PAs and point-of-care ultrasound

Zak, Courtney L; Monti, Jonathan D

doi:10.1097/01.jaa.0000819568.41670.54

Cited by 9 publications

(13 citation statements)

References 43 publications

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“…The results of this study confirmed what has been reported in the literature; most PA programs offer no US training or limited US training during PA education 5,21,22 . In addition, the training offered during PA education does not generally encompass orthopedic procedures 6 . For this reason, it is not surprising that most PAs who participated in this study reported they do not feel prepared to perform US in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

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Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections

Joseph,

Salisbury

2023

JBJS Journal of Orthopaedics for Physician Assistants

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Background: Physician assistants (PAs) perform joint injections in the office setting. Although ultrasound (US) provides a safe option that increases accuracy of injections, this orthopedic specific training has not been routinely offered in PA education. The aim of this study was to examine the frequency with which orthopedic PAs performed shoulder, hip, and knee joint injections, with and without US, and how US training was obtained. Methods: In a quantitative descriptive cross-sectional study, PAs received a link to a self-designed survey by an email list provided by the physician assistants in orthopedic surgery. Results: Most PAs with access to US performed 10 or less shoulder, hip, and knee joint injections using US each month. The most common US training reported was on-the-job (n = 141; 35.30%), independent courses (n = 91; 22.80%), and self-taught (n = 70; 17.50%). Nearly one-half (n = 196; 49.00%) reported no US training, leading to 177 PAs (60.00%) perceiving they were not at all or only somewhat prepared to perform US in clinical practice. Conclusion: Overall, shoulder and knee joint injections were performed more often in the office than hip joint injections and were more commonly performed without US. Most PAs perceived they were not prepared to perform US in practice during their formal education, with many having sought further training.

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Section: Discussionmentioning

confidence: 99%

“…Because US is commonly used in orthopedics, it is necessary for PAs to be trained to use this tool 4 . However, only 29% of PA programs have integrated US training into their curricula 5,6 . The curricula primarily focus on diagnoses that would be seen in emergency medicine and critical care medicine and not orthopedic diagnoses 6 .…”

mentioning

confidence: 99%

Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections

Joseph,

Salisbury

2023

JBJS Journal of Orthopaedics for Physician Assistants

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“…4,8,10-12 Data regarding inclusion of POCUS into clinical year does not currently exist; however, a recent scoping review of POCUS and PAs demonstrates insufficient integration of POCUS in PA education. 12…”

Section: Introductionmentioning

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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“…POCUS has now become a standard of care in the emergency setting 1. However, many PAs remain unprepared to integrate POCUS into their clinical practice 3-5…”

mentioning

confidence: 99%

“…Although all PA programs require an emergency medicine rotation where students may gain exposure to POCUS, no standard or minimum requirement for POCUS training exists in PA program curricula 6. Furthermore, many obstacles exist to expanding POCUS education in PA curricula, including acquiring skilled PA faculty members, securing access to ultrasound machines, and financial support 5,7,8. PA postgraduate programs in emergency medicine can provide POCUS education and experience, and PAs can pursue ultrasound-specific fellowship programs, but these opportunities are limited and not feasible for all PAs working in emergency medicine 9.…”

mentioning

confidence: 99%

The effect of a point-of-care ultrasound curriculum on PAs in emergency medicine

Chenevert,

Coneybeare,

Weingart

et al. 2023

Jaapa

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To address identified learning gaps among physician associates/assistants (PAs) working with point-of-care ultrasound (POCUS) in our ED, we designed and implemented a longitudinal POCUS curriculum. This curriculum introduced the 12 main POCUS applications for emergency medicine with presession educational assignments and in-person learning sessions. We used the Kirkpatrick framework of evaluation to develop our metrics of measurement. To examine the effect of the curriculum, pre- and postcurriculum surveys were completed and use of POCUS before, during, and after the curriculum period was monitored. Our results showed the curriculum increased confidence and knowledge of POCUS applications and significantly increased the use of POCUS clinically by PAs. Formal, on-the-job POCUS education for postgraduate PAs is a vital adjunct to informal clinical learning for PAs in emergency medicine to gain POCUS skills.

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PAs and point-of-care ultrasound

Cited by 9 publications

References 43 publications

Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections

Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections

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

The effect of a point-of-care ultrasound curriculum on PAs in emergency medicine

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