Development of a fresh cadaver model for instruction of ultrasound-guided breast biopsy during the surgery clerkship: pre-test and post-test results among third-year medical students - 22/10/16

Doi : 10.1016/j.amjsurg.2016.02.008

Hilary C. McCrary, M.P.H. ^a,^⁎ , Jonida Krate, B.S. ^a, Christine E. Savilo, M.S. ^a, Melissa H. Tran, B.S. ^a, Hang T. Ho, M.D. ^b, William J. Adamas-Rappaport, M.D., F.A.C.S. ^a, Rebecca K. Viscusi, M.D., F.A.C.S. ^b
^a College of Medicine, University of Arizona, PO Box 245026, 1501 North Campbell Avenue, Tucson, AZ 85724, USA
^b Department of Surgery, University of Arizona, Tucson, AZ, USA

^∗Corresponding author. Tel.: +1 520-626-6673; fax: +1 520-626-6995.

Abstract

Background

The aim of our study was to determine if a fresh cadaver model is a viable method for teaching ultrasound (US)-guided breast biopsy of palpable breast lesions.

Methods

Third-year medical students were assessed both preinstruction and postinstruction on their ability to perform US-guided needle aspiration or biopsy of artificially created masses using a 10-item checklist.

Results

Forty-one third-year medical students completed the cadaver laboratory as part of the surgery clerkship. Eight items on the checklist were found to be significantly different between pre-testing and post-testing. The mean preinstruction score was 2.4, whereas the mean postinstruction score was 7.10 (P < .001).

Conclusions

Fresh cadaver models have been widely used in medical education. However, there are few fresh cadaver models that provide instruction on procedures done in the outpatient setting. Our model was found to be an effective method for the instruction of US-guided breast biopsy among medical students.

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Highlights

•	A fresh cadaver model for the instruction of breast biopsy is proposed.
•	Using a pretest and post-test, 8 of 10 items were statistically significant.
•	This model is an effective method for instruction of third-year medical students.

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Keywords : Breast mass, Breast biopsy, Ultrasound, Fresh cadaver, Surgery education

Plan

	There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
	The authors declare no conflicts of interest.