EP23.05: Improving obstetrical care in medically underserved communities using modern technology: medical student perception

Abstract

The study explored medical student perception of perceived benefit using 3D/4D ultrasound technology in rural and medically underserved communities. Second-year medical students (N=147) learned 2D, 3D, and 4D ultrasound technology using the Fetus Ultrasound Examination Phantom for routine second trimester screening that contained a 23-week fetus (26 cm) in utero and completed a survey about the usefulness of 3D/4D ultrasonography in rural healthcare. The survey asked about student perception of improving obstetrical care in medically underserved communities with the use of 3D/4D technology. The majority of students (99%) reported that the ultrasound was a useful tool to provide care for underserved populations, and 98% of students felt that ultrasound was a useful tool for patient education. Predicted use of ultrasound in future practice was positively correlated with believing access to ultrasound was useful in rural health care (r=0.32, p<.001) and would increase patient compliance (r=0.33, p<.001). Perceived proficiency of performing an ultrasound exam was positively correlated with believing access to 3D/4D ultrasound technology would increase patient compliance (r=0.17, p=.039). Ultrasound technology is both safe and relatively inexpensive as a bedside imaging technology. Students felt access to 3D/4D ultrasound technology was particularly useful in rural health care and could be a valuable tool for patient education. Providing access to 3D/4D ultrasonography in a rural population would encourage seeking physician appointments and increase patient compliance.