Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group

Ambasta, Anshula; Balan, Marko; Mayette, Michaël; Goffi, Alberto; Mulvagh, Sharon L.; Buchanan, Brian; Montague, Steven; Ruzycki, Shannon M.

doi:10.1007/s11606-019-05124-1

Cited by 23 publications

(21 citation statements)

References 29 publications

(26 reference statements)

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“…Curriculum implementation clearly requires substantial resources and organizational engagement. To facilitate this and ensure that important aspects are not forgotten quality metrics for medical education must be used [ 31 ]. The execution of this process in Saudi Arabia may also be guided by the previous experience of the implementation of training in ultrasound-guided procedures in other countries.…”

Section: Discussionmentioning

confidence: 99%

A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this

et al. 2021

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Background Training in procedural skills is often suboptimal. The aim of this study was to quantify the needs of residents in internal medicine (IM), critical care (CC), and emergency medicine (EM) for instruction in ultrasound-guided procedures. Methods All IM, EM and CC residents (n = 200) at King Abdulaziz Medical City, Riyadh, Saudi Arabia, were invited to participate in a questionnaire-based survey to identify skill and experience gaps. The contribution of procedural skills to patient care (i.e. applicability) and proficiency in the sterile technique required to perform ultrasound-guided procedures were rated on Likert scales. Data on training, accreditation, and experience with and without ultrasound were collected. Results The overall response rate was 72% (IM 91%, CC 100%, EM 40%). Although the sample reported that procedural skills were very applicable, 19% (IM n = 25, EM n = 2) had not performed any procedures. However, five residents were accredited in point-of-care ultrasound, 61% of the sample had performed ultrasound-guided procedures and 65% had used landmark techniques. Whilst more internists had performed procedures using landmark techniques, CC and EM residents had performed more ultrasound-guided procedures. Whilst CC residents had not missed any opportunities to perform procedures because supervisors were less available, EM (6) and IM (89) residents had. Whilst skill gaps were only identified in the IM residency programme, experience gaps were present in all three residency programmes. The IM residency programme had larger experience gaps than the CC and EM programmes for all procedural skills. Discussion Residents in IM, CC and EM perceive that ultrasound-guided procedures are relevant to their practice. However, the IM residents performed fewer procedures than CC residents and EM residents at least partly because internists also lack skills in ultrasound. Training in ultrasound-guided procedures may reduce the use of landmark techniques and improve patient safety. Residents in IM, CC and EM therefore require training in ultrasound-guided procedures.

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Section: Discussionmentioning

confidence: 99%

A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this

et al. 2021

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“…First is the issue of generalizability. The academic centres in our study all have a designated internal medicine POCUS champion, a marker of higher quality POCUS education [27], as well as availability of machines and supportive work environment and colleagues. As such, our results may not apply to practitioners in POCUS-naïve settings.…”

Section: Work Environment Enablersmentioning

confidence: 99%

Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions

et al. 2020

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Background: Point-of-care ultrasound (POCUS) is increasingly used in internal medicine, but a lack of trained faculty continues to limit the spread of POCUS education. Using a framework based on organizational change theories, this study sought to identify barriers and enablers for hospital-based practicing internists to learn and use POCUS in clinical practice. Methods: We invited practicing internists at six North American institutions to participate in an electronic survey on their opinions regarding 39 barriers and enablers. Results: Of the 342 participants invited, 170 participated (response rate 49.3%). The top barriers were lack of training (79%), lack of handheld ultrasound devices (78%), lack of direct supervision (65%), lack of time to perform POCUS during rounds (65%), and lack of quality assurance processes (53%). The majority of participants (55%) disagreed or strongly disagreed with the statement "My institution provides funding for POCUS training." In general, participants' attitudes towards POCUS were favourable, and future career opportunities and the potential for billing were not considered significant factors by our participants in the decision to learn or use POCUS. Conclusions: This survey confirms the perceived importance of POCUS to practicing internists. To assist in closing faculty development gap, interventions should address training, supervision, quality assurance processes, availability of handheld devices, as well as dedicated time to perform POCUS during clinical care.

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“…We are therefore well-positioned to help collectively guide this POCUS implementation effort, as evidenced by our collective work to date. 16,17 Much more work needs to be done and the future for POCUS is looking bright and echogenic. "In truth, whatever is worth doing at all, is worth doing well; and nothing can be done well without attention.…”

Section: Behind the Scenes: Pocus From An Educational Scholarship Perspective-irene W Y Mamentioning

confidence: 99%

Medical Education in Internal Medicine

Vegas

Martin

W.Y.³

et al. 2021

Can Journ Gen Int Med

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The 2019 CSIM national meeting included a workshop focused on current topics related to medical education across Canada. The workshop topics included leadership in education, teaching point of care ultrasound, teaching clinical reasoning, and using competency based medical education to design a maintenance of competency program for practicing specialists. This article reflects the experience and discussions from the session, with the goal of stimulating national conversations and collaborations betweenCSIM members.

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Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group

Cited by 23 publications

References 29 publications

A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this

A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this

Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions

Medical Education in Internal Medicine

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