Simulationsbasierte Ausbildung im Ultraschall – Fokus auf der diagnostischen und interventionellen Abdomen-Sonografie

Zusammenfassung

Simulationsbasiertes Training (SBT) erfreut sich weltweit immer größerer Anerkennung und ist zu einem beliebten Instrument in der Ultraschall-Ausbildung geworden. Bei der Ultraschall-Simulation werden Technologie und Software eingesetzt, um eine virtuelle Trainingsumgebung zu schaffen. Das simulationsbasierte Training ermöglicht dem Mediziner das Erlernen, Üben und Verbessern seiner Fähigkeiten im Umgang mit Ultraschall in einer sicheren Lernumgebung. SBT kann eine realistische und zielgerichtete Lernerfahrung bieten, die ein tiefes und umfassendes Verständnis für die Komplexität einer Ultraschall-Untersuchung schafft und die Kenntnisse und das Vertrauen in ein bestimmtes Interessengebiet verbessert. Die abdominale Ultraschall-Simulation ist ein Instrument zur Erhöhung der Patientensicherheit und kann eine kosteneffiziente Ausbildungsmethode sein. In diesem Beitrag geben wir einen Überblick über verschiedene Simulatortypen im Bereich des abdominalen Ultraschalls sowie über die Vorteile und Herausforderungen der SBT. Darüber hinaus stellen wir Beispiele für die Entwicklung von SBT-Programmen und Lernstrategien einschließlich des Mastery Learning vor.

Zusammenfassend lässt sich sagen, dass durch die steigende Nachfrage nach medizinischer Bildgebung die Notwendigkeit für den Einsatz von Ultraschall-Simulatoren für Mediziner gegeben ist, um mit den steigenden Standards Schritt zu halten.

