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

McGinness, Anelah; Lin‐Martore, Margaret; Addo, Newton; Shaahinfar, Ashkon

doi:10.1186/s12909-021-03072-1

Cited by 6 publications

(10 citation statements)

References 59 publications

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“…Pediatric trainees are interested in obtaining POCUS training during residency and view POCUS as an important skill for their future careers. Our finding is consistent with other needs assessment studies indicating that pediatric residents increasingly demonstrate an interest in POCUS [ 18 , 20 - 23 ]. Upstream of residency training, medical schools are also incorporating ultrasound training into undergraduate medical education [ 14 , 24 - 31 ].…”

Section: Discussionsupporting

confidence: 92%

Pediatric Residency Point-of-Care Ultrasound Training Needs Assessment and Educational Intervention

Arichai¹,

Delaney²,

Slamowitz³

et al. 2022

Cureus

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BackgroundPrior studies showed that point-of-care ultrasound (POCUS) training is not commonly offered in pediatric residency. We assessed the need for a pediatric POCUS curriculum by evaluating pediatric trainees' attitudes toward the use of POCUS and identifying barriers to training. We also aimed to evaluate the impact of a POCUS educational intervention on self-efficacy and behavior. MethodsWe conducted a cross-sectional survey of pediatric residents in a single large freestanding children's hospital distributed via an institutional listserv and administered online. The survey included opinionrating of statements regarding POCUS and barriers to training. We also offered a two-week POCUS course with online modules and hands-on scanning. Participating residents completed pre-and post-course knowledge assessments and follow-up surveys up to 12 months following the course to assess POCUS use and self-report confidence on POCUS indications, acquisition, interpretation, and clinical application. ResultsForty-nine respondents were included in the survey representing all three pediatric levels with 16 specialty interest areas. Ninety-six percent of trainees reported that POCUS is an important skill in pediatrics. Ninety-two percent of trainees reported that residency programs should teach residents how to use POCUS. The most important perceived barriers to POCUS training were scheduling availability for POCUS rotations and lack of access to an ultrasound machine. Fourteen participants completed the pre-and post-course knowledge tests, with eight and six participants also completing the six-and 12-month follow-up surveys, respectively. Self-ratings of confidence were significantly improved post-intervention in indications (P = 0.007), image acquisition (P = 0.002), interpretation (P = 0.002), and clinical application (P = 0.004). This confidence improvement was sustained up to 6-12 months (P = 0.004-0.032). Participants also reported higher categorical POCUS use after course completion (P = 0.031). ConclusionsPediatric trainees perceive POCUS as an important skill, hold favorable opinions towards the use of POCUS, and support POCUS training within a pediatric residency. A POCUS course can improve resident POCUS knowledge, instill confidence, and motivate higher POCUS use. Further study is needed to evaluate POCUS applications in pediatric medicine to develop a standardized POCUS curriculum and establish a training guideline for pediatric residency.

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Section: Discussionsupporting

confidence: 92%

Pediatric Residency Point-of-Care Ultrasound Training Needs Assessment and Educational Intervention

Arichai¹,

Delaney²,

Slamowitz³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Similarly, Lewis et al reported a questionnaire aimed to assess the need for introducing a POCUS curriculum to the internal medicine program. Furthermore, Kessler et al investigated residents and students’ selection of the most useful applications of ultrasound in their future clinical practice [ 10 – 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was carried out on the basis of previously reported studies in the scientific literature. For this purpose, we selected and adapted items from published articles and chapters that outlined the most relevant information for pediatric POCUS [ 10 – 16 ].…”

Section: Methodsmentioning

confidence: 99%

“…Recent studies have shown increased implementation of POCUS skills in various medical fields. However, when comparing pediatric subspecialties with their adult counterparts, POCUS remains relatively unexplored in general pediatric training and education [ 10 ]. Several physicians still find it challenging to understand and use this methodology, despite the advantage of easily examining children with ultrasound, especially using high-frequency probes that provide higher resolution images [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Point-of-care ultrasound (POCUS) pediatric resident training course: a cross-sectional survey

