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Urban walkability is influenced both by built environment features and by pedestrian demographics. Research has shown that factors influencing women’s walking differ from those affecting men’s. Using a mixed-method approach, this study creates a new women-specific, GIS-based walkability index using San Francisco as a case study, and answers two questions: Which variables most influence women’s propensity to walk? And Does the leading walkability index, Walk Score, reflect women’s walkability? Focus group participants (n=17) ranked crime, homelessness and street/sidewalk cleanliness as the three most influencing factors on women’s walkability, accounting for 58% to 67% of the Women’s Walkability Index’s total score. The least walkable areas in San Francisco, according to this index, are rated as some of the most walkable neighborhoods in the city by Walk Score, despite high crime and homelessness density. Walk Score is negatively correlated with the new Women’s Walkability Index (Spearman’s rho = -0.585) and inaccurately represents women’s walkability. If the new index accurately captures the reality of women’s walking, then some of the most widely accepted conventions about what kind of areas promote walking could be inaccurate when it comes to women.

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Background The benefits of Point of Care Ultrasound (POCUS) are well established in the literature. As it is an operator-dependent modality, the operator is required to be skilled in obtaining and interpreting images. Physicians who are not trained in POCUS attend courses to acquire the basics in this field. The effectiveness of such short POCUS courses on daily POCUS utilization is unknown. We sought to measure the change in POCUS utilization after practicing physicians attended short POCUS courses. Methods A 13-statements questionnaire was sent to physicians who attended POCUS courses conducted at the Soroka University Medical Center between the years 2014–2018. Our primary objective was to compare pre-course and post-course POCUS utilization. Secondary objectives included understanding the course graduates’ perceived effect of POCUS on diagnosis, the frequency of ultrasound utilization and time to effective therapy. Results 212 residents and specialists received the questionnaire between 2014–2018; 116 responded (response rate of 54.7%). 72 (62.1%) participants were male, 64 (55.2%) were residents, 49 (42.3%) were specialists, 3 (2.5%) participants did not state their career status. 90 (77.6%) participants declared moderate use or multiple ultrasound use six months to four years from the POCUS course, compared to a rate of ‘no use at all’ and ‘minimal use of 84.9% before the course. 98 participants [84.4% CI 77.8%, 91.0%] agree and strongly agree that a short POCUS course may improve diagnostic skills and 76.7% [CI 69.0%, 84.3%] agree and strongly agree that the POCUS course may shorten time to diagnosis and reduce morbidity. Conclusions Our short POCUS course significantly increases bedside ultrasound utilization by physicians from different fields even 4 years from course completion. Course graduates strongly agreed that incorporating POCUS into their clinical practice improves patient care. Such courses should be offered to residents and senior physicians to close the existing gap in POCUS knowledge among practicing physicians.