Berks County Medical Society Medical Record Fall 2019 - 34

Reading Hospital/Tower Health

Student Sum mer Research Projects
Ultrasound Simulation in
Emergency Medicine Training
for Medical Students
by Meghan N. Sadler1; Blake Bailey, DO2.
McDaniel College, Westminster, Maryland1;
Department of Emergency Medicine, Reading Hospital
Tower Health, Reading, Pennsylvania2
INTRODUCTION: The utilization of ultrasound in emergency
medicine has been an area of mass growth, with point of care
ultrasound (POCUS) becoming a critical component of training for
medical students. As this field continues to expand, technological
advances have allowed for additional aid in learning the basics
of POCUS. As one such technology, simulation systems have
developed to increase the competency of early learners in acquiring
images, identifying pathology, and guiding care. In order to
facilitate the education of medical students and residents, the
Reading Hospital and Emergency Department has recently acquired
a program known as SonoSimĀ©. It was hypothesized that a summer
intern would be able to use the program to become familiar with
the conventions of ultrasound operation through the completion
of modules and metrics. Knowledge of the program would then
be used by the intern to create a curriculum for medical students
incorporating components of the software.

METHODS: Over the course of six weeks, an intern of the
emergency medicine department was given a set of assignments
meant to familiarize her with the basics of ultrasound and the
program itself. In the first few weeks of the program, the intern was
tasked with completing a list of modules selected from the online
SonoSimĀ© Course Library at the discretion of the Ultrasound
Director. These modules from the Anatomy & Physiology and Core
Clinical Sections of the library were selected with the purpose of
educating the intern on the fundamentals of ultrasound operation,
frequently imaged anatomy, common pathologies visualized with
ultrasound, and protocols specific to emergency medicine. Videos
outside the program were provided to supplement learning. After
completion of the Course Library modules, the intern was given the
corresponding SonoSimulator modules to complete. This allowed
the intern to put into practice the concepts learned from the online
courses. Overall understanding of the program and important
ultrasound operation concepts were then used by the intern to create
a four-week curriculum for medical students under the guidance of
the Ultrasound Director.
RESULTS: The intern was able to complete all online module
mastery tests with a satisfactory or above satisfactory score (75%
or above), with almost all first attempts being successful. Utilizing
the knowledge gained from the online and simulated modules, the
intern was then able to discern the most important and relevant
information from the program. This information was then used
to create an appropriate medical student curriculum with the
supervision of the Ultrasound Director.
CONCLUSION: Based on the success rate of the intern's completion
of module mastery tests, it was concluded that the SonoSimĀ©
program was a successful means of educating early learners of
ultrasound operation. It can therefore be implied that this model of
learning will also be successful for medical students in Emergency
Medicine training. Evaluation of the modules based on relevance,
value, redundancy and coverage of material led to the conclusion
that fundamental, cardiac, vascular, pulmonary, abdominal, ocular,
musculoskeletal, uterine, and protocol modules would be the most
effective when devising a curriculum for medical students. Modules
were then divided into categories based on discipline and distributed
across the four-week period to give the most effective learning
experience for medical students.
Meghan N. Sadler is a senior in the Honors Program at
McDaniel College in Westminster, MD, where her activities
include conducting independent research in forensic
entomology and volunteering in the trauma unit at the
University of Maryland Medical Center.

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Berks County Medical Society Medical Record Fall 2019

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