Skip to main content
SpringerLink
Log in

Sonographieausbildung in der Notfall- und Intensivmedizin

Integration schon im Medizinstudium?

Ultrasound training in emergency and intensive care medicine

Integration already in medical school?

  • Leitthema
  • Published:
Medizinische Klinik - Intensivmedizin und Notfallmedizin Aims and scope Submit manuscript

Zusammenfassung

Ultraschall ist ein wichtiges diagnostisches Mittel in der Notfall- und Intensivmedizin. Jederzeit am Patientenbett verfügbar verkürzt Ultraschall die Zeit bis zur Stellung der richtigen Diagnose. Daher ist Ultraschall in vielen Fachbereichen im Sinne einer erweiterten körperlichen Untersuchung in die diagnostischen Algorithmen eingebettet. Viele Differenzialdiagnosen lassen sich mittels einer fokussierten Sonographie schnell ausschließen und erlauben somit eine schnellere Einleitung einer zielgerichteten Therapie. Daher ist die fokussierte Sonographie von größter Bedeutung für den Notfall- und Intensivmediziner. Die Integration der Ausbildung in das Studium wird zunehmend häufiger, es existieren jedoch keine einheitlichen strukturierten oder universitätsübergreifenden Standards.

Abstract

Ultrasound is an important diagnostic tool especially in emergency and intensive care medicine. It is always available at the bedside and shortens time to diagnosis. Many specialties have integrated ultrasound into diagnostic algorithms as part of the extended physical exam. Numerous differential diagnoses can be easily excluded using point-of-care ultrasound and therefore adequate treatment is initiated faster. Emergency or focused ultrasound is therefore of outstanding relevance to any emergency or critical care physician. Integration into medical school curricula is becoming more common tough no nationwide standards are in place yet.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1

Literatur

  1. Angtuaco TL, Hopkins RH, DuBose TJ et al (2007) Sonographic physical diagnosis 101: teaching senior medical students basic ultrasound scanning skills using a compact ultrasound system. Ultrasound Q 23:157–160

    Article  PubMed  Google Scholar 

  2. Bahner DP, Goldman E, Way D et al (2014) The state of ultrasound education in U.S. medical schools: results of a national survey. Acad Med 89(12):1681–1686

    Article  PubMed  Google Scholar 

  3. Bahner DP, Adkins EJ, Hughes D et al (2013) Integrated medical school ultrasound: development of an ultrasound vertical curriculum. Crit Ultrasound J 5(1):6

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bentley S, Mudan G, Strother C et al (2015) Are live ultrasound models replaceable? Traditional versus simulated education module for FAST exam. West J Emerg MEd 16(6):818–822

  5. Blackstock U, Munson J, Szyld D (2015) Bedside ultrasound curriculum for medical students: report of a blended learning curriculum implementation and validation. J Clin Ultrasound 43(3):139–144

    Article  PubMed  Google Scholar 

  6. Botker MT, Jacobsen L, Rudolph SS et al (2018) The role of point of care ultrasound in prehospital critical care: a systematic review. Scand J Trauma Resusc Emerg Med 26(1):51

    Article  PubMed  PubMed Central  Google Scholar 

  7. Breitkreutz R, Campo Delľ Orto M, Hamm C et al (2013) Does the integration of personalized ultrasound change patient management in critical care medicine? Observational trials. Emerg Med Int. https://doi.org/10.1155/2013/946059

    Article  PubMed  PubMed Central  Google Scholar 

  8. Butter J, Grant TH, Egan M et al (2007) Does ultrasound training boost Year 1 medical student competence and condence when learning abdominal examination? Med Educ 41:843–848

    Article  PubMed  Google Scholar 

  9. Dickerson J, Paul K, Vila P et al (2017) The role for peer-assisted ultrasound teaching in medical school. Clin Teach 14(3):170–174

    Article  PubMed  Google Scholar 

  10. Dinh VA, Frederick J, Bartos R et al (2015) Effects of ultrasound implementation on physical examination learning and teaching during the first year of medical education. J Ultrasound Med 34(1):43–50

    Article  PubMed  Google Scholar 

  11. Dreher SM, DePhilip R, Bahner D (2014) Ultrasound exposure during gross anatomy. J Emerg Med 46(2):231–240

    Article  PubMed  Google Scholar 

  12. Fischer LM, Woo MY, Lee AC et al (2015) Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice. CJEM 17(1):74–88

    Article  PubMed  Google Scholar 

  13. Gogalniceanu P, Sheena Y, Kashef E et al (2010) Is basic emergency ultrasound training feasible as part of standard undergraduate medical education? J Surg Educ 67(3):152–156

