POCUS or no POCUS

2020 ◽  
Vol 24 (2) ◽  
pp. 127-131
Author(s):  
Mohamed S. Eissa ◽  
Hesham Talab ◽  
Mayar Talab
Keyword(s):  
Patient Outcome ◽  
Clinical Management ◽  
Training Programs ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
New Generation ◽  
Critical Situations

The use of point-of-care ultrasound (POCUS) in the perioperative setting by the anesthesiologists has now become a new demand. It has been proven to improve the patient outcome and to guide clinical management in critical situations. The anesthesiologists are still struggling to obtain POCUS skills and become POCUS competent. In Canada, many institutions have started to integrate POCUS into their anesthesiology training programs to build up a new generation of POCUS trained anesthesiologists.

Point-of-Care Ultrasound Training Programs Across Italian Pediatric Residency Schools

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Danilo Buonsenso ◽  
Monica Malamisura ◽  
Anna Maria Musolino
Keyword(s):  
Training Programs ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Pediatric Residency

Ultrasound

2019 ◽  
pp. 1001-1028
Author(s):  
Matthew Lyon ◽  
W. Ted Kuhn
Keyword(s):  
Clinical Management ◽  
Point Of Care ◽  
Image Acquisition ◽  
Image Interpretation ◽  
Ultrasound Image ◽  
Point Of Care Ultrasound ◽  
Clinical Integration ◽  
Humanitarian Emergency ◽  
Emergency Situations ◽  
Essential Components

This chapter outlines how clinical management decisions in humanitarian emergency situations can be greatly enhanced by the utilization of point-of-care ultrasound. The chapter recognizes the advancing technology of point-of care ultrasound and its use in humanitarian missions, and provides guidance on the essential components of clinical ultrasound (image acquisition, image interpretation, and clinical integration).

scholarly journals Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group

2019 ◽  
Vol 34 (10) ◽  
pp. 2123-2129 ◽  
Author(s):  
Anshula Ambasta ◽  
◽  
Marko Balan ◽  
Michael Mayette ◽  
Alberto Goffi ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Curriculum Development ◽  
Training Programs ◽  
Point Of Care ◽  
Policy Issue ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Point Of Care Ultrasound ◽  
Or Education ◽  
Education Indicators

Abstract Background Curriculum development and implementation for internal medicine point-of-care ultrasound (IM POCUS) continues to be a challenge for many residency training programs. Education indicators may provide a useful framework to support curriculum development and implementation efforts across programs in order to achieve a consistent high-quality educational experience. Objective This study seeks to establish consensus-based recommendations for education indicators for IM POCUS training programs in Canada. Design This consensus study uses a modified nominal group technique for voting in the initial round, followed by two additional rounds of online voting, with consensus defined as agreement by at least 80% of the participants. Participants Participants were 22 leaders with POCUS and/or education expertise from 13 Canadian internal medicine residency programs across 7 provinces. Main Measures Education indicators considered were those that related to aspects of the POCUS educational system, could be presented by a single statistical measure, were readily understood, could be reliably measured to provide a benchmark for measuring change, and represented a policy issue. We excluded a priori indicators with low feasibility, are impractical, or assess learner reactions. Candidate indicators were drafted by two academic internists with post-graduate training in POCUS and medical education. These indicators were reviewed by two internists with training in quality improvement prior to presentation to the expert participants. Key Results Of the 52 candidate education indicators considered, 6 reached consensus in the first round, 12 in the second, and 4 in the third round. Only 5 indicators reached consensus to be excluded; the remaining indicators did not reach consensus. Conclusions The Canadian Internal Medicine Ultrasound (CIMUS) group recommends 22 education indicators be used to guide and monitor internal medicine POCUS curriculum development efforts in Canada.

scholarly journals Design and evaluation of the I-SCAN faculty POCUS program

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Janjigian ◽  
Anne Dembitzer ◽  
Caroline Srisarajivakul-Klein ◽  
Khemraj Hardower ◽  
Deborah Cooke ◽  
...  
Keyword(s):  
Training Programs ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Median Score ◽  
Introductory Course ◽  
Hands On ◽  
Before And After ◽  
Online Feedback ◽  
Passing Score ◽  
Longitudinal Phase

Abstract Background Point-of-care ultrasound (POCUS) is becoming widely adopted with increasing accessibility of courses. Little is known about the optimal design of the introductory course or longitudinal training programs targeting hospitalists that are critical to success. Methods Hospitalists at four academic sites participated in a two-day introductory course and a longitudinal phase comprising clinical POCUS practice, clip uploading with online feedback, hands-on teaching, and monthly ultrasound conferences. Assessments were performed immediately before and after the two-day course and after 1 year. Results Knowledge increased from baseline to post two-day course (median score 58 and 85%, respectively, p < 0.001) and decreased slightly at 1 year (median score 81%, p = 0.012). After the two-day introductory course, the median score for hands-on image acquisition skills, the principal metric of participant success, was 75%. After 1 year, scores were similar (median score 74%). Confidence increased from baseline to post two-day course (1.5 to 3.1 on a 4 point Likert scale from Not at all confident (1) to Very confident (4), p < 0.001), and remained unchanged after 1 year (2.73). Course elements correlating with a passing score on the final hands-on test included number of clip uploads (r = 0.85, p,0.001), attendance at hands-on sessions (r = 0.7, p = 0.001), and attendance at monthly conferences (r = 0.50, p = 0.03). Conclusions The I-ScaN POCUS training program increased hospitalist knowledge, skill and confidence with maintained skill and confidence after 1 year. Uploading clips and attending hands-on teaching sessions were most correlative with participant success.

