Development of a Point-of-Care Ultrasound Track for Internal Medicine Residents

Nathanson, Robert; Le, Minh-Phuong T; Proud, Kevin C; LoPresti, Charles M.; Haro, Elizabeth K.; Mader, Michael; O’Rorke, Jane; Wathen, Patricia I.; Soni, Nilam J.

doi:10.1007/s11606-022-07505-5

Cited by 9 publications

(6 citation statements)

References 33 publications

(40 reference statements)

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“…Multiple surveys have been undertaken to assess barriers to ultrasound use; however, most surveys have focused on settings in HIC. Common barriers have included lack of access to ultrasound education and training, to trained personnel, and to ultrasound equipment [17][18][19][20][21][22][23] . A previous 2015 survey specifically assessing perceived barriers to ultrasound use in LMIC settings found a lack of training (60%), cost of maintaining/obtaining/updating machines (50%), lack of reliable ultrasound maintenance capability (47%), and lack of equipment (46%) to be the most common barriers 4 .…”

mentioning

confidence: 99%

A survey of barriers and facilitators to ultrasound use in low- and middle-income countries

Ginsburg

Liddy

Khazaneh

et al. 2023

Sci Rep

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Point-of-care ultrasound has the potential to help inform assessment, diagnosis, and management of illness in low- and middle-income countries (LMIC). To better understand current ultrasound use, barriers and facilitators to use, and perceptions and practices in LMIC, we conducted an anonymous online global survey targeting healthcare providers training and using ultrasound in LMIC. A total of 241 respondents representing 62 countries participated and most were physicians working in publicly-funded urban tertiary hospitals in LMIC. Most had received ultrasound training (78%), reported expertise (65%) and confidence (90%) in ultrasound use, and had access to ultrasound (88%), utilizing ultrasound most commonly for procedures and for evaluations of lungs, heart, and trauma. Access to an ultrasound machine was reported as both the top barrier (17%) and top facilitator (53%); other common barriers included access to education and training, cost, and competition for use and other common facilitators included access to a probe, gel, and electricity, and acceptance by healthcare providers, administrators, and patients. Most (80%) noted ultrasound access was important and 96% agreed that ultrasound improves quality of care and patient outcomes. Improving access to low-cost ultrasound equipment is critical to increasing ultrasound use among those who are trained.

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confidence: 99%

A survey of barriers and facilitators to ultrasound use in low- and middle-income countries

Ginsburg

Liddy

Khazaneh

et al. 2023

Sci Rep

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“…3,6,14 Faculty with POCUS expertise, access to equipment and curricular time within the training program remain as core challenges. GME programs have used a variety of methods to navigate these challenges through a variety of methods including, utilizing national courses, 14 development of dedicated tracks with asynchronous and self-directed learning, 3,14 peer to peer teaching 14 , and leveraging the expertise and resources of other GME programs. 15 To overcome these obstacles at our institution, we leveraged the resources used to create our undergraduate medical education POCUS curriculum to create a common core POCUS GME curriculum.…”

Section: Discussionmentioning

confidence: 99%

“…Although POCUS use continues to grow among various medical specialties, obstacles remain for creating adequate POCUS curricula within both undergraduate and GME programs. 3,6,14 Faculty with POCUS expertise, access to equipment and curricular time within the training program remain as core challenges. GME programs have used a variety of methods to navigate these challenges through a variety of methods including, utilizing national courses, 14 development of dedicated tracks with asynchronous and self-directed learning, 3,14 peer to peer teaching 14 , and leveraging the expertise and resources of other GME programs.…”