    Article  PubMed  Google Scholar 

  14. Gomez Betancourt M, Moreno-Montoya J, Barragan Gonzalez AM (2016) Learning process and improvement of point-of-care ultrasound technique for subxiphoid visualization of the inferior vena cava. Crit Ultrasound J 8(1):4

    Article  PubMed  PubMed Central  Google Scholar 

  15. Hempel D, Haunhorst S, Sinnathurai S et al (2016) Social media to supplement point-of-care ultrasound courses: the “sandwich e‑learning” approach. A randomized trial. Crit Ultrasound J 8(1):3

    Article  PubMed  PubMed Central  Google Scholar 

  16. Jang TB, Ruggeri W, Dyne P et al (2010) The learning curve of resident physicians using emergency ultrasonography for cholelithiasis and cholecystitis. Acad Emerg Med 17(11):1247–1252

    Article  PubMed  Google Scholar 

  17. Kobal SL, Trento L, Baharami S et al (2005) Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol 96(7):1002–1006

    Article  PubMed  Google Scholar 

  18. Lian A, Rippey JCR, Carr PJ (2017) Teaching medical students ultrasound-guided vascular access—which learning method is best? J Vasc Access 18(3):255–258

    Article  PubMed  Google Scholar 

  19. Michels G, Zinke H, Mockel M et al (2017) Recommendations for education in ultrasound in medical intensive care and emergency medicine: position paper of DGIIN, DEGUM and DGK. Med Klin Intensivmed Notfmed 112(4):314–319

    Article  CAS  PubMed  Google Scholar 

  20. Mircea PA, Badea R, Fodor D et al (2012) Using ultrasonography as a teaching support tool in undergraduate medical education—time to reach a decision. Med Ultrason 14(3):211–216

    PubMed  Google Scholar 

  21. Prats MI, Royall NA, Panchal AR et al (2016) Outcomes of an advanced ultrasound elective: preparing medical students for residency and practice. J Ultrasound Med 35(5):975–982

    Article  PubMed  Google Scholar 

  22. Rempell JS, Saldana F, DiSalvo D et al (2016) Pilot point-of-care ultrasound curriculum at harvard medical school: early experience. West J Emerg Med 17(6):734–740

    Article  PubMed  PubMed Central  Google Scholar 

  23. Rogers EM (2003) Diffusion of Innovations, 5. Aufl. Free Press, New York

    Google Scholar 

  24. Royer DF, Kessler R, Stowell JR (2017) Evaluation of an innovative hands-on anatomy-centered ultrasound curriculum to supplement graduate gross anatomy education. Anat Sci Educ 10(4):348–362

    Article  PubMed  Google Scholar 

  25. Solomon SD, Saldana F (2014) Point-of-care ultrasound in medical education—stop listening and look. N Engl J Med 370(12):1083–1085

    Article  CAS  PubMed  Google Scholar 

  26. Soucy ZP, Mills LD (2015) American Academy of Emergency Medicine position statement: ultrasound should be integrated into undergraduate medical education curriculum. J Emerg Med 49(1):89–90

    Article  PubMed  Google Scholar 

  27. Turner EE, Fox JC, Rosen M et al (2015) Implementation and assessment of a curriculum for bedside ultrasound training. J Ultrasound Med 34(5):823–828

    Article  Google Scholar 

  28. Shokoohi H, Boniface K, Kaviany P et al (2016) An experiential learning model facilitates learning of bedside ultrasound by preclinical medical students. J Surg Educ 73(2):208–214

    Article  PubMed  Google Scholar 

  29. Wojtczak JA (2014) Models to teach lung sonopathology and ultrasound-guided thoracentesis. J Ultrason 14(59):367–370

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Zentrale Notaufnahme und Aufnahmestation, Universitätsklinik Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Deutschland

    D. Hempel

  2. Klinik III für Innere Medizin, Herzzentrum, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Köln, Deutschland

    T. Schröper, R. Pfister & G. Michels

Authors
  1. D. Hempel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Schröper
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Pfister
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. Michels
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Hempel.

Ethics declarations

Interessenkonflikt

D. Hempel, T. Schröper, R. Pfister und G. Michels geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Additional information

Redaktion

G. Michels, Köln

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hempel, D., Schröper, T., Pfister, R. et al. Sonographieausbildung in der Notfall- und Intensivmedizin. Med Klin Intensivmed Notfmed 114, 519–524 (2019). https://doi.org/10.1007/s00063-019-0550-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00063-019-0550-2

Schlüsselwörter

Keywords

Search

Navigation