https://medicine.yale.edu/center-for-medical-education/educator-development/med-ed-day/winners/2023,%20med%20ed%20research_honorable%20mention_466231_57791_v1.pdf

Luntsi, G., Ugwu, A. C., Nkubli, F. B., Emmanuel, R., Ochie, K. & Nwobi, C. I. (2021). Achieving universal access to obstetric ultrasound in resource constrained settings: A narrative review. Radiography, 27(2), 709–715. https://doi.org/10.1016/j.radi.2020.10.010 DOI: https://doi.org/10.1016/j.radi.2020.10.010

Mario, G., Fernando, P., & Paulo, M. (2016). Conocimientos adquiridos en el diagnóstico por imágenes en estudiantes de la carrera de médico y cirujano. [Tesis de grado]. Universidad de San Carlos de Guatemala.

Martin, R., Lau, H., Morrison, R., Bhargava, P. & Deiling, K. (2023). The Rising Tide of Point-of-Care Ultrasound (POCUS) in Medical Education: An Essential Skillset for Undergraduate and Graduate Medical Education. Current Problems in Diagnostic Radiology, 52(6), 482-484. https://doi.org/10.1067/j.cpradiol.2023.06.003 DOI: https://doi.org/10.1067/j.cpradiol.2023.06.003

Rathbun, K., Patel, A., Jackowski, J., Parrish, M., Hatfield, R. & Powell, T. (2023). Incorporating ultrasound training into undergraduate medical education in a faculty-limited setting. BMC Medical Education, 23, 263. https://doi.org/10.1186/s12909-023-04227-y DOI: https://doi.org/10.1186/s12909-023-04227-y

Recker, F., Weber, E., Strizek, B., Gembruch, U., Westerway, S. C., & Dietrich, C. F. (2021). Point-of-care ultrasound in obstetrics and gynecology. Archives of gynecology and obstetrics, 303(4), 871–876. https://doi.org/10.1007/s00404-021-05972-5 DOI: https://doi.org/10.1007/s00404-021-05972-5

Sagastume, M. A. (2013) Síntesis histórica de la Universidad de San Carlos de Guatemala, edición 2013. Consultado el día 28 de enero de 2022, de: https://bit.ly/3Gh692N

Serhan, L. A., Tahir, M. J., Irshaidat, S., Serhan, H. A., Ullah, I., Mumtaz, H., Yousaf, Z. & Alwalid, O. (2022). The integration of radiology curriculum in undergraduate medical education. Annals of medicine and surgery, 80, 104270. https://doi.org/10.1016/j.amsu.2022.104270 DOI: https://doi.org/10.1016/j.amsu.2022.104270

Sippel, S., Muruganandan, K., Levine, A., & Shah, S. (2011). Review article: Use of ultrasound in the developing world. International journal of emergency medicine, 4, 72. https://doi.org/10.1186/1865-1380-4-72 DOI: https://doi.org/10.1186/1865-1380-4-72

Steller, J., Sims, L., Fox, J., Toohey, J., Major, C. & Speir, V. (2014). The Rural Obstetrical Ultrasound Triage Exam: Teaching Ultrasonography to Students Interested in Global Health. Obstetrics & Gynecology, 123(Supplement 1), 119S. https://doi.org/10.1097/01.AOG.0000447073.55577.7b DOI: https://doi.org/10.1097/01.AOG.0000447073.55577.7b

Teichgräber, U., Ingwersen, M., Ehlers, C., Mentzel, H., Redies, C., Stallmach, A., Behringer, W. & Guntinas-Lichius, O. (2022). Integration of ultrasonography training into undergraduate medical education: catch up with professional needs. Insights into Imaging, 13, 150. https://doi.org/10.1186/s13244-022-01296-3 DOI: https://doi.org/10.1186/s13244-022-01296-3

Touhami, D., Merlo, C., Hohmann, J. & Essig, S. (2020). The use of ultrasound in primary care: longitudinal billing and cross-sectional survey study in Switzerland. BMC Family Practice, 21, 127. https://doi.org/10.1186/s12875-020-01209-7 DOI: https://doi.org/10.1186/s12875-020-01209-7

Universidad Francisco Marroquín. Pensum facultad de Medicina 2020. https://medicina.ufm.edu/wp-content/uploads/2020/04/PENSUM-2020.pdf

Universidad Rafael Landívar. Pensum de la Licenciatura en Medicina de la facultad de ciencias de la salud. https://principal.url.edu.gt/wp-content/uploads/portalurl/facultades/salud/medicina_brochure.pdf

Vyas, A., Moran, K., Livingston, J., Gonzales, S., Torres, M., Duffens, A., Romo, C. M., Mazza, G., Livingston, B., Lahham, S. & Fox, J. C. (2018). Feasibility study of minimally trained medical students using the Rural Obstetrical Ultrasound Triage Exam (ROUTE) in rural Panama. World journal of emergency medicine, 9(3), 216–222. https://doi.org/10.5847/wjem.j.1920-8642.2018.03.009 DOI: https://doi.org/10.5847/wjem.j.1920-8642.2018.03.009

Wang, T. C., Chen, W. T., Kang, Y. N., Lin, C. W., Cheng, C. Y., Suk, F. M., Chen, H. Y., Hsu, C. W., Fong, T. H. & Huang, W. C. (2021). Why do pre-clinical medical students learn ultrasound? Exploring learning motivation through ERG theory. BMC Medical Education, 21, 438. https://doi.org/10.1186/s12909-021-02869-4 DOI: https://doi.org/10.1186/s12909-021-02869-4

Webber, W., Donazar, M., Taylor, L., Almeida, M., Diaz, A., Horn, A., Seybold, D. & Calhoun, B. (2023). Web-Based Obstetrical Ultrasound Curriculum Tested by Medical Students in Spain: A Pilot Study. Clinical and Experimental Obsterics & Gynecology, 50(2), 31. https://doi.org/10.31083/j.ceog5002031 DOI: https://doi.org/10.31083/j.ceog5002031

Wilson, S. P., Mefford, J. M., Lahham, S., Lotfipour, S., Subeh, M., Maldonado, G., Spann, S. & Fox, J. C. (2016). Implementation of a 4-Year Point-of-Care Ultrasound Curriculum in a Liaison Committee on Medical Education-Accredited US Medical School. Journal of Ultrasound in Medicine, 36(2), 321–325. https://doi.org/10.7863/ultra.16.03068 DOI: https://doi.org/10.7863/ultra.16.03068

Published

26-06-2024

How to Cite

Roblero Roblero, K. M. (2024). Ultrasound performed by medical students in Guatemala, Is it possible?. Revista Cientí­fica Del Sistema De Estudios De Postgrado De La Universidad De San Carlos De Guatemala, 7(1), 41–54. https://doi.org/10.36958/sep.v7i1.247

Issue

Section

Scientific articles

Categories