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http://dx.doi.org/10.13045/jar.2022.00038

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  

Cho, Eunbyul (College of Korean Medicine, Wonkwang University)
Han, Young-Min (Cheoncheon Public Health Center Branch)
Kang, Yeonseok (College of Korean Medicine, Wonkwang University)
Kim, Jae-Hyo (College of Korean Medicine, Wonkwang University)
Shin, Min-Seop (Shin Min Seop Korean Medicine Clinic)
Oh, Myungjin (Keumkang Korean Medical Clinic)
Jung, Hyun-Jong (College of Korean Medicine, Wonkwang University)
Jeon, Hyesoo (College of Korean Medicine, Wonkwang University)
Cho, Nam Geun (College of Korean Medicine, Wonkwang University)
Leem, Jungtae (College of Korean Medicine, Wonkwang University)
Publication Information
Journal of Acupuncture Research / v.39, no.2, 2022 , pp. 105-114 More about this Journal
Abstract
Background: The objective structured clinical examination (OSCE) is used in the colleges of Korean Medicine, but few studies have validated the OSCE evaluation criteria or post-education questionnaires. Diagnostic ultrasound is used in Korean medicine treatment including acupuncture, acupotomy, and pharmacopuncture to increase the safety and efficacy of treatment. We aimed to develop and validate a OSCE checklist and questionnaire for diagnostic musculoskeletal ultrasound training. Methods: A OSCE checklist and rubric for diagnostic ultrasound training, and questionnaire was developed using literature research. Eight expert panelists verified each draft item in a single-round survey. Items with a content validity ratio (CVR) < 0.75 were excluded or modified to reflect the experts' opinions. Results: The OSCE checklist and rubric for diagnostic ultrasound training focusing on volar wrist and carpal tunnel syndrome included: 15 items revised according to CVR and expert opinions, the pre-examination procedure, structures to be identified by ultrasound, scans with 2 diagnostic criteria for carpal tunnel syndrome, an explanation of the exam results, and the post exam procedure. The questionnaire consisted of 15 items, including the overall evaluation of training, the effect of the OSCE, and the perception of the ultrasound. All 6 self-evaluation items were not revised, as they had a CVR of ≥ 0.75. Conclusion: An ultrasound OSCE for scanning the volar wrist and diagnosing carpal tunnel syndrome was developed using 15 validated tasks, 15 survey questions about ultrasound training, and 6 questions for self-evaluation. These results may be used in the future for education in diagnostic ultrasound.
Keywords
carpal tunnel syndrome; checklist; self-evaluation; ultrasound;
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