Integrating Point-of-Care Ultrasonography Into Nephrology Fellowship Training: A Model Curriculum

Koratala, Abhilash; Segal, Mark S.; Kazory, Amir

doi:10.1053/j.ajkd.2019.02.002

Cited by 37 publications

(32 citation statements)

References 14 publications

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“…Studies describing the applications of POCUS and the competencies required for its safe practice were reviewed [1,3,[10][11][12][13]16,23,24]. Drawing on this knowledge, two researchers with expertise in medical education, POCUS, and survey design (RR and AH) developed a validated questionnaire to investigate interns' perceptions of POCUS.…”

Section: Questionnaire Developmentmentioning

confidence: 99%

“…There is substantial evidence to support the clinical value of POCUS to several specialties [1][2][3]12]. Yet, surprisingly, practicing physicians have been mostly reluctant to integrate this paradigm-shifting technology into their routine practice [1].…”

Section: Introductionmentioning

confidence: 99%

“…While Saudi Arabia does not have any curricula for POCUS training as yet, several national and international bodies have developed specialty-specific POCUS curricula [12,[16][17][18][19][20][21]. Since POCUS is applicable in many different medical areas, learning POCUS is likely to be relevant to the medical interns.…”

Section: Introductionmentioning

confidence: 99%

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Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Jarwan¹,

Alshamrani²,

Alghamdi³

et al. 2020

Cureus

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Background and objective The use of point-of-care ultrasound (POCUS) is generally on the rise worldwide. However, as the epidemiology of diseases and the approach to their management vary internationally, POCUS may not be universally applicable. The resources available for medical education are generally limited. Thus, when considering the development of a training program during the internship year, we sought to determine interns' perceptions of the applicability of POCUS to clinical practice, the current skill gaps, and barriers to training. Methods A validated questionnaire was distributed to the interns of the College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh to determine their proficiency in POCUS, and their opinions on its applicability on a 5-point Likert scale. Each skill gap was calculated by subtracting selfreported proficiency in POCUS from its perceived applicability. Results Of the 300 total interns (male: 200, female: 100), 229 participated [response rate: 76%; male: 136 (68%), female: 93 (93%)]. The use of POCUS to detect abdominal free fluid was perceived to be the most applicable use (mean: 3.9 ±1.1); scanning for consolidation was the least applicable (mean: 3.0 ±1.2). Knowledge and proficiency among the sample were generally poor. The skill gap was greatest for the assessment of inferior vena cava collapsibility (mean: 1.4 ±1.3) and least for the identification of pneumothorax (mean: 0.5 ±1.5). Although three-quarters of the participants (170) agreed that POCUS was an essential skill, 36 (16%) stated that they had no interest in it, and nearly half (101) believed that they did not have time to learn POCUS. Conclusions While POCUS is applicable to medical interns in Saudi Arabia, significant skill gaps exist. However, our sample's perception of the applicability of POCUS was less favorable than that of internal medicine (IM) residents in Canada. Thus, initiating POCUS training during the internship year may yield suboptimal results. Interns must prioritize medical licensing examinations and applications for residency training. Indeed, many interns believe that they do not have enough time to learn POCUS. Thus, prioritizing the training of residents in POCUS may be a more effective use of the finite resources available for medical education.

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Section: Questionnaire Developmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Jarwan¹,

Alshamrani²,

Alghamdi³

et al. 2020

Cureus

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“…However, like with any other skill, continued practice is the key to achieving mastery. Integration of point-of-care ultrasonography into nephrology fellowship curricula [19] with longitudinal training aids in long-term skill retention.…”

Section: What Are the Technical Considerations Of Bedside Lung Ultrasmentioning

confidence: 99%

The Promising Role of Lung Ultrasound in Assessment of Volume Status for Patients Receiving Maintenance Renal Replacement Therapy

2020

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“…John Hopkins University recently proposed a 2 -week POCUS curriculum for nephrology fellows, which led to substantial improvement in trainees' skills in both subjective and objective assessments 5 . Based on their experience, the Nephrology Division of the University of Florida suggested that an 8 -week period spread out over two years is needed to accommodate both the didactic training and scanning experience required to achieve competence 6 . How can we start building a nephrology POCUS community in Portugal?…”

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Integrating Point-of-Care Ultrasonography Into Nephrology Fellowship Training: A Model Curriculum

Cited by 37 publications

References 14 publications

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

The Promising Role of Lung Ultrasound in Assessment of Volume Status for Patients Receiving Maintenance Renal Replacement Therapy

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