DOI QR코드

DOI QR Code

Development of a Checklist and Assessment Items for an Objective Structured Clinical Examination of the Shoulder Joint Using Ultrasound

  • Jinyeong Hong (Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital of Sangji University) ;
  • In-Hwa Park (Department of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Min-Jeong Kim (Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital of Sangji University)
  • 투고 : 2024.07.19
  • 심사 : 2024.07.26
  • 발행 : 2024.08.01

초록

Background: The increasing importance of developing good clinical skills in medical education underscores the value of an objective structured clinical examination (OSCE). Additionally, ultrasound devices and studies have been frequently used by Korean medical doctors. However, education and use of ultrasound in the current curriculum in Korea are insufficient; therefore, we developed an OSCE for shoulder joint ultrasonography for clinical practice students at Korean medical universities. Methods: We reviewed previous studies and shoulder ultrasound guidelines to create a checklist for an OSCE. A satisfaction questionnaire survey was also developed by collecting and analyzing existing survey data on medical education satisfaction to address quality and problems of OSCE. Results: The checklist consisted of six items: ultrasound preparation, biceps tendon detection, subscapularis detection, supraspinatus detection, infraspinatus and teres minor detection, and finishing. The satisfaction survey consisted of four items: topic appropriateness and difficulty assessment, content assessment, self-assessment, and comment on the OSCE. Conclusion: We developed an ultrasound OSCE checklist for the rotator cuff. The OSCE should be revised based on the satisfaction survey data and expert opinions in the future. Our study data can be useful for practical training at Korean medical universities.