Lo Bianco,

Presti,

Finocchiaro

et al. 2024

Ital J Pediatr

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Background Point-of-care ultrasound (POCUS) is becoming increasingly crucial in the Pediatric Emergency Department for objective patient examination. However, despite its growing interest and wide-ranging applications, POCUS remains relatively unexplored in general pediatric training and education. Many physicians still find it challenging to comprehend and implement. Methods A theoretical-practical POCUS course for pediatric residents was conducted at the University of Catania, Italy. The course’s effectiveness and practical impact on residents was assessed through a pre-post training survey. The first part of the questionnaire focused on the self-perceived time needed to learn how to recognize the following conditions using POCUS: (i) Pleural effusion (ii) Lung consolidation (iii) Pneumothorax (PNX) (iv) Cardiac contractility (v) Pericardial effusion (vi) Perisplenic effusion (vii) Morison’s pouch effusion (viii) Douglas’ pouch effusion (ix) Filling and collapsibility of the inferior vena cava. In the second part, we compared the potential role of POCUS in (i) Reducing the use of ionizing radiation in children (ii) Increasing the sense of security in diagnosis and treatment decisions making and (iii) Increasing the residents’ confidence level with POCUS after the course on a 1-to-10 rating scale. Results Seventy-two residents participated in the study. The statistical analysis showed significant pre-post differences in almost all the items considered, except for “cardiac contractility” and “PNX”. Furthermore, the perceived potential role of POCUS in reducing ionizing radiation usage and the sense of security in diagnosis and treatment decisions showed statistically significant differences (p < 0.05) before and after the course. Data analysis also revealed a consistently high confidence level with POCUS after the course. Conclusions The results highlight the importance of including a POCUS track course in pediatric post-graduate programs due to its simplicity, rapid learning time, and clinical usefulness. Based on these findings, it would be recommended to increase the teaching hours dedicated to the recognition of pneumothorax and cardiology POCUS examination. Emphasizing POCUS training in pediatric education can enhance patient care and diagnostic accuracy while minimizing radiation exposure.

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“…Recent studies have shown increased implementation of POCUS skills in various medical elds. However, when comparing pediatric subspecialties with their adult counterparts, POCUS remains relatively unexplored in general pediatric training and education [10]. Several physicians still nd it challenging to understand and use this methodology, despite the advantage of easily examining children with ultrasound, especially using highfrequency probes that provide higher resolution images [10].…”

mentioning

confidence: 99%

Point-of-care ultrasound (POCUS) pediatric resident training course: a cross-sectional survey

Bianco,

Presti,

Finocchiaro

et al. 2024

Preprint

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Background:Point-of-care ultrasound (POCUS) is becoming increasingly crucial in the Pediatric Emergency Department for objective patient examination. However, despite its growing interest and wide-ranging applications, POCUS remains relatively unexplored in general pediatric training and education. Many physicians still find it challenging to comprehend and implement. Methods:a theoretical-practical POCUS course for pediatric residents was conducted at the University of Catania, Italy. The course's effectiveness and practical impact on residents was assessed through a pre-post training survey. The first part of the questionnaire focused on the self-perceived time needed to learn how to recognize the following conditions using POCUS: i) Pleural effusion ii) Lung consolidation iii) Pneumothorax (PNX) iv) Cardiac contractility v) Pericardial effusion vi) Perisplenic effusion vii) Morison’s pouch effusion viii) Douglas' pouch effusion ix) Filling and collapsibility of the inferior vena cava. In the second part, we compared the potential role of POCUS in i) Reducing the use of ionizing radiation in children ii) Increasing the sense of security in diagnosis and treatment decisions making and iii) Increasing the residents' confidence level with POCUS after the course on a 1-to-10 rating scale. Results:seventy-two residents participated in the study. The statistical analysis showed significant pre-post differences in almost all the items considered, except for "cardiac contractility" and "PNX".Furthermore, the perceived potential role of POCUS in reducing ionizing radiation usage and the sense of security in diagnosis and treatment decisions showed statistically significant differences (p<0.05) before and after the course. Data analysis also revealed a consistently high confidence level with POCUS after the course. Conclusions:the results highlight the importance of including a POCUS track course in pediatric post-graduate programs due to its simplicity, rapid learning time, and clinical usefulness. Based on these findings, it would be recommended to increase the teaching hours dedicated to the recognition of pneumothorax and cardiology POCUS examination. Emphasizing POCUS training in pediatric education can enhance patient care and diagnostic accuracy while minimizing radiation exposure.

show abstract

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

Cited by 6 publications

References 59 publications

Pediatric Residency Point-of-Care Ultrasound Training Needs Assessment and Educational Intervention

Pediatric Residency Point-of-Care Ultrasound Training Needs Assessment and Educational Intervention

Point-of-care ultrasound (POCUS) pediatric resident training course: a cross-sectional survey

Point-of-care ultrasound (POCUS) pediatric resident training course: a cross-sectional survey

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