A road map for point-of-care ultrasound training in internal medicine residency

Over the past two decades, our internal medicine residency has created a unique postgraduate education in internal medicine by incorporating a formal curriculum in point-of-care cardiac ultrasound as a mandatory component. The details regarding content and implementation were critical to the initial and subsequent success of this novel program. In this paper, we discuss the evidence-based advances, considerations, and pitfalls that we have encountered in the program's development through the discussion of four unanticipated tasks unique to a point-of-care ultrasound curriculum. The formatted discussion of these tasks will hopefully assist development of ultrasound programs at other institutions.

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UTILIZING AN INTERNAL MEDICINE RESIDENCY PROGRAM NEEDS ASSESSMENT TO FACILITATE A PILOT POINT-OF-CARE ULTRASOUND (POCUS) CURRICULUM

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(20)34140-1 ◽

2020 ◽

Vol 75 (11) ◽

pp. 3513

Author(s):

Sean Mendez ◽

Nino Mihatov ◽

Jonathan R. Wing ◽

Daniel Restrepo ◽

Jatin M. Vyas ◽

...

Keyword(s):

Internal Medicine ◽

Needs Assessment ◽

Residency Program ◽

Point Of Care ◽

Internal Medicine Residency ◽

Point Of Care Ultrasound ◽

Internal Medicine Residency Program

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First year internal medicine residents’ self-report point-of-care ultrasound knowledge and skills: what (Little) difference three years make

BMC Medical Education ◽

10.1186/s12909-021-02915-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tanner Chahley ◽

Ada W Lam ◽

Samantha Halman ◽

Kathryn Watson ◽

Irene WY Ma

Keyword(s):

Internal Medicine ◽

Point Of Care ◽

Internal Medicine Residency ◽

Self Report ◽

First Year ◽

Learning Needs ◽

Point Of Care Ultrasound ◽

Internal Medicine Residents ◽

Study Support ◽

B Lines

Abstract Background With increasing availability of point-of-care ultrasound (POCUS) education in medical schools, it is unclear whether or not learning needs of junior medical residents have evolved over time. Methods We invited all postgraduate year (PGY)-1 residents at three Canadian internal medicine residency training programs in 2019 to complete a survey previously completed by 47 Canadian Internal Medicine PGY-1 s in 2016. Using a five-point Likert scale, participants rated perceived applicability of POCUS to the practice of internal medicine and self-reported skills in 15 diagnostic POCUS applications and 9 procedures. Results Of the 97 invited residents, 58 (60 %) completed the survey in 2019. Participants reported high applicability but low skills across all POCUS applications and procedures. The 2019 cohort reported higher skills in assessing pulmonary B lines than the 2016 cohort (2.3 ± SD 1.0 vs. 1.5 ± SD 0.7, adjusted p-value = 0.01). No other differences were noted. Conclusions POCUS educational needs continue to be high in Canadian internal medicine learners. The results of this needs assessment study support ongoing inclusion of basic POCUS elements in the current internal medicine residency curriculum.

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