Entrusting internal medicine residents to use point of care ultrasound: Towards improved assessment and supervision

Schnobrich, Daniel; Mathews, Benji; Trappey, Bernard E.; Muthyala, Brian; Olson, Andrew

doi:10.1080/0142159x.2018.1457210

Cited by 22 publications

(22 citation statements)

References 29 publications

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“…After considering the limitations above, the findings of this study can perhaps stimulate echocardiography training programs to use dyad training methods, which can help save faculty time by 50%. Such savings would help overcome the time constraints when spreading echocardiography training to areas beyond critical care, such as general internal medicine [30] and undergraduate medical curricula [31]. To further improve the sustainability of echocardiography teaching, indirect supervision done by Physician B can be replaced by workplace-based supervision by senior residents and staff.…”

Section: Discussionmentioning

confidence: 99%

Focused echocardiography: Dyad versus individual training in an authentic clinical context

See

Chua

Verstegen

et al. 2019

Journal of Critical Care

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Section: Discussionmentioning

confidence: 99%

Focused echocardiography: Dyad versus individual training in an authentic clinical context

See

Chua

Verstegen

et al. 2019

Journal of Critical Care

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“…Disappointingly, in one study the POCUS median assessment score after a 3-day training course was 90%, yet the score dropped to 65% prior to a 1-day refresher course. Of note, the decline was substantially lower in users who created a POCUS portfolio suggesting that this, or alternatively, ongoing scanning is an important component to retention of POCUS skills and must be supported by the institution or health system [64,65].…”

Section: Responsible Use: Ongoing Competency Assessment and Quality Amentioning

confidence: 99%

Point-of-Care Ultrasound

Lee

DeCara

2020

Curr Cardiol Rep

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Purpose of the Review Point-of-care ultrasound using small ultrasound devices has expanded beyond emergency and critical care medicine to many other subspecialties. Awareness of the strengths and limitations of the technology and knowledge of the appropriate settings and common indications for point-of-care ultrasound is important. Recent Findings Point-of-care ultrasound is widely embraced as an extension of the physical exam and is employed in acute care and medical education settings. Echocardiography laboratories involved in education must individualize training to the intended scope of practice of the user. Advances in artificial intelligence may assist in image acquisition and interpretation by novice users. Summary Point-of-care ultrasound is widely available in a variety of clinical settings. The field has advanced substantially in the past 2 decades and will likely continue to expand with advancement in technology, reduced cost, and improved opportunities to assist new users.

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“…It was shown by Jensen that the level of competency varied considerably using the volume type training . This approach has been studied among internal medicine residents . The obstetric units of the CCPU currently adopt a combination of contact hours in lectures and practical learning, formative and summative assessments supervised by a qualified clinician or sonologist and 25‐50 logged cases, depending on the unit .…”

Section: Pocus Training In Australia and Worldwidementioning

confidence: 99%

Point‐of‐care ultrasound in obstetrics

Collins¹,

Collins

Kothari

2019

Australas J Ultrason Med

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Point-of-care ultrasound, or PoCUS, where imaging is undertaken at the bedside, clinic or emergency department (ED) by the clinician overseeing treatment, is a rapid form of assessment that may be undertaken alongside or as an alternative to traditional, formal ultrasound performed by a radiology service. PoCUS reduces the time to diagnosis, thus allowing lifesaving treatment to be initiated. This is particularly relevant in Obstetrics and Gynaecology (OBGYN), where delayed diagnosis of pregnancy complications is often fatal or highly debilitating to the mother or fetus. The literature suggests that PoCUS is particularly useful in areas that are inadequately resourced, as it is relatively cheap and accessible. High-quality training is essential to ensure that the staff performing the scans are adequately qualified to deliver the service. Clinicians who perform PoCUS in their practice should be aware of the appropriate indications, as well as when to refer for formal imaging.

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Entrusting internal medicine residents to use point of care ultrasound: Towards improved assessment and supervision

Abstract: It is feasible to assess and supervise internal medicine residents' ability to use diagnostic point of care ultrasound using an EPA.

Cited by 22 publications

References 29 publications

Focused echocardiography: Dyad versus individual training in an authentic clinical context

Focused echocardiography: Dyad versus individual training in an authentic clinical context

Point-of-Care Ultrasound

Point‐of‐care ultrasound in obstetrics

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