Considerations for Implementing Point-of-Care Ultrasound in a Community-Based Family Medicine Residency Program

Weemer, Megan; Hutchins, Matt; Beachy, Eric; McGuire, Nicole

doi:10.1177/2382120519884329

Cited by 3 publications

(5 citation statements)

References 9 publications

(9 reference statements)

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“…In accordance with our findings, another survey conducted by Weemer et al in a family medicine program reports that scanning a patient with biliary colic was perceived as a highly useful family medicine POCUS application by residents and graduates of the program [10]. AAA and the FAST POCUS applications were also ranked low in perceived usefulness.…”

Section: Discussionsupporting

confidence: 90%

“…Another randomized clinical trial demonstrated that a POCUS protocol for emergent patients significantly shortened the time to lifesaving treatment and also increased diagnostic accuracy while lowering mortality rates [ 9 ]. POCUS significantly lowers costs compared to ultrasound referrals [ 5 , 10 ]. While diagnoses are based on a patient's history, physical exam, and labs, the ready availability and diagnostic accuracy of POCUS means that clinicians will increasingly look within patients for definitive and expeditious answers [ 4 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent survey of family medicine residents and recent graduates demonstrates strong support for the development of POCUS curricula, but as of 2021, less than 10% of primary care providers report using POCUS in the clinic [ 9 , 18 ]. Several previous studies have demonstrated that general practitioners are capable of scanning patients with accuracy and efficiency with as little as three didactic and five hands-on hours of POCUS training [ 10 , 12 ]. Family medicine residents express more confidence and likelihood of using POCUS in their future practice if they are allowed hands-on practice under expert supervision [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

Frasure¹,

Treat²,

Dow³

et al. 2023

Cureus

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IntroductionLimited guidance exists for primary and urgent care ultrasound applications. This study sought to identify the most useful applications for providers in these clinical settings, to create and implement a structured interdisciplinary point-of-care ultrasound (POCUS) curriculum, and to assess the effectiveness of the course. MethodsThis prospective cohort study took place at an urban academic medical center. After a needs-based assessment of ultrasound applications in primary and urgent care, the Emergency Medicine ultrasound faculty and fellows were paired with a primary or urgent care provider (N = 6). The pairings met for scanning sessions in the emergency department to practice image acquisition, documentation, and incorporation of ultrasound into the workflow. Participants were given POCUS pre-work to review before each session. The final bedside session included a formal Objective Standard Clinical Examination (OSCE) to assess learner proficiency to be cleared for independent imaging. The program was assessed using pre-and post-training surveys. ResultsThe survey results demonstrated that renal, gallbladder, and soft tissue scans were the most interesting and useful to primary and urgent care providers after completion of the training course. ConclusionThe course was effective, and efficient, simple, high-yield POCUS applications should be included in future programs and organizational guidelines for primary and urgent care POCUS education.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

Frasure¹,

Treat²,

Dow³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…[6][7][8] POCUS has utility for assessing patients, providing real-time diagnostic and monitoring information, and plays a key role in optimizing many procedures with direct visualization. [3][4][5]11,14 It is clear from this study that POCUS training across academic FM departments has dramatically expanded over the past 2 years, but significant barriers to clinical implementation continue to exist.…”

Section: Discussionmentioning

confidence: 93%

“…1 Recognizing the potential of POCUS in enhancing primary care delivery, [2][3][4] the American Academy of Family Physicians (AAFP) developed recommendations and guidelines for POCUS training and use in 2016. [5][6][7][8] However, several major roadblocks to widespread dissemination of POCUS into clinical care exist including lack of POCUS-trained faculty to teach a POCUS curriculum, 9 purchasing and storing equipment, training clinicians to use the technology and interpret images, 10 and understanding how to bill for clinical POCUS use. 11,12 There is a dearth of literature on how Family Medicine (FM) departments are faring on their journeys toward POCUS use in clinical care.…”

Section: Introductionmentioning

confidence: 99%

Current State of Point-of-Care Ultrasound Use Within Family Medicine

et al. 2022

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Background and Objectives: Following the publication of Point-of-Care-Ultrasound (POCUS) curriculum guidelines from the American Academy of Family Physicians in 2016, there has been a rapid expansion in POCUS curricula across family medicine departments in the US. There is growing appreciation for the potential role of POCUS in enhancing the clinical care family physicians provide to patients. The primary aim of our study was to evaluate the utilization of POCUS in outpatient clinic care across Family Medicine departments nationwide and to identify perceived or realized barriers in integrating POCUS use for clinic care.Methods: The questions were part of a larger omnibus survey of US Department of Family Medicine chairs, conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA) between August 6 to August 31, 2021.Results: 81% of departments have at least 1 POCUS-trained faculty, with 44% of departments using POCUS in some ambulatory clinical care. Currently, only 6% have established billing for the POCUS they perform. Faculty time, as well as funding, for POCUS training were seen as 2 primary barriers. The purchasing of equipment and billing for POCUS were described by FMCs as difficult.Conclusions: As POCUS use continues to rise in Family Medicine, it is imperative to create a more efficient and less hindered road to growth. Collaboration across departments to share best practices in training, purchasing equipment and billing for POCUS will be important to facilitate high-quality POCUS access for our patients.

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The unmet demand for point-of-care ultrasound among general pediatricians: a cross-sectional survey

et al. 2022

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Background Point-of-care ultrasound (POCUS) is a noninvasive bedside tool with many pediatric applications but is not currently a formal part of pediatric training and practice. Formal surveys of general pediatricians regarding POCUS training are lacking. We aimed to quantify the baseline ultrasound experience and training needs of general pediatricians and pediatric residents across different practice settings. Methods In 2020, we sent an online survey to 485 current faculty, residents, and graduates from an urban pediatric academic medical center in Northern California. Pediatric subspecialists were excluded. Survey questions about baseline experience, comfort, and perceived usefulness of 20 common POCUS applications were developed by two POCUS experts using existing literature. Chi-squared analysis was used to compare residents versus attendings and to compare attendings practicing in inpatient versus outpatient versus mixed settings. Results Response rate was 20% (98/485). Compared to attendings (n = 73), residents (n = 25) endorsed more exposure to POCUS in medical school (32% vs 5%, p = 0.003) and residency (12% vs 5%, p = 0.003). Respondents endorsed low comfort with POCUS (mean 1.3 out of 5 on Likert scale). Of 20 procedural and diagnostic applications, respondents identified abscess drainage, bladder catheterization, soft tissue, neck, advanced abdominal, and constipation as most useful. Overall, 50% of pediatricians (and 70% of pediatric residents) responded that there were opportunities to use POCUS multiple times a week or more in their clinical practice. Conclusions There is an unmet demand for POCUS training among general pediatricians and trainees in our study. Although the majority of respondents were not POCUS users, our results could guide future efforts to study the role of POCUS in general pediatrics and develop pediatric curricula.

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Considerations for Implementing Point-of-Care Ultrasound in a Community-Based Family Medicine Residency Program

Cited by 3 publications

References 9 publications

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

Current State of Point-of-Care Ultrasound Use Within Family Medicine

The unmet demand for point-of-care ultrasound among general pediatricians: a cross-sectional survey

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