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Advancing medical student education through the development and implementation of consensus-based obstetric sonographic objectives
Purpose: To develop consensus-based learning objectives for
obstetric sonography in the 2nd/3rd trimesters and implement an online
training program for medical students.
Background: Obstetric ultrasound plays a key role in quality
prenatal care. Medical students are frequently exposed to obstetric sonography
during their clerkship, but there are currently no national guidelines that
address specific goals or a curriculum.
Methods: In the first phase, we developed a set of learning
objectives using the modified Delphi approach. A group of approximately 20
expert stakeholders (including leaders in education, clinicians, trainees, and
sonographers) reviewed a list of proposed objectives for 2nd/3rd trimester
obstetric sonography. An objective was included in the final curriculum if it
received the support of at least 75% of the stakeholders with a goal of
universal consensus. In the second phase, we designed an online tutorial to
achieve the objectives using Camtasia software and a combination of volunteer
patients and an ultrasound simulator.
Results: Stakeholders reached an agreement to include the
following objectives: assessment of fetal presentation, fetal heart rate,
amniotic fluid volume, and placental location in addition to general knowledge of
antepartum surveillance to include the biophysical profile. Based on these
objectives, a 20 minute online tutorial was created. Validation of the
objectives and tutorial is forthcoming.
Discussions: We established consensus-based objectives in 2nd/3rd trimester
obstetric sonography and created an online tutorial to improve the quality of
medical student education and to provide a springboard for applying these
skills in clinical practice.
CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Patient Care, Medical Knowledge, Systems-Based Practice & Improvement, Practice-Based Learning & Improvement, UME, Assessment, Lecture, General Ob-Gyn,