Prevalence and Scope of Point‐of‐Care Ultrasound Education in Internal Medicine, Pediatric, and Medicine‐Pediatric Residency Programs in the United States

2018 ◽  
Vol 38 (6) ◽  
pp. 1433-1439 ◽  
Author(s):  
Michael Reaume ◽  
Matthew Siuba ◽  
Michael Wagner ◽  
Alyssa Woodwyk ◽  
Thomas A. Melgar
Keyword(s):  
Internal Medicine ◽  
United States ◽  
Point Of Care ◽  
The United States ◽  
Point Of Care Ultrasound ◽  
Ultrasound Education ◽  
Residency Programs ◽  
Pediatric Residency

Flexible Residency Programs for Women

PEDIATRICS ◽  
1985 ◽  
Vol 75 (5) ◽  
pp. 991-992
Author(s):  
NAOMI UCHIYAMA
Keyword(s):  
United States ◽  
American Academy ◽  
Training Program ◽  
Residency Training ◽  
Training Programs ◽  
The United States ◽  
Residency Programs ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics

To the Editor.— I am a member of the Committee on Women in Pediatrics of the American Academy of Pediatrics. The Committee recently studied the availability of flexible training and retraining programs in pediatric residency programs in the United States. We sent a questionnaire to the directors of the 292 pediatric training programs listed in the Directory of Residency Training Programs. At present, 200 of the 292 (68.5%) have a flexible training program. However, only two of these programs have this as a written policy; one such program was developed in 1973 and, in practice, this program was individually designed.

scholarly journals Nutrition Education in Internal Medicine Residency Programs and Predictors of Residents’ Dietary Counseling Practices

2018 ◽  
Vol 5 ◽  
pp. 238212051876336 ◽  
Author(s):  
Stutee Khandelwal ◽  
Sarah E Zemore ◽  
Anke Hemmerling
Keyword(s):  
Internal Medicine ◽  
United States ◽  
Risk Factors ◽  
Medical Education ◽  
Nutrition Education ◽  
The United States ◽  
Dietary Counseling ◽  
Major Barrier ◽  
Residency Programs ◽  
Counseling Practices

Background: Although physicians are expected to provide dietary counseling for patients with cardiovascular (CV) risk factors such as hypertension, hyperlipidemia, diabetes, and obesity, nutrition education in graduate medical education remains limited. Few studies have recently examined nutrition education and dietary counseling practices in Internal Medicine (IM) residency training. Objectives: To conduct a contemporary assessment of outpatient nutrition education in IM residency programs in the United States, identify predictors of residents’ dietary counseling practices for CV risk factors, and identify barriers for educators in providing nutrition education and barriers for residents in counseling patients. Design: Cross-sectional anonymous surveys were completed by IM program directors (PDs) and residents throughout the United States. Linear regression was used to examine the association between the amount of nutrition education received and the number of instruction methods used by the residents and frequency of residents’ dietary counseling for patients with CV risk factors. Key Results: A total of 40 educators (PDs and ambulatory/primary care PDs) and 133 residents across the United States responded to the survey. About 61% of residents reported having very little or no training in nutrition. Nutrition education in residency, both the amount of education (β = 0.20, P = .05) and the number of instruction methods used (β = 0.26, P = .02), predicted frequency of residents’ dietary counseling practices independent of nutrition education in medical school, which was also significantly associated with counseling (β = 0.20, P = .03). Residents’ total fruit and vegetable intake likewise predicted frequency of counseling (β = 0.24, P < .001). Low perceived faculty expertise was a major barrier for educators and was associated with lower level of provided nutrition education ( r = −.33, P = .04). Low resident and low perceived clinic preceptors’ interests in nutrition were also associated with lower frequency of residents’ dietary counseling ( r = −.19, P = .04; r = −.18, P = .05). Conclusions: The provision of nutrition education in IM residency programs and IM residents’ dietary counseling for patients need to be systematically assessed nationally. This study’s preliminary findings suggest that multimodal nutrition education in IM residency and better resident dietary habits are associated with higher frequency of dietary counseling for patients. Lack of faculty expertise and low faculty and resident interests in patient counseling need to be addressed perhaps by mandating nutrition education in graduate and continuing medical education.

