Linden Kolbenson; Talha Salman; Amanda Oro; Paul Olszynski – Point of care ultrasound (POCUS) is used in internal medicine (IM) to augment clinical decision making and improve procedural safety. Institutionally-supported archiving software can help learners track scan numbers and receive feedback on image acquisition and interpretation.
Ryan Marinovich; Michael G. R. Beyaert; Steven J. Montague; Irene W. Y. Ma; Luke A. Devine – Point of care ultrasound (POCUS) is an important tool for bedside diagnostics and procedures within internal medicine. In 2017 the Canadian Internal Medicine Ultrasound (CIMUS) group provided recommendations for applications to teach POCUS to internal medicine trainees. The way that training programs have implemented these recommendations has not been assessed. We aim to assess POCUS applications taught within internal medicine training programs, five years after the CIMUS group’s recommendations.
Nancy L. Hagood; Romik Srivastava; Marc E. Heincelman; Meghan K. Thomas – Point of care ultrasound (POCUS) training is increasingly incorporated in undergraduate medical education (UME). However, limited resources and lack of standard guidelines lead to questions regarding the most effective curriculum and assessment method. The authors aimed to develop a longitudinal UME POCUS curriculum through staged intervention.
Yoshiko Ishisaka, Hong Yu Wang, Hayato Mitaka, Elliot Charen, Paru Patrawalla – Renal ultrasound is a non-invasive method to assess for obstructive acute kidney injury (AKI). Point of care ultrasound (POCUS) has been shown to be a good screening tool for obstructive AKI, and with formal training, has high sensitivity and specificity. We aimed to evaluate the effectiveness and feasibility of integrating a novel renal POCUS curriculum into an existing two-week nephrology rotation for internal medicine residents.
Kevin M. Piro, Patricia A. Carney, Christopher J. Smith – Point of care ultrasound (POCUS) is a complex psychomotor skill that requires scaffolded support for skill acquisition. However, the effect of spaced curricular elements on learner POCUS behaviors are not clearly understood.
Mark Johnson, MRCP MBBCh BSc – In acute care environments, accurately assessing complications of intracranial pathology can be challenging. Ocular complications in acute intracranial disease are not consistently evaluated despite their high morbidity. We report on a case of monocular diplopia in a 63-year-old man with subacute traumatic brain injury with localized subarachnoid hemorrhage.
Thomas F. Heyne; Kay Negishi; Daniel S. Choi; Ahad A. Al Saud; Lucas X. Marinacci; Patrick Y. Smithedajkul; Lily R. Devaraj; Brent P. Little; Dexter P. Mendoza; Efren J. Flores; Milena Petranovic; Steven P. Toal; Hamid Shokoohi; Andrew S. Liteplo; Benjamin P. Geisler – Even as newer viral variants have proven less deadly than the initial waves, Coronavirus Disease 2019 (COVID-19) continues to affect our world. Although critical to mitigate the spread of disease, rapid and accurate diagnosis of COVID-19 can be challenging.
David M. Tierney; Terry K. Rosborough; Lynn M. Sipsey; Kai Hanson; Claire S. Smith; Lori L. Boland; Robert Miner – Point of care ultrasound (POCUS) use has rapidly expanded among internal medicine (IM) physicians in practice and residency training programs. Many benefits have been established; however, studies demonstrating the impact of POCUS on system metrics are few and mostly limited to the emergency department or intensive care setting. The study objective was to evaluate the impact of inpatient POCUS on patient outcomes and hospitalization metrics.
Michelle Fleshner, MD MPH; Steve Fox, MD; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Thuy Bui MD – Point-of-care Ultrasound (POCUS) is particularly useful in low-middle income countries (LMICs) where advanced imaging modalities and diagnostics are often unavailable. However, its use among Internal Medicine (IM) practitioners is limited and without standard curricula. This study describes POCUS scans performed by U.S. IM residents rotating in LMICs to provide recommendations for curriculum development.
Steven Fox, MD; Michelle Fleshner, MD MPH; Collin Flanagan, DO; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Abdulrahman Sindi, MD; Raghunandan Purushothaman, MD; Thuy Bui, MD – A quality assurance system is vital when using point-of-care ultrasound (POCUS) to ensure safe and effective ultrasound use. There are many barriers to implementing a quality assurance system including need for costly software, faculty time, and extra work to log images.