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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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E-learning and practical performance in musculoskeletal ultrasound: a multicentre randomized study.

Stine Maya Dreier Carstensen1,2,3, Søren Andreas Just4, Marie Velander4

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Pre-course e-learning did not improve residents' musculoskeletal ultrasound (MSUS) practical skills. Hands-on training is crucial for enhancing MSUS performance, as validated by the Objective Structured Assessment of Ultrasound Skills (OSAUS) tool.

Keywords:
assessmentmedical educationmusculoskeletal ultrasoundonline learningtraining

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Area of Science:

  • Medical Education
  • Diagnostic Imaging
  • Ultrasound Technology

Background:

  • Musculoskeletal ultrasound (MSUS) is a valuable diagnostic tool.
  • Effective training is essential for developing practical MSUS skills in medical residents.
  • Assessing the impact of novel educational interventions on skill acquisition is critical.

Purpose of the Study:

  • To evaluate the effectiveness of pre-course e-learning modules on residents' practical performance in MSUS.
  • To compare the MSUS skill acquisition between residents receiving e-learning and those receiving traditional pre-course information.
  • To assess the reliability of the Objective Structured Assessment of Ultrasound Skills (OSAUS) tool in evaluating practical MSUS performance.

Main Methods:

  • A multicenter, randomized controlled trial was conducted following CONSORT guidelines.
  • Residents with limited MSUS experience were allocated to either an e-learning or a traditional group.
  • Practical MSUS skills were assessed pre- and post-course using the validated OSAUS tool by blinded raters.

Main Results:

  • No significant difference in pre- or post-course MSUS practical performance was observed between the e-learning and traditional groups.
  • Both groups showed significant improvement in MSUS skills from pre- to post-course assessment (P < 0.001).
  • The OSAUS tool demonstrated good inter-rater reliability (ICC = 0.84).

Conclusions:

  • Pre-course e-learning did not significantly enhance novice residents' practical MSUS skills.
  • Hands-on training remains paramount for improving MSUS performance.
  • The OSAUS tool is a reliable and applicable instrument for assessing MSUS practical skills.