integrating donor dissection, simulation and live...
TRANSCRIPT
Integrating Donor Dissection, Simulation and Live Ultrasound, of the Femoral Region During an Anatomy Lab
Course Enables First Year Medical Students to Conduct Femoral Nerve Blocks
MINA, Adam1 and Brion BENNINGER1-10. Anatomy Center for Innovative Education and Science1,
Departments of Medical Anatomical Sciences2, Neuromuscular Medicine3, Family Practice4, Western University of Health Sciences, COMP–Northwest, Lebanon, OR. USA. Faculty, College of Dental Medicine5, Pomona CA. Departments of Orthopaedics6 and General Surgery7, Samaritan
Health Services, Corvallis, OR. USA. Departments of Oral Maxillofacial Surgery8, Surgery9, Orthopaedics & Rehabilitation10, Oregon Health & Science University, Portland, OR. USA.
The Anatomy Center at COMP-NW lab emphasizes clinical anatomy starting in the first year of medical education
OBJECTIVE Ultrasound simulation: introducing an intermediate learning modality between anatomy and live ultrasound during an anatomy course INTRODUCTION • Ultrasound is the visual stethoscope of the future • Ultrasound can be daunting to students during anatomy • Use of a simulator could be a useful medium for learning
ultrasound
METHODS
Ultrasound simulator utilized during instruction of the femoral triangle anatomy
Basic ultrasound instruction
Donor cadaver patient dissection
Ultrasound simulator workshop
Simulator practice
Live ultrasound simulator workshop
Anatomy didactic Integrated Anatomy - Ultrasound Curriculum Overview
Live ultrasound practice
Didactic and laboratory examination including simulated and live ultrasound
Student feedback
Femoral triangle anatomy review Anatomy – Simulator – Ultrasound - Anatomy
Remember NAVEL (Nerve Artery Vein Empty Lymphatic) What is the ACTUAL position of the femoral nerve? Image: Netter (2011)
Student performing simulated ultrasound guided femoral nerve block
Touch of Life Technologies OPUS mini www.toltech.net
Using femoral nerve block simulation to prepare students for live ultrasound
Ultrasound Simulator Live Ultrasound
V A N
I
P
Medial Lateral
Sonosite M-Turbo
Student performance and feedback using an ultrasound simulator • Students could successfully identify contents of the femoral triangle and
introduce the simulated needle to the area of the nerve • Following simulation, students could perform live ultrasound of the femoral
region
• The ultrasound simulator was useful in the students’ focus of cadaveric dissection regarding the femoral triangle
• A majority of students reported that the simulation eased their learning of live ultrasound
• Students recommend that ultrasound simulation be integrated into the anatomy course
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9
3
2
0 1 2 3 4 5 6 7 8 9 10
NOT HELPFUL
SOMEWHAT HELPFUL
MODERATELY HELPFUL
VERY HELPFUL
Did use of the simulator help the students' focus of cadaver dissection regarding the femoral triangle?
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2
1
0 2 4 6 8 10 12 14
ULTRASOUND SIMULATOR
LIVE ULTRASOUND
NO EXPERIENCE
Which modality was easier for students to use in locating the femoral nerve?
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0 2 4 6 8 10 12 14 16
YES
NO
Would students recommend that ultrasound simulation be integrated into the anatomy course?
CONCLUSION This pilot study revealed that the chronologic integration of • Donor cadaver dissection • Ultrasound simulation • Live ultrasound • Active formal examination is a successful teaching methodology for femoral triangle anatomy and ultrasound skills. Next step is to introduce the ultrasound simulator to the fall anatomy class of over 100 first year medical students
Thank You
• Stephanie Duckett • Jonathan Shader • Students & Faculty of the 2013
Intensive Summer Anatomy Course • COMP & COMP-NW • OPSO
Photography contribution • Matthew Casper • Luke Rauch
• Intro slide: Gray (1918)