Integration of Point‐of‐Care Ultrasound Education Into the Internal Medicine Core Clerkship Experience

Lambrecht, Jason; Zhang, Kang X.; Tierney, David M.; Millner, Paul; Giovannini, David; Barron, Keith; Novak, William; Patel, Sanjay; Dversdal, Renee K.; Cox, Emily J.; LoPresti, Charles M.

doi:10.1002/jum.15702

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…While lack of faculty to teach POCUS has been reported by medical schools and PA schools, and a lack of qualified clinical preceptors has been described in clerkships, this objective gap in POCUS educators during clinical experiences has not been previously reported. 5,8,15 Physician assistant programs attempting to incorporate POCUS into their curricula, with the hope of continued mastery of skills while on clinical rotations must not assume POCUS education will be supported by preceptors.…”

Section: Discussionmentioning

confidence: 99%

Physician Assistant Student Preceptors and Point-of-Care Ultrasound: Perceptions and Readiness to Teach

Breunig,

Kingsley,

Fischer

et al. 2023

J Physician Assist Educ

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Purpose Point-of-care ultrasound (POCUS) inclusion in medical education is increasing, and understanding of clinical educators' perceptions and use patterns is needed. The purpose of this research project was to explore current use, interest, knowledge, perceptions, and readiness to teach POCUS from the perspectives of clinical preceptors for physician assistant (PA) students. Methods A survey research study was completed on previously identified preceptors. Descriptive statistics outlined the frequencies of responses. Bivariate analysis with Chi-Square or Fischer Exact Testing was used to identify statistically significant differences between groupings. Results Most preceptors (87.1%) believe POCUS adds clinical value, but a minority received POCUS training (37%), are familiarity with its use (37.4%), and currently use POCUS (23.4%). Two-thirds (66.1%) of preceptors stated they would allow PA students to practice POCUS skills on clinical rotation; however, few (31%) felt comfortable with this and even fewer (22.6%) felt comfortable findings on POCUS into their clinical decision making. Conclusions Despite support of incorporation of POCUS into PA education, clinical preceptors' readiness to teach POCUS on clinical rotations is limited. This study shows that preceptors are neither comfortable with student use nor incorporating student findings into clinical decision making. A lack of sufficient clinical preceptors to support POCUS education has not been previously reported. PA programs attempting to incorporate POCUS into their curricula will need to be intentional providing opportunities to continue POCUS on clinical rotations.

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Section: Discussionmentioning

confidence: 99%

Physician Assistant Student Preceptors and Point-of-Care Ultrasound: Perceptions and Readiness to Teach

Breunig,

Kingsley,

Fischer

et al. 2023

J Physician Assist Educ

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“…More specifically, they recommend four weeks of focused work on technique during the first year of residency and then an advanced course for senior residents later on [12]. There is no universally standardized list of topics and skills that all POCUS learners should master for a given specialty, although some preliminary content recommendations do exist [2,[13][14][15][16]. In addition to a lack of training guidelines, barriers to implementing POCUS in a primary care setting include a lack of instructors, equipment, and practitioner confidence in independently interpreting images [17].…”

Section: Introductionmentioning

confidence: 99%

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

Frasure¹,

Treat²,

Dow³

et al. 2023

Cureus

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IntroductionLimited guidance exists for primary and urgent care ultrasound applications. This study sought to identify the most useful applications for providers in these clinical settings, to create and implement a structured interdisciplinary point-of-care ultrasound (POCUS) curriculum, and to assess the effectiveness of the course. MethodsThis prospective cohort study took place at an urban academic medical center. After a needs-based assessment of ultrasound applications in primary and urgent care, the Emergency Medicine ultrasound faculty and fellows were paired with a primary or urgent care provider (N = 6). The pairings met for scanning sessions in the emergency department to practice image acquisition, documentation, and incorporation of ultrasound into the workflow. Participants were given POCUS pre-work to review before each session. The final bedside session included a formal Objective Standard Clinical Examination (OSCE) to assess learner proficiency to be cleared for independent imaging. The program was assessed using pre-and post-training surveys. ResultsThe survey results demonstrated that renal, gallbladder, and soft tissue scans were the most interesting and useful to primary and urgent care providers after completion of the training course. ConclusionThe course was effective, and efficient, simple, high-yield POCUS applications should be included in future programs and organizational guidelines for primary and urgent care POCUS education.

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“…Cardiac ultrasound is a widely available and convenient imaging modality that has become a standard component of medical school and residency training [1][2][3][4][5][6]. The purpose of cardiac ultrasound at the bedside is to allow for the rapid assessment of cardiac structure and function in timesensitive settings.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of left ventricular systolic dysfunction by single echocardiographic view: towards an evidence-based point of care cardiac ultrasound scanning protocol

Luong

Rizi

Gin

et al. 2021

Int J Cardiovasc Imaging

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Integration of Point‐of‐Care Ultrasound Education Into the Internal Medicine Core Clerkship Experience

Cited by 8 publications

References 14 publications

Physician Assistant Student Preceptors and Point-of-Care Ultrasound: Perceptions and Readiness to Teach

Physician Assistant Student Preceptors and Point-of-Care Ultrasound: Perceptions and Readiness to Teach

An Interdisciplinary Approach to the Introduction of Point-of-Care Ultrasound in an Urban Academic Primary Care Center

Prevalence of left ventricular systolic dysfunction by single echocardiographic view: towards an evidence-based point of care cardiac ultrasound scanning protocol

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