Publication History

Received: 09 September 2023

Accepted after revision: 05 February 2024

Article published online:
21 March 2024

• Literatur

• 1 Østergaard ML, Nielsen KR, Albrecht-Beste E. et al. Simulator training improves ultrasound scanning performance on patients: a randomized controlled trial. Eur Radiol 2019; 6: 3210-3218
• 2 Østergaard ML, Konge L, Kahr N. et al. Four Virtual-Reality Simulators for Diagnostic Abdominal Ultrasound Training in Radiology. Diagnostics (Basel) 2019; 9
• 3 Konge L, Albrecht-Beste E, Nielsen MB. Virtual-reality simulation-based training in ultrasound. Ultraschall in Med 2014; 35: 95-97
• 4 Nayahangan LJ, Dietrich CF, Nielsen MB. Simulation-based training in ultrasound – where are we now?. Ultraschall in Med 2021; 42: 240-244
• 5 McGaghie WC, Issenberg SB, Petrusa ER. et al. A critical review of simulation-based medical education research: 2003-2009. Med Educ 2010; 44 (01) 50-63
• 6 Tolsgaard MG, Ringsted C, Dreisler E. et al. Sustained effect of simulation-based ultrasound training on clinical performance: a randomized trial. Ultrasound Obstet Gynecol 2015; 46: 312-318
• 7 Barsuk JH, Cohen ER, McGaghie WC. et al. Long-term retention of central venous catheter insertion skills after simulation-based mastery learning. Acad Med 2010; 85 (10) S9-S12
• 8 Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med 2011; 364 (08) 749-757
• 9 Tolsgaard MG, Rasmussen MB, Tappert C. et al. Which factors are associated with trainees' confidence in performing obstetric and gynecological ultrasound examinations?. Ultrasound Obstet Gynecol 2014; 43: 444-451
• 10 Taksøe-Vester C, Dyre L, Schroll J. et al. Simulation-Based Ultrasound Training in Obstetrics and Gynecology: A Systematic Review and Meta-Analysis. Ultraschall in Med 2021; 42: e42-e54
• 11 Zhao Y, Zhou P, Zhu W. et al. Validity evidence for simulator-based obstetric ultrasound competency assessment tool: a multi-center study. Ultraschall in Med 2023;
• 12 Freundt P, Nourkami-Tutdibi N, Tutdibi E. et al. Controlled Prospective Study on the Use of Systematic Simulator-Based Training with a Virtual, Moving Fetus for Learning Second-Trimester Scan: FESIM III. Ultraschall in Med 2023; 4: e199-e205
• 13 Terkamp C, Kircher G, Wedemeyer J. et al. Simulations of abdomen sonography. Evaluation of a new ultrasound simulator. Ultraschall in Med 2003; 24: 239-244
• 14 Østergaard ML, Ewertsen C, Konge L. et al. Simulation-Based Abdominal Ultrasound Training – A Systematic Review. Ultraschall in Med 2016; 37: 253-261
• 15 Arya S, Mulla ZD, Kupesic Plavsic S. Role of pelvic ultrasound simulation. Clin Teach 2018; 15: 457-461
• 16 Østergaard ML, Nielsen KR, Albrecht-Beste E. et al. Development of a reliable simulation-based test for diagnostic abdominal ultrasound with a pass/fail standard usable for mastery learning. Eur Radiol 2018; 28: 51-57
• 17 Damewood SC, Lewiss RE, Huang JV. Ultrasound simulation utilization among point of care ultrasound users: Results of a survey. J Clin Ultrasound 2018; 46: 571-574
• 18 Clark AE, Shaw CJ, Bello F. et al. Quantitating skill acquisition with optical ultrasound simulation. Australas J Ultrasound Med 2020; 23: 183-193
• 19 Alexander LF, McComb BL, Bowman AW. et al. Ultrasound Simulation Training for Radiology Residents-Curriculum Design and Implementation. J Ultrasound Med 2022; 42
• 20 Brown SD, Callahan MJ, Browning DM. et al. Radiology trainees' comfort with difficult conversations and attitudes about error disclosure: effect of a communication skills workshop. J Am Coll Radiol 2014; 11: 781-787
• 21 Canty D, Barth J, Yang Y. et al. Comparison of learning outcomes for teaching focused cardiac ultrasound to physicians: A supervised human model course versus an eLearning guided self- directed simulator course. J Crit Care 2019; 49: 38-44
• 22 Dyre L, Tabor A, Ringsted C. et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ 2017; 51: 196-206
• 23 Bjerrum F, Sorensen JL, Konge L. et al. Randomized trial to examine procedure-to-procedure transfer in laparoscopic simulator training. Br J Surg 2016; 103: 44-50
• 24 Thomsen ASS, Kiilgaard JF, la Cour M. et al. Is there inter-procedural transfer of skills in intraocular surgery? A randomized controlled trial. Acta Ophthalmol 2017; 95: 845-851
• 25 Pietersen PI, Jorgensen R, Graumann O. et al. Training Thoracic Ultrasound Skills: A Randomized Controlled Trial of Simulation-Based Training versus Training on Healthy Volunteers. Respiration 2021; 100: 34-43
• 26 Rathbun KM, Brader WT, Norbury JW. A Simple, Realistic, Inexpensive Nerve Phantom. J Ultrasound Med 2019; 38 (08) 2203-2207
• 27 Surana P, Narayanan MK, Parikh DA. et al. A simple, low-cost, customisable ultrasound gel-based phantom. Anaesth Crit Care Pain Med 2020; 39 (06) 888-890
• 28 Schwartz CM, Ivancic RJ, McDermott SM. et al. Designing a Low-Cost Thyroid Ultrasound Phantom for Medical Student Education. Ultrasound Med Biol 2020; 46 (06) 1545-1550
• 29 Blum T, Rieger A, Navab N. et al. A review of computer-based simulators for ultrasound training. Simul Healthc 2013; 8 (02) 98-108
• 30 Dietrich CF, Lucius C, Nielsen MB. et al. The ultrasound use of simulators, current view, and perspectives: Requirements and technical aspects (WFUMB state of the art paper). Endosc Ultrasound 2023; 12: 38-49
• 31 Khamis NN, Satava RM, Alnassar SA. et al. A stepwise model for simulation-based curriculum development for clinical skills, a modification of the six-step approach. Surg Endosc 2016; 30: 279-287
• 32 Thomas PA, Kern DE, Hughes MT. et al. Curriculum development for medical education: A six-step approach. 2015: 1-300
• 33 Rasmussen NK, Nayahangan LJ, Carlsen J. et al. Evaluation of competence in ultrasound-guided procedures-a generic assessment tool developed through the Delphi method. Eur Radiol 2021; 31: 4203-4211
• 34 McGaghie WC. Mastery learning: it is time for medical education to join the 21st century. Acad Med 2015; 90: 1438-1441
• 35 Cook DA, Brydges R, Zendejas B. et al. Mastery learning for health professionals using technology-enhanced simulation: a systematic review and meta-analysis. Acad Med 2013; 88: 1178-1186
• 36 Barsuk JH, Cohen ER, Feinglass J. et al. Residents' Procedural Experience Does Not Ensure Competence: A Research Synthesis. J Grad Med Educ 2017; 9: 201-208
• 37 Pietersen PI, Konge L, Madsen KR. et al. Development of and Gathering Validity Evidence for a Theoretical Test in Thoracic Ultrasound. Respiration 2019; 98: 221-229
• 38 Jacobsen N, Larsen JD, Falster C. et al. Using Immersive Virtual Reality Simulation to Ensure Competence in Contrast-Enhanced Ultrasound. Ultrasound Med Biol 2022; 48: 912-923
• 39 Rowley KJ, Wheeler KM, Pruthi DK. et al. Development and implementation of competency-based assessment for urological ultrasound training using SonoSim: A preliminary evaluation. Indian J Urol 2020; 36: 270-275
• 40 Orr KE, Hamilton SC, Clarke R. et al. The integration of transabdominal ultrasound simulators into an ultrasound curriculum. Ultrasound 2019; 27: 20-30
• 41 Mackay FD, Zhou F, Lewis D. et al. Can You Teach Yourself Point-of-care Ultrasound to a Level of Clinical Competency? Evaluation of a Self-directed Simulation-based Training Program. Cureus 2018; 10: e3320
• 42 Lawaetz J, Soenens G, Eiberg J. et al. Facilitators and Barriers to Implementation of Simulation Based Education in Vascular Surgery in Europe. Eur J Vasc Endovasc Surg 2023;
• 43 Hosny SG, Johnston MJ, Pucher PH. et al. Barriers to the implementation and uptake of simulation-based training programs in general surgery: a multinational qualitative study. J Surg Res 2017; 220: 419-26.e2