Enseñanza de las bases de la ecocardioscopia en el pregrado: los estudiantes como mentores

Abstract

Objective To analyse the ability of medical students to incorporate the practical teaching of basic echocardiography planes using a peer mentoring design. Methodology Thirty-six medical students previously trained in obtaining echocardiography planes (mentors) taught the other 5th-year students (n = 126). The teaching methodology included three stages: theory (online course), basic training (three 15 h sessions of practical experience in ultrasound and at least 20 echocardiographic studies per mentor) and objective structured clinical assessment (OSCA), which scored the appropriateness of the basic ultrasound planes and the correct identification of 16 cardiac structures. Results The students’ weighted mean score in the OSCA was 8.66 ± 1.98 points (out of 10). Only 10 students (8.4%) scored less than 5, and 15 (12.6%) scored less than 7. Fifty students (42%) scored 10 points. The most easily identified structure was the left ventricle in the short-axis parasternal plane, with 89.9% of correct answers. The most poorly identified structure was the mitral valve in the subxiphoid plane, with 69.7% of correct answers. Conclusions Peer mentoring-based teaching achieves an appropriate level of training in obtaining basic echocardiography planes. The training period is relatively short. The peer mentoring system can facilitate the implementation of teaching on basic aspects of ultrasound to a large number of undergraduate students.