키워드

참고문헌

  1. Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination. Br Med J 1975;1:447-451. doi: 10.1136/bmj.1.5955.447
  2. Cho JJ, Noh HM, Kim SH, Kwon H, Park YM, Choi BM. The current status and development of a skill examination for the Korean speciality certification examination. J Korean Med Assoc 2014;57:444-454. doi: 10.5124/jkma.2014.57.5.444
  3. Chu H, Park S, Kang K, Lee J, Oh J, Yoon J, et al. Current insights and updates in ultrasound-guided acupuncture: a comprehensive review and status report. J Korean Med Soc Acupotomology 2023;7:121-130. doi: 10.54461/JAcupotomy.2023.7.2.121
  4. Jeong JK, Park GN, Kim KM, Kim SY, Kim ES, Kim JH, et al. The effectiveness of ultrasound-guided bee venom pharmacopuncture combined with integrative Korean medical treatment for rotator cuff diseases: a retrospective case series. Acupuncture 2016;33:165-180. doi: 10.13045/acupunct.2016063
  5. Lee S. Prospects for the development of acupuncture treatment led by the use of ultrasound imaging devices. J Korean Med Soc Soft Tissue 2021;5:8-11. doi: 10.54461/JKMST.2021.5.1.8
  6. Shin J, Go Y, Song C, Cho E, Leem J. Presentation on research trends and suggestion for further research and education on objective structured clinical examination and clinical performance examination in Korean medicine education: scoping review. J Soc Prev Korean Med 2022;26:87-112. doi: 10.25153/spkom.2022.26.2.008
  7. Cho E, Han YM, Kang Y, Kim JH, Shin MS, Oh M, et al. Development of an objective structured clinical examination checklist and a post-education questionnaire for musculoskeletal ultrasound training focusing on volar wrist and carpal tunnel syndrome. J Acupunct Res 2022;39:105-114. doi: 10.13045/jar.2022.00038
  8. Health Insurance Review & Assessment Service. HIRA Bigdata Open portal. Health Insurance Review & Assessment Service [Internet]. Wonju: 2015 [cited 2024 Feb 20]. Available from: https://opendata.hira.or.kr/home.do
  9. Jung J, Shon MS. Epidemiology and etiology of shoulder pain based on health statistics data from Healthcare Bigdata Hub in Korea. J Korean Med Assoc 2022;65:687-698. doi: 10.5124/jkma.2022.65.11.687
  10. Korean Acupuncture & Moxibustion Medicine Society. Clinical practice guideline of acupuncture medicine. Rev. ed. Hanmi Book. 2020:28-64.
  11. Knobe M, Carow JB, Ruesseler M, Leu BM, Simon M, Beckers SK, et al. Arthroscopy or ultrasound in undergraduate anatomy education: a randomized cross-over controlled trial. BMC Med Educ 2012;12:85. doi: 10.1186/1472-6920-12-85
  12. Knobe M, Munker R, Sellei RM, Holschen M, Mooij SC, Schmidt-Rohlfing B, et al. Peer teaching: a randomised controlled trial using student-teachers to teach musculoskeletal ultrasound. Med Educ 2010;44:148-155. doi: 10.1111/j.1365-2923.2009.03557.x.
  13. Martinoli C. Musculoskeletal ultrasound: technical guidelines. Insights Imaging 2010;1:99-141. doi: 10.1007/s13244-010-0032-9
  14. Gaitini D. Shoulder ultrasonography: performance and common findings. J Clin Imaging Sci 2012;2:38. doi: 10.4103/2156-7514.99146
  15. Selame LAJ, Matsas B, Krauss B, Goldsmith AJ, Shokoohi H. A stepwise guide to performing shoulder ultrasound: the Acromio-clavicular joint, Biceps, Subscapularis, Impingement, Supraspinatus Protocol. Cureus 2021;13:e18354. doi: 10.7759/cureus.18354
  16. Serpi F, Albano D, Rapisarda S, Chianca V, Sconfienza LM, Messina C. Shoulder ultrasound: current concepts and future perspectives. J Ultrason 2021;21:e154-e161. doi: 10.15557/JoU.2021.0025
  17. Sim SB, Kweon JH, Kim HW, Hong JW, Shin SW. Student satisfaction study of clinical skills training in Korean medical education. J Korean Med 2013;34:37-53. doi: 10.13048/jkm.13011
  18. Schmidt G, Gerlinger C, Endrikat J, Gabriel L, Muller C, Baus S, et al. Teaching breast ultrasound skills including core-needle biopsies on a phantom enhances undergraduate student's knowledge and learning satisfaction. Arch Gynecol Obstet 2021;304:197-202. doi: 10.1007/s00404-021-06016-8
  19. Raja AE, Emam M, Shustorovich A, Tatini AL, Coslick A, Dreher GM, et al. A hybrid musculoskeletal ultrasound curriculum for physical medicine and rehabilitation residents-a multi-center pilot program. Curr Phys Med Rehabil Rep 2023;11:51-61. doi: 10.1007/s40141-023-00380-z
  20. Kim JY, Yun JM, Lee SH, Lee YJ, Ko DK, Heo I, et al. Survey on the current usage of ultrasound-guided procedures in Korean medicine clinics and hospitals. Medicine (Baltimore) 2024;103:e37659. doi: 10.1097/MD.0000000000037659
  21. Kim S, Lee S, Ha WB, Lee JH, Jung HJ, Chu HM, et al. Development of an ultrasound-imaging procedure and acquisition of ultrasound images of acupuncture points for safety and accuracy of needle insertion. Integr Med Res 2017;6:427-433. doi: 10.1016/j.imr.2017.09.003
  22. Kim BH, Yook TH, Song BY, Choi YM, Shin JH, Lee S, et al. Trends in domestic and foreign clinical research on ultrasound-guided acupuncture. J Acupunct Res 2018;35:214-218. doi: 10.13045/jar.2018.00255
  23. National survey on Korean medicine utilization. Ministry of Health Welfare [Internet]. Sejong: 2023 [cited 2023 Apr 12]. Available from: https://www.mohw.go.kr/board.es?mid=a10411010200&bid=0019&act=view&list_no=375810
  24. Jo HJ, Min SH. The current status and future operations of clinical performance evaluation (CPX) in the nationwide colleges (graduate schools) of traditional Korean medicine. J Korean Med Hist 2022;33:9-21. doi: 10.15521/jkmh.2020.33.2.009
  25. Institute of Korean Medicine Education and Evaluation. KAS2022 amendment announcement public hearing. Institute of Korean Medicine Education and Evaluation. 2021:21-24.
  26. Kim KJ, Han CH, Park JH, Choi SH, Lee SN. Satisfaction of Qigong lecture in college of oriental medicine. Korean J Orient Med 2009;15:69-78.
  27. Han CY, Kang DW, Park JG, Kim BH, Kim KS, Kim YB, et al. An analysis of clerkship satisfaction in college of Korean medicine: focusing on doctor-patient role-play and mock CPX. J Korean Med Ophthalmol Otolaryngol Dermatol 2020;33:12-24. doi: 10.6114/jkood.2020.33.1.012
  28. Cho HB, Sung WS, Hong J, Kang Y, Kim EJ. A survey on perceptions of the direction of Korean medicine education and national licensing examination. Healthcare (Basel) 2023;11:1685. doi: 10.3390/healthcare11121685