scholarly journals Wireless point-of-care ultrasound: First experiences with a new generation handheld device

2021 ◽  
pp. 1-12
Author(s):  
E.M. Jung ◽  
J. Dinkel ◽  
N. Verloh ◽  
M. Brandenstein ◽  
C. Stroszczynski ◽  
...  
Keyword(s):  
Image Quality ◽  
Mobile Device ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Imaging Method ◽  
Diagnostic Reliability ◽  
Handheld Device ◽  
Ultrasound Device ◽  
Linear Probe ◽  
New Generation

AIM: To evaluate the diagnostic reliability of a new generation wireless point-of care ultrasound device for abdominal and thoracic findings. MATERIAL AND METHODS: 40 patients (16 females, 24 males 19 –80 years, on average 56.1 years) were scanned by an experienced examiner using the new wireless Vscan Air device for abdominal and thoracic findings. The probe frequencies were 2–5 MHz (convex probe) and 3–12 MHz for the linear probe. As a reference standard, all patients were also examined using high-end ultrasound (LOGIQ E9/10). Results were interpreted independently by two examiners in consensus, also with regard to the image quality (0–4, from not assessable = 0, to excellent 4). RESULTS: In all 40 patients (100%) examination with conventional high-end ultrasound and the Vscan Air ultrasound device was feasible. Sensitivity, specificity, positive and negative predictive value for the diagnosis of abdominal and thoracic findings were 63.3%, 100%, 100%, and 40%, respectively. Most main diagnostic findings were detected using the mobile device compared to the high-end ultrasound. Limitations were found regarding characterization and classification of hepatic and renal tumorous lesions. Image quality revealed mostly minor diagnostic limitations for the mobile device, mean 2.9 (SD –0.300) and was excellent or with only minor diagnostic limitations for conventional high-end ultrasound, mean 3.25 (SD –0.438). CONCLUSION: Due to its easy application and its high diagnostic reliability, point-of-care ultrasound systems of the latest generation represent a valuable imaging method for the primary assessment of abdominal and thoracic findings, especially in patients on intensive care units or in emergency situations.

The use of point-of-care ultrasound to guide clinical management in intra-abdominal hypertension

2021 ◽  
Author(s):  
Zouheir Ibrahim Bitar ◽  
Ossama Sajeh Maadarani ◽  
Tamer Mohamed Zaalouk ◽  
Mohammed Jaber Mohsen ◽  
Ragab Desouky Elshabasy ◽  
...  
Keyword(s):  
Clinical Management ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Abdominal Hypertension

scholarly journals Point-of-Care Ultrasound in Undergraduate Medical Education: a Probe into its Feasibility

2018 ◽  
Vol 8 (2) ◽  
pp. 23-24
Author(s):  
John MacIsaac
Keyword(s):  
Medical Education ◽  
Residency Training ◽  
Undergraduate Medical Education ◽  
Training Programs ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Medical Specialties ◽  
Undergraduate Level ◽  
Medical Undergraduate ◽  
Point Of Care Ultrasonography

Point of care ultrasonography (POCUS) has had its applications expand rapidly over recent years and across several medical specialties. Enough so that is has become an essential skill in most residency training programs across Canada. Despite this, there is little to no structured POCUS training at the medical undergraduate level. The goal of this commentary is to briefly introduce the value of POCUS in medical education; the feasibility of its integration; current barriers to its introduction; and the potential for students to be a possible solution until faculty can introduce a formal undergraduate POCUS curriculum.

scholarly journals Handheld Point-of-Care Ultrasound Probes: The New Generation of POCUS

2020 ◽  
Vol 34 (11) ◽  
pp. 3139-3145
Author(s):  
Yanick Baribeau ◽  
Aidan Sharkey ◽  
Omar Chaudhary ◽  
Santiago Krumm ◽  
Huma Fatima ◽  
...  
Keyword(s):  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
New Generation ◽  
Ultrasound Probes

Structured Neonatal Point-of-Care Ultrasound Training Program

2020 ◽  
Author(s):  
Dalibor Kurepa ◽  
Vitalya Boyar ◽  
Nahla Zaghloul ◽  
Joanna Beachy ◽  
Alla Zaytseva ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Health Care Professionals ◽  
Clinical Decision Making ◽  
Training Programs ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Clinical Tool ◽  
Perinatal Medicine ◽  
Medical Specialties ◽  
Clinical Indications

Abstract Objective Point-of-care ultrasound (POC US) has been increasingly used by intensive care physicians. Growing use of POC US necessitates defining distinct clinical indications for its application, as well as structured POC US training programs. Homogeneous approach to POC US education combined with rigorous quality assurance should further enable POC US to become standard-of-care clinical tool. This study aimed to present the first, innovative, and structured POC US program in neonatal–perinatal medicine field. In addition, we reviewed the availability of the POC US training programs across different medical specialties. Study Design Available English-language publications on POC US training programs in general and neonatal–perinatal medicine were reviewed in this study. Discussion Mounting body of evidence suggests improved procedural completion rates, as well as clinical decision making with the use of POC US. However, limited research supported the existence of structured, comprehensive POC US programs. It was recognized that medical institutions need to develop syllabuses, teach, and credential increasing number of health care professionals in the use of POC US. We defined intuitive educational strategy that encompasses POC US clinical indications, educational curriculum, scanning protocols, competence evaluation, and finally credentialing process. In addition, we offered description of the imaging quality assurance, as well as POC US coding, and reimbursement. Conclusion Future efforts need to be dedicated to the ongoing development of neonatal POC US as a clinical instrument. It should allow for eventual paradigm change and improved effectiveness in management of critically ill neonates.

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