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

2021 ◽  
Author(s):  
Jason E. Lambrecht ◽  
Kang Zhang ◽  
David M. Tierney ◽  
Paul Millner ◽  
David Giovannini ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Ultrasound Education ◽  
Core Clerkship

scholarly journals Point-of-Care Ultrasound in Internal Medicine

2017 ◽  
Vol 12 (2) ◽  
Author(s):  
Mitch Levine
Keyword(s):  
Internal Medicine ◽  
Needs Assessment ◽  
Point Of Care ◽  
Digital Health ◽  
Pericardial Tamponade ◽  
Point Of Care Ultrasound ◽  
Residency Programs ◽  
Technological Advances ◽  
Internal Medicine Residents ◽  
Similar Survey

Over the past few decades a variety of technological advances have dramatically change the manner in which physicians practice medicine. Both clinically and administratively the practice of medicine is in evolution – for example; stents instead of surgery and digital health records instead of paper charts. For internal medicine physicians one of the biggest transformations with respect to how we will practice medicine is just on the horizon. The routine use of point-of-care ultrasound (PoCUS) will become an essential skill for the practicing internist. The application for PoCUS in the field of internal medicine is immense – accurately assessing the JVP in critically ill patients, performing arterial and venipunctures, diagnosing pericardial tamponade or determining the likelihood of a pulmonary embolus, or the diagnostic and therapeutic removal of body fluids, to name a few.While some of our colleagues have adopted this technology as an adjunct to the clinical examination or as an aid to conducting bedside procedures most have not adopted this as a routine skill set. Some of the barriers include insufficient training and a lack of readily accessible equipment in all clinical settings. But this will change, and the use of PoCUS will eventually become a required skill of all practicing internists.In the current issue of CJGIM Lewis et al have conducted a needs assessment of PoCUS in answering either a clinical question or in guiding a procedure. As the Royal College of Physicians and Surgeons does not yet require all internal medicine residency programs to provide a formal PoCUS curriculum, the objective of their study was to conduct a systematic needs assessment for the introduction of a PoCUS curriculum to an internal medicine program. The results showed that some internal medicine residents were already using PoCUS yet they had never been formal trained in the skill. One is left to wonder what a similar survey would find if conducted amongst practicing internists.While each residency programs will inevitably develop a PoCUS curriculum for their trainees, it will remain a continuing education challenge for internists already in practice. The importance of this skill cannot be under estimated and it will require the leadership in the internal medicine community to ensure that they create the opportunity for all internists to master the use of PoCUS.

scholarly journals Mapping Trends and Hotspots Regarding the Use of Ultrasound in Emergency Medicine: A Bibliometric Analysis of Global Research

2021 ◽  
Vol 9 ◽  
Author(s):  
Sheng Wang ◽  
Demeng Xia ◽  
Zhentao Zhang ◽  
Jingli Zhang ◽  
Wenhao Meng ◽  
...  
Keyword(s):  
United States ◽  
Emergency Medicine ◽  
San Francisco ◽  
Point Of Care ◽  
Research Direction ◽  
The United States ◽  
Scientific Output ◽  
Diagnostic Tools ◽  
Point Of Care Ultrasound ◽  
Main Research

Objective: Diagnostic tools in emergency medicine have been widely studied. As a non-invasive and quick tool, ultrasound plays a role in the field of emergency medicine. Thus, it is significant to understand the global scientific output of this topic. An analysis of publications on the use of ultrasound in emergency medicine over the past decade was performed and summarized to track the current hotspots and highlight future directions.Methods: Globally relevant publications on ultrasound in emergency medicine from 2009 to 2020 were extracted from the Web of Science collection database. VOSviewer software and CiteSpace were employed to visualize and predict the trends in the research on the topic.Results: The overall volume of global publications is on the rise; furthermore, the United States published the most publications in this field and had the most citations and H-index. University of California at San Francisco in the United States has most publications in terms of institutions. The American Journal of Emergency Medicine published the most papers related to ultrasound in emergency medicine in terms of journals. Pulmonary embolism was once the main research direction, and importantly, “point-of-care ultrasound” was determined to be a new research hotspot.Conclusion: Altogether, the number of publications on ultrasound in emergency medicine will rise in the future. In addition, the findings reported here shed new light on the major progress on ultrasound in emergency medicine, which may be mutually cooperative in various fields. Moreover, this bibliometric study provides further indications for the topic of “point-of-care ultrasound”.

scholarly journals Point-of-Care Ultrasound Training and Credentialing for mid-late Career Emergency Physicians: Is it worth it?

POCUS Journal ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 56-57
Author(s):  
Courtney Smalley ◽  
Erin Simon ◽  
McKinsey Muir ◽  
Fernando Delgado ◽  
Baruch Fertel
Keyword(s):  
United States ◽  
Emergency Medicine ◽  
Quality Assurance ◽  
American Medical Association ◽  
Medical Association ◽  
Emergency Physician ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Emergency Physicians ◽  
Residency Programs

Point-of-care ultrasound (POCUS) is becoming more prevalent in community emergency medicine (EM) practice with the current American College of Emergency Physician guidelines recommending POCUS training for all graduates from United States based residency programs as well as support for POCUS privileging by the American Medical Association. However, in a recent survey of nonacademic EDs, it was found that most providers lack US training, credentialing, and quality assurance (QA) assessments of their POCUS studies. In 2017, our healthcare system embarked on a system-wide credentialing process for POCUS to credential community physicians with little to no POCUS training.

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