scholarly journals Creating a Novel Cardiac Limited Ultrasound Exam Curriculum for Internal Medical Residency: Four Unanticipated Tasks

2016 ◽  
Vol 3 ◽  
pp. JMECD.S18932 ◽  
Author(s):  
Melissa Nardi ◽  
David J. Shaw ◽  
Stanley A. Amundson ◽  
James N. Phan ◽  
Bruce J. Kimura
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Postgraduate Education ◽  
Internal Medicine Residency ◽  
Point Of Care Ultrasound ◽  
Evidence Based ◽  
Medical Residency ◽  
Cardiac Ultrasound ◽  
Formal Curriculum ◽  
The Past

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.

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

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Charles M. LoPresti ◽  
Daniel J. Schnobrich ◽  
Renee K. Dversdal ◽  
Frank Schembri
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Internal Medicine Residency ◽  
Point Of Care Ultrasound ◽  
Road Map

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

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.

scholarly journals The Master Clinician’s Elective: Integrating Evidence-Based Physical Examination and Point of Care Ultrasonography in Modern Clinical Medicine

POCUS Journal ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 13-19
Author(s):  
Maria Gabriela Frank MD ◽  
Cason Pierce MD ◽  
Noelle Northcutt MD ◽  
Joseph Walker Keach MD ◽  
Gerard Salame MD ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Physical Examination ◽  
Clinical Medicine ◽  
Point Of Care ◽  
Physical Exam ◽  
Inpatient Setting ◽  
Point Of Care Ultrasound ◽  
Evidence Based ◽  
Post Test ◽  
Point Of Care Ultrasonography

Background: Many internal medicine residency programs have incorporated ultrasonography into their curriculum; however, its integration with physical examination skills teaching at a graduate medical level is scarce. The program’s aim is to create a reproducible elective that combines physical exam and bedside ultrasound as a method for augmenting residents’ knowledge and competence in these techniques with the ultimate goal of improving patient care. Methods: We designed and implemented a two-week elective rotation for senior internal medicine residents, combining evidence-based physical examination with diagnostic bedside ultrasonography. The rotation took place in an inpatient setting at Denver Health Hospital. Program evaluation data was collected data between February 2016 to March 2019. IRB approval was waived. Results: Since its inception in 2016, 19 residents completed the rotation. Residents performed a pre-test and a post-test under direct observation by course faculty. Each resident was measured on the ability to perform pre-determined physical exam and point-of-care ultrasound (POCUS) skills. In the pre-test, participants correctly performed an average of 40% of expected physical exam maneuvers and 32% of expected POCUS skills. At elective conclusion, all participants were effectively able to demonstrate the highest yield physical exam and ultrasound maneuvers. Discussion and Conclusion: An elective designed specifically to integrate POCUS and physical exam modalities improves the ability of resident physicians to utilize both diagnostic modalities.

scholarly journals Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus

Critical Care ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Arif Hussain ◽  
Gabriele Via ◽  
Lawrence Melniker ◽  
Alberto Goffi ◽  
Guido Tavazzi ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Expert Panel ◽  
Point Of Care ◽  
Expert Consensus ◽  
Future Research ◽  
Point Of Care Ultrasound ◽  
The Past ◽  
Modified Delphi ◽  
Grade Methodology

AbstractCOVID-19 has caused great devastation in the past year. Multi-organ point-of-care ultrasound (PoCUS) including lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS) as a clinical adjunct has played a significant role in triaging, diagnosis and medical management of COVID-19 patients. The expert panel from 27 countries and 6 continents with considerable experience of direct application of PoCUS on COVID-19 patients presents evidence-based consensus using GRADE methodology for the quality of evidence and an expedited, modified-Delphi process for the strength of expert consensus. The use of ultrasound is suggested in many clinical situations related to respiratory, cardiovascular and thromboembolic aspects of COVID-19, comparing well with other imaging modalities. The limitations due to insufficient data are highlighted as opportunities for future research.

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