Medical Student POCUS Peer-to-Peer Teaching: Ready for Mainstream

Authors

  • Mazen El-Baba University of Toronto
  • Kathryn Corbett University of Toronto
  • Kate Dillon University of Toronto
  • Claire Heslop University of Toronto

DOI:

https://doi.org/10.5195/ijms.2021.700

Keywords:

POCUS, ultrasound, ultrasound training, peer-to-peer, undergraduate medicine

Abstract

Background: Point of care ultrasound (POCUS) is changing the face of clinical practice and medical education. Worldwide consensus based on expert opinion has advocated for POCUS teaching in undergraduate medical school curricula. Significant barriers, including lack of available instructors and limited resources, prevents medical learners from acquiring core competencies at most institutions. Here, we describe a peer-to-peer learning POCUS workshop and advocate for the use of this type of training to meet the demands of POCUS learning.

Methods: A two-day POCUS workshop was held in Toronto, Ontario with twenty-six medical student participants. The workshop was structured according to a graduated model of POCUS skill development, beginning with didactic teaching, then progressing to hands-on peer-to-peer teaching, and finishing with competency evaluation by POCUS experts. Participants completed pre-and post-workshop surveys regarding prior POCUS teaching and exposure, self-reported skill development, and feedback on the workshop itself.

Results: Of the 20 respondents to the questionnaire, 70% had prior POCUS exposure, with 85% of these individuals having less than 5 hours of prior POCUS education. Eighty-five percent of students reported that the organization of the course allowed them to participate fully, and 95% of participants indicated that peer-to-peer learning was effective.

Conclusion: These findings suggest that peer-to-peer POCUS teaching is an effective learning method to acquire and consolidate well-established POCUS competencies. This initiative is scalable and could be applied to all learners in various disciplines. As such, we recommend medical schools consider integration of peer-to-peer POCUS teaching into longitudinal clerkship training programs, and transition-to-residency courses.

References

Moore CL, Copel JA. Point-of-Care Ultrasonography. N Engl J Med. 2011;364(8):749–57. doi:10.1056/NEJMra0909487.

Leidi A, Rouyer F, Marti C, et al. Point of care ultrasonography from the emergency department to the internal medicine ward: current trends and perspectives. Intern Emerg Med. 2020;15(3):1-14. doi:10.1007/s11739-020-02284-5.

Lee SH, Yun SJ. Diagnostic performance of emergency physician-performed point-of-care ultrasonography for acute appendicitis: A meta-analysis. Am J Emerg Med. 2019;37(4):696-705. doi:10.1016/j.ajem.2018.07.025.

Chartier LB, Bosco L, Lapointe-Shaw L, et al. Use of point-of-care ultrasound in long bone fractures: a systematic review and meta-analysis. CJEM. 2017;19(2):131-142. doi:10.1017/cem.2016.397.

Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?. Clin Med (Lond). 2018;18(3):219‐224. doi:10.7861/clinmedicine.18-3-219.

Ma IWY, Steinmetz P, Weerdenburg K, et al. The Canadian Medical Student Ultrasound Curriculum. J Ultrasound Med. 2020;64(10):e462-e467. doi:10.1002/jum.15218

Torres-Macho J, Aro T, Bruckner I, et al. Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine. Eur J Intern Med. 2020;73:67-71. doi:10.1016/j.ejim.2019.11.016.

Dandavino M, Snell L, Wiseman J. Why medical students should learn how to teach. Med Teach. 2007;29(6):558–65. doi:10.1080/01421590701477449.

Harrison CH, Elmansouri A, Parton W, et al. The Efficacy of Frontline Near-Peer Teaching in a Modern Medical Curriculum. Anat Sci Educ. 2019;12(3):236-244. doi:10.1002/ase.1827.

Durán CEP., Bahena EN, Rodríguez, MDLÁG, et al. Near-peer teaching in an anatomy course with a low faculty‐to‐student ratio. Anat Sci Educ. 2012;5(3):171-176. doi:10.1002/ase.1269.

Stigmar M. Peer-to-Peer teaching in higher education: A critical literature review. Mentoring & Tutoring: partnership in learning. 2016;24(2):124-136. doi:10.1080/13611267.2016.1178963.

Evans DJ, Cuffe T. Near-peer teaching in anatomy: An approach for deeper learning. Anat Sci Edu. 2009;2(5):227-233. doi:10.1002/ase.110.

Bhagra A, Tierney DM, Sekiguchi H, et al. Point-of-Care Ultrasonography for Primary Care Physicians and General Internists. Mayo Clin Proc. 2016;91(12):1811-1827. doi:10.1016/j.mayocp.2016.08.023.

Marton GE, McCullough B, Ramnanan CJ. A review of teaching skills development programmes for medical students. Med Educ. 2015;49(2):149-160. doi:10.1111/medu.12571.

Rees EL, Quinn PJ, Davies B, et al. How does peer teaching compare to faculty teaching? A systematic review and meta-analysis. Med Teach. 2016;38(8):829–37. doi:10.3109/0142159X.2015.1112888.

Olaussen A, Reddy P, Irvine S. Peer-assisted learning: time for nomenclature clarification. Med Educ Online. 2016;21(1):30974. doi:10.3402/meo.v21.30974.

Nestel D, Kidd J. Peer assisted learning in patient-centred interviewing: the impact on student tutors. Med Teach. 2005;27(5):439-444. doi:10.1080/01421590500086813.

Lewis D, Rang L, Kim D, et al. Recommendations for the use of point-of-care ultrasound (POCUS) by emergency physicians in Canada. CJEM. 2019;21(6):721-726. doi:10.1017/cem.2019.392

Cartier RA, Skinner C, Laselle B. Perceived Effectiveness of Teaching Methods for Point of Care Ultrasound. J Emerg Med. 2014;47(1):86-91. doi:10.1016/j.jemermed.2014.01.027.

Published

2021-04-29

How to Cite

El-Baba, M., Corbett, K., Dillon, K., & Heslop, C. (2021). Medical Student POCUS Peer-to-Peer Teaching: Ready for Mainstream . International Journal of Medical Students, 9(1), 11–14. https://doi.org/10.5195/ijms.2021.700

Issue

Section

Original Article