Section: Discussionmentioning

confidence: 99%

A Shared Point of Care Ultrasound Curriculum for Graduate Medical Education

Ferre,

Kaine,

Lobo

et al. 2024

Preprint

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Background Point of care ultrasound (POCUS) education has grown significantly over the past two decades. Like most curricular items, POCUS education is siloed within individual graduate medical education (GME) programs. The purpose of this study was to evaluate the effectiveness of a shared GME POCUS curriculum between five GME programs at a single institution. Methods Post-graduate-year-1 (PGY-1) residents from emergency medicine (EM), family medicine (FM), internal medicine (IM), combined internal medicine-pediatrics (IM-Peds) and combined emergency medicine-pediatrics (EM-Peds) residency programs were enrolled in a core POCUS curriculum. The curriculum included eleven asynchronous online learning modules and ten hands-on training sessions proctored by sonographers and faculty physicians with POCUS expertise. Data was gathered about the curriculum’s effectiveness including participation, pre- and post-curricular surveys, pre- and post-knowledge assessments, and an objective skills assessment. Results Of the 85 residents enrolled, 61 (72%) participated in the curriculum. Engagement varied between programs, with attendance at hands-on sessions varying the most (EM 100%, EM-Peds 100%, FM 40%, IM 22%, Med-Peds 11%). Pre- and post-knowledge assessment scores improved for all components of the curriculum. Participants felt significantly more confident with image acquisition, anatomy recognition, interpreting images and incorporating POCUS findings into clinical practice (p < 0.001) after completing the curriculum. Conclusion In this shared GME POCUS curriculum, we found significant improvement in POCUS knowledge, attitudes, and psychomotor skills. This shared approach may be a viable way for other institutions to provide POCUS education broadly to their GME programs.

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“…Our POCUS training program encompassed peer-to-peer didactic lectures and bedside teaching, resembling the structure of many POCUS training programs. [18][19][20] Participants were assigned to observe in the emergency department, enabling hands-on experience with actual emergency patients, considering foreign doctors cannot practice as physicians due to regulations. Diagnostic exams conducted by participants align with typical POCUS programs, involving an average of 10-20 cases per block.…”

Section: Discussionmentioning

confidence: 99%

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

Ienghong,

Gaysonsiri,

Cheung

et al. 2023

AMEP

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Introduction Point of Care Ultrasound (POCUS) training has been offering invaluable guidance in the diagnostic process and treatment strategies, particularly in resource-limited settings. The purpose of this study was to determine participant satisfaction with the structure and scope of POCUS training in overseas elective rotation. Material and Methods A retrospective observational analytical study was undertaken. The study focused on EM residents from Laos who participated in the international elective rotation at the Khon Kaen University during the academic years 2020–2021 and 2022–2023. The research involved an exploration of training data related to this course, encompassing participant characteristics, the structure and scope of POCUS training, the training assessments, and post completion surveys of participants. Results The study involved 24 participants. The course was characterized by its status as an international elective program prehospital POCUS training for post graduate year 3 students. The duration of the rotation ranged from 2 to 4 weeks. Interestingly, in the academic year 2022–2023, the duration of POCUS training was notably extended to 8 hours, accounting for 4.76% of the total time. The training encompassed peer-to-peer didactic lectures, bedside teaching, and observational case studies at the Emergency Department (ED). The results of our survey, boasting a 100% response rate, indicated participants’ contentment with the academic performance, the abundance of learning resources, and the knowledge gained from this rotation that would aid their future careers. The overall satisfaction with this course was highly rated, falling into the “satisfy” and “highly satisfy” categories. However, certain challenges were reported, including feelings of isolation due to the distance from relatives, concerns related to interpersonal relationships with colleagues, and a sense of being isolated. Conclusion The participants were highly satisfied to the structure and scope of this course. The overseas elective rotation significantly enhanced the knowledge of Laos EM residents’ in POCUS and underscored the crucial importance of this course in EM training.

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Development of a Point-of-Care Ultrasound Track for Internal Medicine Residents

Cited by 9 publications

References 33 publications

A survey of barriers and facilitators to ultrasound use in low- and middle-income countries

A survey of barriers and facilitators to ultrasound use in low- and middle-income countries

A Shared Point of Care Ultrasound Curriculum for Graduate Medical Education

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation

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