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

Am J Surg. 2016 Nov;212(5):1020-1025. doi: 10.1016/j.amjsurg.2016.02.008. Epub 2016 May 7.

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.

Keywords: Breast biopsy; Breast mass; Fresh cadaver; Surgery education; Ultrasound.

Publication types

  • Comparative Study

MeSH terms

  • Biopsy, Needle / methods
  • Breast / pathology*
  • Cadaver
  • Clinical Clerkship / methods
  • Clinical Competence*
  • Education, Medical, Undergraduate / methods*
  • Educational Measurement
  • Female
  • General Surgery / education*
  • Humans
  • Image-Guided Biopsy / methods
  • Male
  • Models, Educational
  • Quality Improvement
  • Ultrasonography, Doppler*