Developing and Evaluating a Remote Quality Assurance System for Point-of-Care Ultrasound for an Internal Medicine Residency Global Health Track

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.

The Hybrid POCUS-to-Echo Feasibility Study: Provision of Expedited Cardiac Point of Care Ultrasound Service (e-POCUS) by the Echocardiography Lab

Hanane Benbarkat, MD; Tony Sanfilippo, MD; Jian Zhang, RDCS; Amer M. Johri, MD MSc FRCPC FASE – Comprehensive transthoracic echocardiography (CTE) provides information vital to the care of acutely ill and unstable patients, but may not be readily available. Cardiac point of care ultrasound (POCUS) is well suited to providing key information at the bedside to expedite decision making. Our objective was to evaluate the feasibility of expedited-POCUS (e-POCUS) provided by the echo lab for internal medicine, cardiology and intensive care services.

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

Maria Gabriela Frank MD; Cason Pierce MD; Noelle Northcutt MD; Joseph Walker Keach MD; Gerard Salame MD; Rebecca Allyn MD – 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.

Demonstration of a Longitudinal Medical Education Model (LMEM) Model to Teach Point-of-Care Ultrasound in Resource-Limited Settings

Michael Yao; Lauren Uhr; George Daghlian; Junedh M. Amrute; Ramya Deshpande; Benji Mathews, MD; Sanjay A. Patel, MD; Ricardo Henri, MD; Gigi Liu, MD; Kreegan Reierson, MD; Gordon Johnson, MD
Short-term medical missions prevail as the most common form of international medical volunteerism, but they are ill-suited for medical education and training local providers in resource-limited settings. Objective: The purpose of this study is to evaluate the effectiveness of a longitudinal educational program in training clinicians how to perform point-of-care ultrasound (POCUS) in resource-limited clinics. Design: A retrospective study of a four-month POCUS training program was conducted with clinicians from a rural hospital in Haiti. The model included one-on-one, in-person POCUS teaching sessions by volunteer instructors from the United States and Europe. The Haitian trainees were assessed at the start of the program and at its conclusion by a direct objective structured clinical examination (OSCE), administered by the visiting instructors, with similar pre- and post- program ultrasound competency assessments.

Perceived Barriers and Facilitators to the use of Point-of-Care Ultrasound for Clinicians in Oregon

by Camellia Dalai; Renee K. Dversdal
The use of Point-of-Care Ultrasound (POCUS) to provide clinical data beyond the history and physical examination is a relatively new practice for primary care providers and hospitalists. It takes many hours of dedicated ultrasound (US) training and practice to achieve POCUS proficiency; further, perceptions and attitudes of clinicians play a major role in adopting POCUS into daily clinical repertoire.

Point-of-Care Ultrasound Training for Family Medicine Residents: Examining the outcomes and feasibility of a pilot ultrasound curriculum

by Gordon Yao; Taeyoung Peter Hong; Philip Lee; Joseph Newbigging; Brent Wolfrom
It is estimated that 50% of deaths due to abdominal aortic aneurysms (AAA) could be prevented by a national screening program. Thanks to technological ad­vancements and cost reductions, point-of-care ultrasound (POCUS) in family medicine (FM) is becoming more prev­alent [4, 5]. Despite the potential utility of POCUS in FM, of 224 FM residency programs surveyed, only 21% had developed a curriculum.

Minding the Gap(s): Hospitalists Experience Aspirational, Safety, and Knowledge Deficits That Prevent Them From Practicing POCUS

by Stephanie Conner; David Chia; Farhan Lalani; Meghan O’Brien; James Anstey; Nima Afshar; Trevor Jensen
Point-of-care ultrasound (POCUS) has been a mainstay of clinical decision-making in the intensive care unit and emergency department for more than a decade, but adoption into hospital medicine has lagged behind. Recently, internal medicine residency programs have started to develop POCUS curricula for trainees, though concurrent hospitalist training programs have been limited to date, with little consensus on what hospitalist-oriented curricula should entail. As such, there is wide variability amongst hospitalists with respect to utilization of, training in, and proficiency in POCUS.

Simulator-Based Training in FoCUS with Skill-Based Metrics for Feedback: An Efficacy Study

by Robert Morgan; Bradley Sanville; Shashank Bathula; Shaban Demirel; R. Serene Perkins; Gordon E. Johnson
Focused Cardiac Ultrasound (FoCUS) is a relatively new technology that requires training and mentoring. The use of a FoCUS simulator is a novel training method that may prompt greater adoption of this technology by physicians at different levels of training and experience. The objective of this study was to determine if simulation training using an advanced echo simulator (Real Ultrasound®) is a feasible means of delivering training in FoCUS.

Research: Emergency medicine residents’ acquisition of point-of-care ultrasound knowledge and their satisfaction with the flipped classroom andragogy

by Khalid Bashir MD; Aftab Azad, MD; Kaleelullah Saleem Farook, MD; Shahzad Anjum, MD; Sameer Pathan, MD; Zain Bhutta, MD; Stephen Hodges Thomas,MD

One of the traditional approaches for knowledge transfer in medical education is through face-to-face (F2F) teaching. We aimed to evaluate the acquisition of knowledge about point-of-care ultrasound (POCUS) and learner’s satisfaction with the flipped classroom (FC) teaching approach.

Pilot Project: Does formal bedside training of medical students with a FAST exam increase their knowledge and comfort level with ultrasound use in a community family medicine practice setting?

by Rimi Sambi, MD and Heather Sawula, MD; Brent Wolfrom, MD; and Joseph Newbigging, MD

As point of care ultrasound (PoCUS) becomes increasingly popular and a standard of care in many clinical settings, the interest for integration in medical undergraduate curriculum is also growing. This project aims to assess whether formal bedside Focused Abdominal Scan for Trauma (FAST) exam training of medical students increases their knowledge and comfort with the use of bedside ultrasound in a family medicine setting at Queen’s University.